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Senior Manager, Medicare Strategy & Performance

Role overview

Qualifications

  • Bachelor’s degree in Business Administration or related field
  • 5+ years of managed care experience
  • 3+ years of supervisory/management experience
  • Master’s degree preferred

Responsibilities

  • Lead a team responsible for strategic and operational execution of the strategic plan
  • Support strategic and business planning process for initiatives
  • Collaborate with finance and analytic teams for cost/benefit analysis
  • Lead post-implementation project reviews and address issues

Key facts

Hard skills

Other skills

  • Strategic Planning
  • Team Leadership
  • Communication
  • Problem Solving
  • Time Management
  • Social Skills

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Position Purpose:
Lead a team of professionals responsible for the strategic and operational execution of the strategic plan, typically including individual state initiatives as well as broad, national strategic efforts. Responsible for a large budget that is very complex in nature, in support of the Health Care product's strategic and business initiatives.
  • Support the strategic and business planning process and lead larger scale, cross-functional initiatives that are intended to deliver on annual business and strategic plans.

  • Support planning and prioritization of initiatives as part of the strategic and business planning process, and ensures that initiatives are executed timely and well.

  • Collaborate with finance and analytic teams to develop cost/benefit analysis, support business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment, and project budgetary information.

  • Integrate multiple project plans to create a cohesive plan and/or program with identifiable critical path.

  • Task dependencies, project inter-relationships and major milestones, and manage the project plan, schedule and resources, ensuring successful completion within scope, budget, time, and quality parameters.

  • Lead and review post-implementation project reviews to close project and to address post-project issues, concerns, and improvement areas.

  • Responsible for keeping abreast of business needs and issues related to the success of the Health Care product based on regulatory or policy changes, contract changes, industry trends and/or corporate goals.

  • Support the preparation of communications and presentations to all levels of the organization as well as to external audiences as appropriate, to socialize product goals, communicate progress, identify and quantify potentials risks, and track performance.
  • Performs other duties as assigned.

  • Complies with all policies and standards.


Education/Experience:

Bachelor’s degree in Business Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years of managed care experience in a HMO, MSO, provider managed care setting or related experience. 3+ years of supervisory/management experience.

License/Certification: Project Management Professional Certification preferred.


Pay Range: $107,700.00 - $199,300.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act







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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
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