Manager, Business Transformation

You could be the one who changes everything for our 28 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:

The Manager Business Transformation will support the goals and outcomes of the Enterprise Operations – Strategic Initiatives organization by leading initiatives and projects to aimed at meaningfully and measurably improving performance at speed.  The primary focus of this team is driving claims accuracy and contributing to affordability by identifying and delivering health care benefits ratio “HBR” improvements through operational levers.  Examples include Coordination of Benefits (“COB), Third Party Liability (TPL), complex duplicate claim handling, and other claims payment accuracy levers.  The team will continuously identify and lead initiatives to drive and sustain value that ultimately benefit Centene’s members and clients.  The team will also lead a small number of other highly strategic projects outside the scope of HBR, which could be related to quality, experience, operating costs, or other measures of value.  

The Manager Business Transformation will work extensively across organizational lines to engage and influence individuals from Operations, Technology, Markets, Lines of Business, and Payment Integrity to execute with urgency.  The individual may have accountability for leading several initiatives from a dynamic portfolio at any given time and will utilize and further develop a wide variety of skills and behaviors including leadership, strategy, process design, business case management, change management, and project management.

The Manager Business Transformation will have 1-4 direct reports and will be expected to manage and help develop directs while collaborating day-to-day with other team members.  The team works in a matrix fashion across a broad portfolio of initiatives.  The team has high executive visibility and impact.  Over time, there will be opportunities for high performers to advance within the team and opportunities to advance into other leadership positions across Centene. 

• Leads business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment.
• Provides input and supports planning and prioritization of initiatives as part of the strategic and business planning process.
• Ensures that initiatives support the strategic business plan, meet key business objectives and are executed well tactically.
• Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative).
• Leads larger scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance.
• Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results.
• Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.
• Performs detailed analysis of data, workflows, policies, procedures, organization of staff, and skills in order to execute initiatives.
• Leads all levels of staff who are responsible for initiatives included in the company’s operating plan in order to support their success, development and effective completion and communication of their initiative.
• Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc.
• Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives.
• Provides other related support as needed to improve the performance of the business.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Bachelor's Degree in a related field or equivalent experience required

5+ years in at least three of the following: process improvement/transformation, business/financial analysis, external consulting/auditing/risk analysis, customer journey/experience, organizational change management, IT solution/architecture, project management required

Certified Project Management Professional (PMP)-PMI or Lean Six Sigma or Organizational Change Management preferred.

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act