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SalaryCentene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Any offer of employment that materializes as a result of this job opportunity is contingent upon Centene and Virginia Total Care being selected to provide managed care Medicaid services, and executing a contract with the Commonwealth thereto, under Cardinal Care Managed Care (CCMC) RFP #13330.
Position Purpose: Oversee all health plan operations, procurement opportunities, new product implementations and complex initiatives for business development utilizing cross-functional business units and corporate teams to meet business unit and corporate strategic objectives
- Partner with multiple stakeholders and business unit leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders
- Develop, execute, and communicate to all stakeholders annual plans for membership growth initiatives
- Develop and implement key metrics and performance standards across the organization to review past, current and future performance of business unit
- Monitor and report on achievement of committed action plans to senior management
- Direct the development and implementation of operational work processes and systems with oversight for multiple departments within the business unit, including call center operational services
- Oversee operational budget, revenue targets and profit and loss
- Lead and oversee new business implementation and reprocurement activities for all products and complex projects, including RFP responses
- Evaluate program opportunities and recommendations for effectiveness and ROI
- Perform duties as senior liaison between the business unit, corporate and external stakeholders
- Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses and financial integrity
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.
