Vice President, Clinical Technology – UM Portfolio Management

🕒 June 25

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $188.9k - $359.8k / year

⏰ Full Time

🔴 Lead

👔 Vice President

👻 Ghost score 31%

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• 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

🎯 Requirements

• 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

🏖️ Benefits

• 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