Manager, Operations

Centene Corporation • Remote-MO, MO

1d • $87,700 - $157,800 • Hybrid

About The Position

Oversee operations and business strategy utilizing cross-functional departments to meet strategic objectives with a focus on No Surprises Act (NSA) Independent Dispute Resolution (IDR) operations, including Federal IDR arbitration and applicable state IDR processes. 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.

Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.
• Bachelor’s degree Business Administration, related field, or equivalent experience.
• 4+ years experience in operational business processes or data analysis, preferably in the managed care or insurance industry.

Nice To Haves

• Preferred experience with NSA and appeal disputes.
• Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable.
• Experience working within a matrix environment preferred.

Responsibilities

• Develop and manage methodologies for tracking, identifying and problem-solving issues, interpreting and presenting program results and insights, and developing data-driven analysis approach for clients related to NSA IDR operations and outcomes
• 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 including IDR outcomes and fees
• 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 while ensuring compliance with applicable NSA IDR requirements
• Facilitate and support operations staff in the planning, achievement, and tracking of the organizations key strategic initiatives to create a positive impact on organizational scorecard including end-to-end IDR process
• Serve as an internal resource and advisor on improvement activities and as a resource for NSA IDR requirements and processes
• Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work and improve the accuracy, timeliness, and efficiency of IDR operations

Benefits

• competitive pay
• health insurance
• 401K
• stock purchase plans
• tuition reimbursement
• paid time off
• holidays
• a flexible approach to work with remote, hybrid, field or office work schedules.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager