Senior Manager - Claims Configuration Operations

12 hours ago

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Centene Corporation

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Contracting • Network Development • Managed Care

10,000+

Description

• Oversee operations and business strategy utilizing cross-functional departments to meet strategic objectives • Perform data analysis from a variety of data sources to evolve the metrics used to measure effectiveness and return on investment of all current and new product activity • Collaborate with staff to identify internal and external customers and their expectations • Initiate process changes to increase quality, decrease costs and improve staff, provider and member satisfaction • Oversee all work flows of the departments while maintaining production and quality standards • Ensure compliance with all related laws, regulations and executive orders • Review and analyze reports, records and directives

Requirements

• Bachelor's degree in Management, Business Administration, related field or equivalent experience • 6+ years of operations experience • Experience with managed care, insurance, Medicare or Medicaid preferred • Experience with leading claims configuration teams as well as skills with SQL and Power BI strongly preferred

Benefits

• Competitive pay • Health insurance • 401K and stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules