Senior Business Process Consultant

🔥 9 minutes ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟠 Senior

⚙️ Business 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 business case development for proposed initiatives • Support strategic and business planning, including input on initiative prioritization • Lead larger-scale, cross-functional initiatives across Payment Integrity, Claims, technology teams, and external vendors • Drive implementation and ongoing optimization of CRP-to-Claims processes • Coordinate priorities, dependencies, risks, and deliverables • Manage complex exceptions, reconciliations, defects, and escalations through resolution • Ensure initiatives support the strategic business plan and meet key business objectives • Transition approved business cases into initiatives with documentation and clear responsibilities • Provide strategic and policy guidance to maximize effective implementation and results • Organize work teams, establish project plans, facilitate meetings, build consensus, document recommendations, and oversee implementation • Perform detailed analysis of data, workflows, policies, procedures, staff organization, and skills • Lead staff responsible for initiatives in the company's operating plan • Assist other project leaders with facilitation, analysis, process mapping, brainstorming, and project management issues • Write and deliver communications across all organizational levels • Provide related support to improve business performance

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor's Degree in a related field or equivalent experience required • 6+ years managing projects required • Experience in health care and/or insurance preferred • Master's Degree in a related field preferred • Experience with Excel, PowerPoint, Visio, and Microsoft Project • Skills in business case development, strategic planning, project management, process mapping, data and workflow analysis, policy and procedure analysis, facilitation, consensus building, and implementation oversight

🏖️ 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

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