Senior Manager, Business & Systems Operations

Centene Corporation•Remote-MO, MO

5d•$107,700 - $199,300•Remote

About The Position

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.
6+ years of health care operations, system administration, product/program management or claims administration experience.
Experience with Medicaid and Medicare coding, benefit design and various reimbursement strategies/methodologies.
Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

Nice To Haves

Contracting and provider data management experience preferred.

Responsibilities

Oversee the successful setup of system builds for new markets and products system, including configuration and testing
Monitor and evaluate trends in system performance and identify new opportunities or improvements
Oversee and ensure timeliness and accuracy of all reporting deliverables
Establish and manage business specifications for authorization and claims/encounters system infrastructure in alignment with all relevant requirements to maintain system specifications
Identify and implement process improvements for various functions, including new business implementations, claims, encounters performance and auto adjudication, extensive testing benefit specifications, and system integrity
Establish and manage special projects to improve processes to increase efficiency, productivity, and accuracy across the organization
Oversee the design and maintenance of all market provider contract rate exhibits and configuration and testing of negotiated contracts