Vice President II – Configuration Operations
Centene Corporation
full-time
Posted on:
Location Type: Hybrid
Location: Florida • Montana • United States
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Salary
💰 $227,700 - $431,400 per year
Job Level
About the role
- 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
- 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
- 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 & 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