About The Position

You could be the one who changes everything for our 28 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. Position Purpose: Oversee vendor management operations, and business strategy utilizing cross-functional departments to meet strategic objectives. 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. Performs other duties as assigned. Complies with all policies and standards.

Requirements

  • 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.
  • Strong background in vendor management within healthcare is highly preferred.

Responsibilities

  • Oversee vendor management operations, and business strategy utilizing cross-functional departments to meet strategic objectives.
  • 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.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Benefits

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