Centene Corporation

Product Operations Specialist

Centene Corporation

full-time

Posted on:

Location Type: Remote

Location: Remote • Missouri • 🇺🇸 United States

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Salary

💰 $55,100 - $99,000 per year

Job Level

JuniorMid-Level

About the role

  • Supports the implementation and/or drives the ongoing operational maintenance of assigned product(s) or service area(s)
  • Identifies opportunities for integrated process improvement
  • Creates and maintains reporting tools to effectively analyze and develop process improvement opportunities
  • Serves as the subject matter expert (SME) for the assigned product(s) or service area(s)
  • Monitors assigned internal/external relationships to ensure compliance with contractual requirements
  • Develops effective relationships with key partners and stakeholders to influence and drive operational enhancements
  • Creates reports and supports business review presentations to key stakeholders
  • Manages projects including the implementations for delegated functions as needed

Requirements

  • A Bachelor's Degree in business administration / related field
  • 2+ years of experience in Leading or supporting projects in Benefits, Product Management, Marketing and Sales, Strategic Planning, and/or Project Management –OR- Data analysis and process improvement in Benefits, Healthcare or Regulatory/Government Affairs -OR- Vendor management or oversight; preferably with healthcare vendors
  • 2+ years of experience in customer service experience in a healthcare contact center or customer service environment dealing with claims, grievances pharmacy and appeals authorizations in one or more of the following: Medicare, Medicaid, PDP, Exchange etc.
  • Other Experience in health care or managed care environment (preferred)
  • Other Experience working the state reporting, regulatory/government affairs (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

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
data analysisprocess improvementproject managementreporting toolsvendor management
Soft skills
relationship buildinginfluencingstakeholder engagementcommunication
Certifications
Bachelor's Degree
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