Director, Operations – Population Health, Clinical Operations

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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

• Lead the development, coordination, and execution of operational strategies and process improvements across shared services • Translate strategy into operating plans and facilitate cross-functional alignment • Drive delivery of new operating models, processes, and capabilities for compliant, accurate, and scalable product operations • Serve as a subject matter expert for the Duals Integration Office interfacing with Population Health & Clinical Operations • Act as a primary operational liaison between product leadership, shared services, and corporate partners • Define operational strategies, annual objectives, KPIs, and standardized operating procedures • Support enterprise due diligence, integration planning, and operational readiness for product expansions • Monitor operational performance and identify gaps, risks, and optimization opportunities • Evaluate performance using KPIs and ensure cost-effective programs are developed and maintained • Identify efficiencies and develop best-practice workflows, process improvements, policies, and procedures • Provide operational input into new products and markets • Oversee projects using corporate and industry-standard management tools and techniques • Collaborate with stakeholders to identify resources, resolve issues, and mitigate risks • Coordinate cross-functional meetings to meet stakeholder expectations and business-unit objectives • Provide functional and technical expertise across business units and technical areas • Perform other duties as assigned and comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in Finance, Accounting or related field or equivalent work experience required • Master's Degree in a related field preferred • 6+ years of experience in assigned products, including Medicare or Duals managed care operations • Experience emphasizing operational effectiveness optimization, government contracting and/or regulatory compliance • Experience with project management, administration or operations in the healthcare industry preferred • Ability to develop operational strategies, KPIs, standardized operating procedures, and process improvements • Experience overseeing projects, resolving issues, identifying resources, and mitigating risks • Ability to provide functional and technical expertise across business units and technical areas

🏖️ Benefits

• 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