Submission for the position: Senior Director, Operations (Medicare) - (Job Number: 1245922)
https://centene.taleo.net/careersection/jobdetail.ftl?job=1245922&lang=en
Senior Director, Operations (Medicare)
You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Oversee and direct operations and complex projects utilizing cross-functional teams to meet strategic objectives for the Medicare Business Unit
• Monitor Medicare operations for compliance with federal requirements
• Oversee appeals and grievances to assuring process complies with federal requirements
• Review contracts with delegated entities and provide corporate compliance oversight
• Perform duties as senior liaison between the Medicare business unit and Corporate department
• Partner with multiple stakeholders and business unit leadership to establish operational objectives and procedures
• Support due diligence and integration for business unit expansions
• Facilitate operational oversight for Medicare business units and identify opportunities for maintaining effective operations
• Ensure cost effective programs are developed and maintained throughout the busniess unit
• Identify operational efficiencies and develop “best practice” policies and procedures
• Contribute to the development of new products and markets
• Utilize corporate and industry standard management tools and techniques to effectively oversee projects; negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks
• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business unit objectives
• Provide functional and technical expertise across multiple business and technical areas
Education/Experience: Bachelor's degree in Business Administration, Finance, Accountancy or equivalent. 8 years of experience in Medicare managed care operations with emphasis on federal contracting and /or regulatory compliance . Project management, administration or operations in the Healthcare industry preferred. Advanced degree preferred.  Strong operations experience preferred including Workforce Management and building KPI's.
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
Competitive pay
Paid Time Off including paid holidays
Health insurance coverage for you and dependents
401(k) and stock purchase plans
Tuition reimbursement and best-in-class training and development
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.
Health Insurance Operations
USA-Florida-Tampa
USA-Missouri-Clayton, USA-North Carolina-Charlotte
Schedule: Full-time Location(s): USA-Florida-Tampa