Vice President – Member Enrollment & Billing

🕒 Setembro 4

🏰 Missouri – Remoto

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💵 $207.000 - $392.100 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Vice-presidente

👻 Score fantasma 13%

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

• Lead and manage billing and enrollment processes across multiple regions • Develop and implement strategic plans for enrollment and billing operations • Oversee daily operations and ensure compliance with federal, state, and local healthcare regulations • Manage departmental budgets and analyze financial data in collaboration with finance • Implement and maintain regulatory compliance policies, conduct audits, and resolve compliance issues • Maintain high customer satisfaction and strong stakeholder relationships • Manage and monitor KPIs related to enrollment, billing, and revenue • Contribute to long-term strategic plans and identify growth opportunities • Ensure accurate and timely processing of enrollment applications, billing statements, and claims • Develop and mentor a high-performing team • Identify and implement process improvements • Oversee member enrollment, policy administration, claim processing, and revenue cycle management • Perform other duties as assigned • Comply with all policies and standards

🎯 Requisitos

• Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required • Master's Degree in a related field preferred • 10+ years of healthcare operations experience required • Previous experience managing staff, including hiring, training, managing workload and performance required • Extensive experience in health insurance enrollment and billing operations required • Experience with healthcare billing systems and revenue cycle management preferred • Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position

🏖️ Benefícios

• Competitive pay • Health insurance • 401K plan • 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

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