Vice President – Member Enrollment & Billing

🔥 19 hours ago

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $207k - $392.1k / year

⏰ Full Time

🔴 Lead

👔 Vice President

👻 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

• Lead and manage billing and enrollment processes across multiple regions • Develop and implement strategic plans for enrollment and billing operations • Oversee daily operations and ensure compliance with federal, state, and local healthcare regulations • Manage departmental budgets and analyze financial data in collaboration with finance • Implement and maintain regulatory compliance policies, conduct audits, and resolve compliance issues • Maintain high customer satisfaction and strong stakeholder relationships • Manage and monitor KPIs related to enrollment, billing, and revenue • Contribute to long-term strategic plans and identify growth opportunities • Ensure accurate and timely processing of enrollment applications, billing statements, and claims • Develop and mentor a high-performing team • Identify and implement process improvements • Oversee member enrollment, policy administration, claim processing, and revenue cycle management • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required • Master's Degree in a related field preferred • 10+ years of healthcare operations experience required • Previous experience managing staff, including hiring, training, managing workload and performance required • Extensive experience in health insurance enrollment and billing operations required • Experience with healthcare billing systems and revenue cycle management preferred • Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position

🏖️ 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