You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Responsible for monitoring and oversight of business operations, contact center, some customer service, quality and vendor metrics, etc. and related initiatives that impact membership for product lines and health plans. Manage service levels; identify service opportunities, process improvements, new business implementations and product expansions.
- Oversee implementation of programs centered on quality and operations excellence.
- Oversee status of production in assigned department to ensure production and quality goals are being met. Prioritize work volumes daily.
- Responsible for hiring, training, and performance management of staff.
- Monitor service levels to ensure compliance with state, federal, and company metrics and standards.
- Support ongoing and special projects including process improvement evaluations and analysis, department business development, ROI analysis, etc.
- Partner with stakeholders to address sales related initiatives including identification of business need, strategy recommendation, project outline, management of deliverables, and ROI.
- Develop and maintain collaborative relationships with vendor partners, other business units and oversee training and business processes as necessary.
- Performs other duties as assigned
- Complies with all policies and standards
2+ years supervisory/lead experience or management of large projects required
2+ years business operations in such areas as enrollment and billing, contact center, claims, customer service, provider data management or similar operations required
2+ years Experience in managed care and/or Medicare environment preferredPay Range: $68,700.00 - $123,700.00 per year
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
