Vice President, Clinical Technology – UM Portfolio Management

🕒 Junho 25

🏰 Missouri – Remoto

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💵 $188.900 - $359.800 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

👻 Score fantasma 45%

infoinfo

🗣️🇺🇸🇬🇧 Inglês obrigatório

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Centene Corporation

10.000+ funcionários

Fundada em 1984

🛡️ Seguros

💼 Consultoria

🏥 Saúde

Insurance • Consulting • Healthcare

Centene Corporation é uma provedora líder de serviços de saúde patrocinados pelo governo, especializada em oferecer soluções de saúde acessíveis e de alta qualidade. Há mais de 40 anos, a Centene tem se dedicado a transformar a saúde das comunidades, ampliando o acesso a Medicaid, Medicare e ao Health Insurance Marketplace, além de atender comunidades militares por meio do programa TRICARE. Como a maior organização de managed care do Medicaid e participante-chave no Marketplace, a Centene enfatiza a entrega de cuidados de saúde com foco local, combinada a parcerias sólidas com organizações sem fins lucrativos para atender às necessidades únicas de seus membros. A Centene também é comprometida com sustentabilidade corporativa e responsabilidade social, priorizando a gestão ambiental e a governança ética para promover o bem-estar das comunidades que atende.

Descrição

• Oversee the product development function, including product vision, strategy, future product needs, and enhancements • Lead enterprise UM portfolio strategy and governance • Partner with clinical technology vendors and product development partners to align roadmap priorities and enforce SLA accountability • Drive end-to-end delivery across prior authorization, concurrent review, and clinical correspondence workflows • Deploy AI-enabled and other technology capabilities across the UM lifecycle from intake through determination and correspondence • Establish operational effectiveness frameworks measuring productivity, accuracy, and throughput gains • Own the enterprise ROI and KPI measurement framework for UM technology investments and strategic initiatives • Deliver executive-ready reporting on financial performance, vendor outcomes, and AI impact • Develop and oversee product development strategy and product roadmaps • Drive clinical, digital, and data/analytics product innovation • Partner with strategic business unit leadership and portfolio management on priorities and resources • Build an effective product organization spanning product management, consumer engagement, strategic partnerships, and innovation • Drive efficiency within RFP and client implementation processes • Review market landscape, product usage, business cases, and key metrics to ensure ROI • Monitor product competitiveness and support new business opportunities • Manage, measure, and monitor strategic partners • Perform other duties as assigned

🎯 Requisitos

• Bachelor's Degree in related field or equivalent experience required • 8+ years of clinical technology experience • Deep understanding of the member journey • Product development experience • Ability to lead enterprise UM portfolio strategy and governance • Experience partnering with clinical technology vendors and product development partners • Knowledge of prior authorization, concurrent review, and clinical correspondence workflows • Experience driving AI-enabled and other technology capabilities across the UM lifecycle • Experience with ROI and KPI measurement frameworks for technology investments • Experience developing product strategy and roadmaps • Experience managing strategic partners • Must comply with all policies and standards

🏖️ Benefícios

• Competitive pay • Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity

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