Centene Corporation
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
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.
Vice President, Claims Configuration Operations – Health Plan
🕒 May 8
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Centene Corporation
10,000+ employees
Founded 1984
⚕️ Healthcare Insurance
🤝 Non-profit
🌍 Social Impact
Healthcare Insurance • Non-profit • Social Impact
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 business operations, procurement opportunities, new product implementations and complex initiatives for business development utilizing cross-functional business units and corporate teams • Partner with multiple stakeholders and leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders • Monitor and report achievement of committed action plans to senior management • Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit • Accountable for budget, revenue targets, and Profit & Loss • Lead and oversee new business implementation and procurement activities for all products and complex projects, including RFP responses • Evaluate program opportunities and recommendations for effectiveness and ROI • Perform duties as senior liaison between the business unit, corporate, and external stakeholders • Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses, and financial integrity
🎯 Requirements
• Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required • Master's Degree preferred • 9+ years of operations, management, or administration in the Healthcare or Insurance industry experience required • Experience in business development and/or Request for Proposal (RFP) preferred • Extensive knowledge of state legislative and regulatory processes preferred • For Acaria Health Specialty Pharmacy, substitution of a PharmD coupled with 9+ years of experience is acceptable
🏖️ Benefits
• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules
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