Senior Population Health Strategy Specialist

Centene Corporation

1d•Hybrid

About The Position

Centene is transforming the health of its 28 million members by focusing on community health. This Senior Population Health Strategy Specialist role is responsible for planning and designing population health strategy initiatives and programs to improve care coordination and health outcomes, including developing efficiencies in both clinical and non-clinical programs. The position involves monitoring care effectiveness, identifying process improvements to manage costs, and ensuring compliance with federal and state regulations. Centene offers a diversified, national organization with competitive benefits and workplace flexibility, committed to providing access to high-quality healthcare, innovative programs, and a wide range of health solutions that help families and individuals get well, stay well and be well.

Requirements

Requires a Bachelor's degree and 4 – 6 years of related experience
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT
Candidate must reside in Illinois or Michigan

Responsibilities

Plans and designs the population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical)
Monitors the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations
Develops and designs complex population health strategy initiatives, programs, and operational plans to improve care coordination, health and qualify outcomes
Managers, identifies, and tracks clinical, quality, documentation and data submission projects to achieve strategic objectives
Monitors and researches care management trends and analytics to support program initiatives and efficiencies and help identify high risk member populations
Develops financial budgets and forecasts for strategic planning and initiatives
Partners with senior leadership team strategic planning initiatives in accordance with federal and state regulations and company policy
Partners across departments to identify areas for process improvements to manage costs and support initiatives to improve health and quality outcomes
Tracks and monitors program participation and member outcomes to access the efficacy of programs and interventions and make recommendations for improvement
Partners with senior leadership team to provide insights to improve coordination of care, member utilization, and improve overall health and quality outcomes
Collaborates with ensuring clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
May work across multiple Line of Business and states to encompass program needs into population health strategies
Performs other duties as assigned
Complies with all policies and standards