Vice President, Operations Excellence and Enablement

Centene Corporation

3d•$250,000 - $480,000

About The Position

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Drives the development and execution of strategies to enhance operational efficiency, reduce costs, and enhance customer experience and compliance. This executive role is pivotal in driving continuous improvement and fostering a culture of innovation. Focus of the role is to ensure operational performance of the Population Health & Clinical Outcomes Organization (PHCO) through the reporting of key metrics, process improvement, audits, and execution. Set and align strategic objectives with the overall business strategy. Identify and prioritize key areas for operational improvement and enable the execution of improvement. Oversee the Project Management Office for the PHCO organization Oversee the implementation of operational excellence initiatives, ensuring successful execution and desired outcomes. Oversee the enterprise clinical appeals organization Establish and manage a robust clinical operational compliance oversight program to support regulatory adherence. Analyze and optimize operational processes using methodologies such as Lean, Six Sigma, and Kaizen. Standardize processes to ensure consistency and efficiency. Monitor and track key performance indicators (KPIs) to measure the effectiveness of operational initiatives. Lead and mentor teams in operational excellence practices. Build a high-performing team and promote a culture of continuous improvement. Collaborate with cross-functional teams to address operational challenges and opportunities. Communicate strategies and initiatives effectively to all stakeholders. Analyze operational data to identify trends and areas for improvement. Develop and implement reporting systems to track operational performance and present findings to senior management. Ensure compliance with Plan, Do, Check, and Adjust processes. Track and report on operational excellence measures through regular accountability mechanisms.

Requirements

Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required.
10+ years healthcare operations experience required.
Previous experience managing staff, including hiring, training, managing workload and performance. required.
Large-scale experience within environments regulated by state and federal agencies preferred.

Nice To Haves

Master's Degree in a related field preferred.
Six Sigma and deep operational experience preferred

Responsibilities

Set and align strategic objectives with the overall business strategy.
Identify and prioritize key areas for operational improvement and enable the execution of improvement.
Oversee the Project Management Office for the PHCO organization
Oversee the implementation of operational excellence initiatives, ensuring successful execution and desired outcomes.
Oversee the enterprise clinical appeals organization
Establish and manage a robust clinical operational compliance oversight program to support regulatory adherence.
Analyze and optimize operational processes using methodologies such as Lean, Six Sigma, and Kaizen.
Standardize processes to ensure consistency and efficiency.
Monitor and track key performance indicators (KPIs) to measure the effectiveness of operational initiatives.
Lead and mentor teams in operational excellence practices.
Build a high-performing team and promote a culture of continuous improvement.
Collaborate with cross-functional teams to address operational challenges and opportunities.
Communicate strategies and initiatives effectively to all stakeholders.
Analyze operational data to identify trends and areas for improvement.
Develop and implement reporting systems to track operational performance and present findings to senior management.
Ensure compliance with Plan, Do, Check, and Adjust processes.
Track and report on operational excellence measures through regular accountability mechanisms.