Product Operations Specialist

Job not on LinkedIn

🔥 3 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚡️ Product Operations

👻 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

• Support implementation and/or drive ongoing operational maintenance of assigned products or service areas • Communicate and manage relationships with internal and external stakeholders • Identify opportunities for integrated process improvement and escalate issues as necessary • Support product success and operational effectiveness • Create and maintain reporting tools to analyze and develop process improvement opportunities • Serve as the subject matter expert for the assigned product or service area • Drive assigned operational aspects of the product/service • Assess operational performance and escalations by tracking, analyzing and researching performance expectations • Monitor internal/external relationships for compliance with contractual requirements • Develop relationships with key partners and stakeholders to drive operational enhancements • Identify trends and conduct root cause analysis to resolve complex escalations • Create reports and support business review presentations for senior leadership, vendors and government agencies • Participate in department and product strategic planning • Manage projects, including implementations for delegated functions • Collaborate with internal and external partners to execute business objectives and initiatives • Ensure member and stakeholder communications contain appropriate information, talking points and FAQs and are effectively implemented • Perform other duties as assigned

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Experience with Excel, Power BI, and Co-Pilot is preferred • Experience with LTC and Medicaid is preferred • Bachelor’s degree in business administration / related field or equivalent work experience • 2+ years of experience leading or supporting projects in Benefits, Product Management, Marketing and Sales, Strategic Planning, and/or Project Management • 2+ years of experience in data analysis and process improvement in Benefits, Healthcare, Regulatory/Government Affairs, vendor management or oversight, preferably with healthcare vendors • Alternatively, 2+ years of customer service experience in a healthcare contact center or customer service environment dealing with claims, grievances, pharmacy and appeals authorizations in Medicare, Medicaid, PDP, Exchange, etc. • Must comply with all policies and standards

🏖️ 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 • Equal opportunity employer committed to diversity