at Centene Corporation in Springfield, Illinois, United States
You could be the one who changes everything for our 26 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: Direct and oversee health insurance operations programs in multiple service areas including as billing and enrollment, call center, customer service, etc. and related initiatives that impact membership for product lines and health plans. Manage service levels; identify service opportunities, new business implementations and product expansions. Responsible for multiple systems from a business owner standpoint for all membership and channel management services.
Direct the identification, development, and implementation programs centered on quality and operations excellence
Develop and monitor service levels to ensure compliance with state, federal, and company metrics and standards
Initiate ongoing and special projects including process improvement evaluations and analysis, department business development, ROI analysis, and annual satisfaction initiatives
Direct all membership related initiatives including identification of business need, strategy recommendation, project outline, management of deliverables, and ROI
Work collaboratively to facilitate the design, development and implementation of policies, procedures and practices related to service operations
Establish and maintain working relationships with external sources such as CMS for regulatory and compliance guidance
Develop and maintain collaborative relationships with health plans, other business units, IT partners, and oversee training and business processes as necessary
Direct and oversee continuous improvement of multiple systems for critical operations to enable business objectives
Bachelor’s degree in Business or related field or equivalent experience. 10+ years of business operations and systems integration experience for call center, enrollment, billing, payment processing, or similar operations applications. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Health insurance and program management experience preferred.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
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.
TITLE: Senior Director, Business Operations
LOCATION: Various, Illinois