Supervisor, Membership Data Integrity

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: Responsible for the effective and successful management of capacity, productivity, quality control, and system functionality. Responsible for the creation and ongoing enhancements to the operational procedures, systems, and principles in the areas of information flow & data management, business processes, enhanced executive & stakeholder reporting, and identifying opportunities to expand systems.

• Manage day to day requirements for full-time and Vendor staff including hiring, oversee new hire training, performance management, departmental budget, and career development to ensure alignment with company goals.

• Develop operational systems by determining testing needs and system requirements; develop, implement, enforce, and evaluate policies and procedures; develop and create documented processes for testing utilization, test plan management, and managing escalations; trend production issues for continuous improvement efforts.

• Interact with Product Management, Information Technology and Enrollment, Membership and Billing Teams for user acceptable testing and release readiness.

• Lead highly technical teams to investigate and resolve complex data issues in the test environment to determine downstream impacts. Operate at a subject matter expert level to support the needs of the business and the team.

• This position must be self-sufficient in making decisions and changes for their teams that are in alignment with UAT goals. Able to evaluate, troubleshoot, and implement department wide decisions without having a documented process to follow.

Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of User Acceptance Testing or Data Reconciliation (i.e., documenting business process, test plan creation, requirement analysis, external/internal reconciliation) experience in healthcare industry or 3+ years of managed care IT experience. Advanced knowledge of Microsoft Applications, including Excel, PowerPoint and Visio preferred. Experience with User Acceptance, Quality testing or Data Reconciliation in healthcare, preferably managed care or Medicaid. Knowledge of Amisys or other claims system, qTest or any other agile test case management tool, JIRA and HIPAA transactions (i.e., 834, TA1, 999) preferred. Prior supervisory/management experience preferred.

License/Certification: 6 Sigma Certification desirable.

Pay Range: $68,700.00 - $123,700.00 per year

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

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