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Director, Business Operations

North Carolina, United States, US•Posted Jun 8, 2023
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Company
Centene Corporation
Description
You could be the one who changes everything for our 26 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.


Position Purpose


Responsible for the development, implementation and management of business operations such 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.


Develop and implement 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


Experience/Experience


Bachelor’s degree in Business or related field or equivalent experience. 7+ years of business operations (call center, enrollment, billing, payment processing, or similar operations) experience preferably in a managed care and/or Medicare environment. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Health insurance and project 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.
Identifier
33058b93cefce16f8822d0e31b4e6f3b
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