Manager, Operations (Medicaid / FIDE SNP)

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.
 

***NOTE: For this role we are seeking candidates who live within a commutable distance of Iselin, NJ***

Position Purpose: Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives

• Oversee NJ market relationships with matrixed partners that support claims, benefits, enrollment, call centers, etc. and hold those partners accountable for NJ regulatory requirements and strategic goals. 
• Develop and manage methodologies for tracking, identifying and problem-solving issues, interpreting and presenting program results and insights, and developing data-driven analysis approach for clients
• 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
• Facilitate and support operations staff in the planning, achievement, and tracking of the organizations key strategic initiatives to create a positive impact on organizational scorecard
• Serve as an internal resource and advisor on improvement activities
• Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work
• Able to travel up to 25%

Education/Experience: Bachelor’s degree Business Administration, related field, or equivalent experience. 4+ years experience in operational business processes or data analysis, preferably in the managed care or insurance industry. Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable. Experience working within a matrix environment preferred. Solid claims, benefits and pricing configuration experience is strongly preferred. Xcelys and/or AMISYS experience is 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