Product Operations Specialist

Centene Corporation•Remote-FL, FL

1d•$56,200 - $101,000•Hybrid

About The Position

This position supports the implementation and/or drives the ongoing operational maintenance of assigned product(s) or service area(s) through communication and solid relationship management with internal and external stakeholders, identifying opportunities for integrated process improvement, escalating issues as necessary, and supporting the success of the product. Creates and maintains reporting tools to effectively analyze and develop process improvement opportunities that enhance the operational effectiveness of the product(s) or service area(s).

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 in business administration / related field or equivalent work experience.
2+ years of experience in leading or supporting projects in the following areas: Benefits, Product Management, Marketing and Sales, Strategic Planning, and/or Project Management or data analysis and process improvement in the following areas: Benefits, Healthcare or Regulatory/Government Affairs or vendor management or oversight; preferably with healthcare vendors or required 2+ years of experience in customer service experience in a healthcare contact center or customer service environment dealing with claims, grievances pharmacy and appeals authorizations in one or more of the following: Medicare, Medicaid, PDP, Exchange etc.

Nice To Haves

Experience with Excel, Power BI, and Co-Pilot is preferred.
Experience with LTC and Medicaid is also preferred.

Responsibilities

Serves as the subject matter expert (SME) for the assigned product or service area
Drives assigned operational aspects of the product/service
Assesses operational performance and escalations by tracking, analyzing and researching performance level expectations
Monitors assigned internal/external relationships to ensure compliance with contractual requirements
Develops effective relationships with key partners and stakeholders to influence and drive operational enhancements
Proactively identifies trends and root cause analysis to drive resolution of complex escalations; including communications and reporting
Creates reports and supports business review presentations to key stakeholders; including, but not limited to, Senior Leadership Team, Vendors and/or Government agencies
Participates in and supports department and/or product strategic planning activities
Manages projects including the implementations for delegated functions as needed
Collaborates with internal and/or external partners to execute assigned business objectives and initiatives
Ensures member or other stakeholder communications contain appropriate information, talking points and FAQs, and are effectively implemented
Performs other duties as assigned
Complies with all policies and standards