Please NOTE: We are seeking someone that has a solid healthcare background and is a subject matter expert in all aspects related to MEDICARE. This position will be based at our Detroit, Michigan office location.
Position Purpose: Oversees Product Operations for a line of business, including potentially serving as the official Contract Manager. Serves as the primary day-to-day liaison for the Agency or Vendor, including interpretation and dissemination of agency/vendor guidance, immediate resolution of escalated issues, and proposals from the health plan to agency/vendor.
Develops strategies to meet or exceed compliant operations and expansion of products and services within the State. Identifies implementation and operational gaps and leads teams to implement new processes and oversees results. Ensures all operations are in compliance with contractual requirements.
Produces operational reporting for executive management. Facilitates problem identification, solution development, and initiative implementation to continuously improve processes to enhance member and provider experience, while driving financial performance of the program.
* Serve as the subject matter expert on ACHA contract(s), proposal(s) and ACHA guidance.
Required A Bachelor's Degree in business administration / related field or equivalent work experience
Preferred A Master's Degree in a related field
Required 6+ years of experience in project management, strategic planning and development, product management, and financial management
Required 4+ years of experience in health care or managed care environment
Preferred 2+ years of experience in working with state reporting and regulatory/government affairs
Required 2+ years experience in leading/supervising others
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.