Job description
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans.- Develop and implement action plans, across all departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reports
- Identify and partner with various departments to implement assigned products business requirements
- Develop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamics
- Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products
- Identify and support health plan initiatives related to assigned products
- Prepare dashboards for senior management and identify improvement opportunities
Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry. Previous managed care or Medicare experience preferred.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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