Senior Manager, Operations

Centene Corporation · Las Vegas, NV

Company

Centene Corporation

Location

Las Vegas, NV

Type

Full Time

Job Description

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

This position will be based out of our office in Las Vegas, NV.

Position Purpose: Oversee provider data quality team and member experience team operations, and business strategy utilizing cross-functional departments to meet strategic objectives.

• Oversee the Provider Data Quality Team who is responsible for maintenance and accuracy of provider data to improve outcomes in claims adjustments and "find a provider" data quality• Responsible for member retention by improving onboarding process as well as redetermination outreach success• Perform data analysis from a variety of data sources to evolve the metrics used to measure effectiveness and return on investment of all current and new product activity• Collaborate with staff to identify internal and external customers and their expectations, initiate process changes to increase quality, decrease costs and improve staff, provider and member satisfaction• Oversee all work flows of the departments while maintaining production and quality standards• Ensure compliance with all related laws, regulations and executive orders• Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities• Assist in the establishment of the departmental strategies and objectives• Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work

Knowledge/Experience: Bachelor's degree in Management, Business Administration, related field or equivalent experience. 6+ years of operations experience. Experience with managed care, insurance, Medicare or Medicaid preferred. 3+ years of sales experience in a call center or other sales environment preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your 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.

Date Posted

05/11/2023

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