Position Purpose: Identifies, oversees and manages business operations and strategies to ensure performance aligns with health plan, state, and organizational standards.
Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Preferred candidates will bring demonstrated leadership experience, ideally managing people and leading complex, large-scale programs or multi-market implementations. Additional preferred experience includes Medicaid contact center experience or clinical care management experience. Strong knowledge of performance management, contractual obligations, state requirements, withholds, liquidated damages, and operational risk management preferred.
- Develop and execute a multi-year performance road map to drive organizational success. Lead strategic planning efforts, design and implement key initiatives, and oversee performance management with a strong focus on quality, operational excellence, and continuous improvement.
- Define performance standards, monitor production progress, and prioritize work flows to ensure full compliance with state, federal, and organizational metrics and quality standards.
- Analyze data from diverse sources to refine and evolve metrics that measure departmental effectiveness. Deliver clear, actionable insights through comprehensive reporting and communication to drive meaningful changes.
- Initiate and manage special projects aimed at streamlining processes to enhance efficiency, boost productivity, and improve accuracy.
- Collaborate across teams to design, develop, and implement policies, procedures, and practices that optimize departmental operations.
- Build and sustain collaborative partnerships with health plans, BTS teams, and cross-functional business units. Provide oversight for training programs and business processes as needed to ensure alignment and efficiency.
- Work collaboratively with staff to identify internal and external customers and define their service-level expectations. Drive process improvements aimed at enhancing quality, reducing costs, and increasing satisfaction among key partners.
- Responsible for hiring, training, and development of high-performing teams to support organizational goals.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Bachelor's Degree in business or related field or equivalent experience required. 5+ years in organizational strategy, performance management or related experience required. 3+ years management experience required.
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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