Director – Quality Medicare Strategy

🔥 12 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $134.6k - $249k / year

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 0%

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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

• Drive development of multi-year, market-specific Medicare Stars performance strategy • Plan and partner with stakeholders to understand geographic market expansion of the Medicare business • Research and plan innovations for the Medicare Stars Program • Direct the annual Medicare multi-year strategic planning process • Develop recommendations for new state and county expansion markets • Build cross-functional relationships to implement business strategies • Oversee network and sales channel development for new state expansions • Leverage Medicare product strategy to enhance go-to-market strategy across sales, marketing, and markets • Work with product development to oversee implementation of new innovations • Facilitate exploration of external partnerships to enhance Medicare strategic positioning • Support financial, sales, and operational reporting and analysis • Perform other duties as assigned

🎯 Requirements

• Bachelor's degree in a related field required, or equivalent work experience • 5+ years of Medicare Advantage related experience • 5+ years of experience developing and implementing new business strategies • 3+ years of experience working in a Medicare Advantage environment • Strong financial and analytical background • Strong Medicare Advantage and Medicare Stars expertise • Ability to translate complex data and evolving CMS requirements into actionable strategies • Ability to align cross-functional teams and strengthen provider engagement • Ability to lead change and execute business objectives through oversight and management of key stakeholders and owners

🏖️ 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 and diversity commitment