Ambetter Chief Operating Officer

Centene Corporation

18h•Hybrid

About The Position

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. This role oversees operations for multiple support functions, including configuration, claims support services, provider relations, call center and field operations. The position serves as the chief liaison between the business unit and corporate policies & standards. It involves developing the operational vision, objectives, policies, and procedures to support the overall strategic plan for the business unit. The role ensures cost-effective, client-responsive programs are developed and maintained, identifies improvement opportunities, and oversees the successful implementation of those changes throughout shared services. Key responsibilities include identifying operational efficiencies, meeting regulatory and client expectations, and developing a “best practice” approach for all operations. The Chief Operating Officer is responsible for achieving business unit financial targets and requirements based on service level, state, compliance, and contractual agreements. This role also oversees new system and product implementations for assigned areas and assesses organizational strengths and weaknesses to recommend an enhanced operating model.

Requirements

Bachelor’s degree in business administration, healthcare administration or related field required
10+ years in business administration, healthcare administration or related field required
Marketplace/ACA experience strongly preferred

Nice To Haves

Master's degree preferred

Responsibilities

Oversee operations for multiple support functions, including configuration, claims support services, provider relations, call center and field operations
Perform duties as chief liaison between the business unit and corporate policies & standards
Develop operational vision, objectives and policies and procedures to support the overall strategic plan for the business unit
Ensure cost effective, client-responsive programs are developed and maintained
Identify improvement opportunities and oversee successful implementation of those changes throughout shared services
Identify operational efficiencies, meet regulatory and client expectations and develop a “best practice” approach for all operations
Responsible for achieving business unit financial targets and requirements based on service level, state, compliance and contractual agreements
Oversee new system and product implementations for assigned areas
Assess organizational strengths and weaknesses to recommend enhanced operating model