Business Operations Program Manager
BBB Midwest Plains
Senior Director, Duals Business Operations
Centene Corporation
full-time
Posted on:
Location Type: Remote
Location: Remote • Florida, Illinois, Kentucky, Montana, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $145,100 - $268,800 per year
Job Level
Senior
About the role
- Direct and oversee health insurance operations programs in multiple service areas focused on Duals including billing and enrollment, call center, customer service, etc.
- Manage service levels; identify service opportunities, new business implementations and product expansions
- Act as business owner for multiple membership and channel management systems
- Identify, develop, and implement programs centered on quality and operations excellence for Medicare Duals programs
- Develop and monitor service levels to ensure compliance with state, federal, and company metrics and standards
- Initiate and lead ongoing and special projects including process improvement evaluations, analysis, business development, ROI analysis, and satisfaction initiatives
- Direct all membership related initiatives from business need identification through strategy recommendation, project management of deliverables, and ROI
- Collaborate to design, develop and implement 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, business units, and IT partners; oversee training and business processes
- Direct and oversee continuous improvement of multiple systems for critical operations to enable business objectives
Requirements
- Bachelor’s degree in business or related field or equivalent experience
- 10+ years of business operations and systems integration experience for call centers, enrollment, billing, payment processing, or similar operations applications
- Extensive experience with Medicare and Medicaid operations; Duals program experience highly preferred
- Previous management experience including hiring, training, assigning work and managing performance of staff
- Strong executive-level presentation and communication skills
- Health insurance and program management experience preferred
- Candidates may reside anywhere within the continental U.S.
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
- total compensation may include additional forms of incentives
- benefits may be subject to program eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
business operationssystems integrationcall center managementenrollment processesbilling systemspayment processingprogram managementprocess improvementROI analysisquality assurance
Soft skills
leadershipcommunicationcollaborationproject managementrelationship managementexecutive presentationtrainingperformance managementstrategic thinkingproblem-solving
