Job Description

Requisition Id:
1101665

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
Qualifications:

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.

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.
Employee Status:
Regular
Job Level:
Manager
Job Type:
Regular

More Information About the Job

Is Relocation Available?
Yes, regional

Is there a bonus structure?
10%

Are you open to sponsorship?
No

Is there a possibility to work remote?
No

Is there equity?
No

Are there flexible work hours?
No

Does this position have direct reports?
No

What are the 3-4 non-negotiable requirements on this position?
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.

What are the nice-to-have skills?
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.

 

Mandatory Recruiter Notes

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Availability date to start a new role:
Current salary:
Desired salary:

 

Due to the recent Pay Equity regulations mandate you are prohibited to share a candidate's current/prior salary details via in states the mandate is in effect.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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