Vice President II – Configuration Operations

Centene Corporation

Executive role overseeing benefit and provider payment configuration for Centene. Leading strategic initiatives ensuring compliant and scalable claims processing across Medicare, Medicaid, and Marketplace lines.

Posted 4/16/2026full-timeFlorida, Montana • 🇺🇸 United StatesLead💰 $227,700 - $431,400 per yearWebsite

About the role

Key responsibilities & impact

Provides enterprise leadership and strategic oversight for benefit and provider payment configuration
Ensures claims configuration, authorization and payment requirements, benefit rules, pricing logic, and system alignment enable compliant, efficient, and scalable claims processing
Aligns operational execution with regulatory requirements, financial integrity, and enterprise strategy
Establish and execute the enterprise strategy for claims configuration operations
Serve as the accountable business owner for claims configuration platforms and pricing systems
Ensure configuration complies with CMS, state Medicaid agencies, Marketplace requirements, and contractual obligations
Drive continuous improvement to reduce claims payment errors and rework
Lead and develop high-performing configuration operations teams

Requirements

What you’ll need

Bachelor's Degree in Business Administration, Healthcare Administration, Information Systems or related field required
Master's Degree preferred
10+ years of progressive leadership experience in healthcare, managed care, or health insurance operations including claims adjudication systems, benefit configuration, and provider pricing required
Equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claims configurationauthorization requirementspayment requirementsbenefit rulespricing logicclaims processingclaims adjudication systemsbenefit configurationprovider pricing

Soft Skills

leadershipstrategic oversightoperational executioncontinuous improvementteam development

Certifications

Bachelor's DegreeMaster's Degree