Senior Director, Business Transformation, Appeals & Grievances

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Logo of Centene Corporation

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

• Leads strategic business transformation programs with enterprise impact • Acts as a trusted advisor and strategic partner to Centene leadership • Assists with the business transformation team's strategy, execution/delivery methodology, and realizing business benefits across the enterprise portfolio • Manages a team responsible for adhering to the department's Business Transformation Methodology • Sources talent, coaches, trains, mentors, and provides feedback; conducts annual reviews and all matters required by HR • Leads enterprise-wide transformation initiatives across Appeals & Grievances functions, partnering with senior leaders to standardize processes, drive governance, and improve performance outcomes • Provides forward-thinking leadership to a team of Business Transformation Professionals in guiding the business to achieve operational efficiency • Leverages superior knowledge of healthcare, business improvement/transformation, organization change management, customer experience, and strategy, to develop training and enforcement of the eBT methodology tools and techniques

🎯 Requirements

• Bachelor’s degree in related field • 9+ years of experience in at least three of the following: process improvement/transformation, business/financial analysis, external consulting/auditing/risk analysis, customer journey/experience, organizational change management, IT solution/architecture, project management • Consulting experience preferred • Experience supporting Appeals functions across enterprise healthcare operations strongly preferred • Demonstrated success building teams or functions in ambiguous, fast-changing environments strongly preferred • Organizational Change Management (PROSCI, Six Sigma CAP, Kotter, Bridge’s Rogers Kubler), CEX, CMMI, Six Sigma, PMP preferred

🏖️ 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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