Centene Corporation

Risk

• Security governance, compliance execution, audit readiness, and GRC platform leadership
• Leads cross-functional initiatives impacting Information Security, Privacy, IT, Audit, and Governance
• Analyzes and interprets regulatory requirements and control frameworks
• Provides expert input on compliance approaches and documentation practices
• Acts as a subject-matter escalation point for complex compliance, risk, and audit issues

Lead Information Risk Analyst

Compliance

• Serves as a strategic compliance leader and subject matter expert responsible for overseeing and advancing the Medicare Sales Compliance Program in alignment with CMS requirements and applicable federal and state regulations
• Provides trusted advisory support to business and compliance leadership by interpreting regulatory guidance, assessing risk, and translating complex requirements into practical, compliant business solutions
• Leads compliance strategy execution, regulatory interactions, risk mitigation activities, and continuous improvement initiatives while managing a team of compliance professionals and fostering a strong, risk‑based compliance culture across Medicare programs
• Develops, implements, and oversees compliance strategies, policies, and processes that promote ethical conduct, regulatory adherence, and sustainable compliance across Medicare business
• Identifies regulatory risks, analyzes trends, escalates issues, oversees corrective action plans (CAPs), and contributes to risk assessments, auditing and monitoring activities as necessary
• Maintains in depth knowledge of Medicare regulations, contracts, and CMS operational guidance, monitoring regulatory changes and advising leadership on compliance impact and implementation needs
• Partners with cross functional stakeholders to embed compliance requirements into business processes which support compliant execution of Medicare programs
• Supports compliance training and education initiatives for employees, leadership, and FDRs, ensuring awareness of Medicare regulatory program requirements, standards of conduct, and reporting obligations
• Analyzes and reports Medicare compliance risks, issues, and trends to senior leadership and compliance committees, supporting informed decision making and regulatory transparency

Senior Manager, Medicare Sales Compliance Advisory

Customer Support

• Serves as the first-line advocate that focuses on resolving inquiries, issues, or concerns for members and/or providers
• Leverages a variety of communication channels to provide members and/or providers with timely, accurate, and personalized support on routine complaints
• Receives and responds to routine member and/or provider inquiries, requests and/or concerns in an accurate and timely manner
• Mitigates and prevents complaints from being escalated to resolve in initial contact
• Serves as the front-line resolution advocate on various member and/or provider inquiries, requests, or concerns
• Resolves basic problems by communicating the requested information regarding the assessment of the member or provider needs, understanding the cause, and determining if problems need to be routed to other departments for further resolution
• Maintains performance and quality standards based on established contact center metrics
• Provides customer service in a high pace contact center environment over the phone, via live chats and emails
• Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications
• Remains up-to-date and adheres to quality standards, regulation, and all other policies to ensure quality, consistency, and compliance
• Performs other duties as assigned
• Complies with all policies and standards

Bilingual Customer Service Advocate I – Spanish

Actuary

• Conduct analysis, pricing, and risk assessment to estimate financial outcomes
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes
• Determine equitable basis for distributing money for insurance benefits
• Participate in merger and acquisition analysis
• Independently design, engineer, and implement new, actuarially sound methodologies for measuring program efficacy and shared savings
• Extract, clean, and manipulate complex data sets to stand up independent valuation models
• Serve as the primary actuarial liaison for strategic initiatives
• Act as a strategic communicator, translating highly complex actuarial methodologies and financial impacts into compelling narratives for non-technical executive stakeholders
• Develop the operational framework to translate clinical interventions and operational outcomes into concrete, defensible financial forecasts and enterprise financial statements
• Assess the broader operational workflow of the strategic valuation process and recommend proactive improvements to enhance efficiency, accuracy, and enterprise-wide alignment

Senior Actuary, Strategic Analytics

Communications

• Develop and coordinate company written documents and communications
• Develop, produce and upload various print communications for client promotion of wellness, disease management and work-life/EAP programs
• Develop mock-ups for client presentations and precision production art for print vendors
• Edit and design articles, announcements, emails and newsletters on topics of interest
• Create content and coordinate changes for the client company websites
• Assist with making layout revisions, both graphic and text, and editing photos
• Work with technical staff to maintain fully functioning client company web sites
• Develop flyers, poster, brochures and promotional materials
• Schedule, edit and coordinate all client webinars and online seminars

Communications Specialist

• Serves as the first-line advocate that focuses on resolving inquiries, issues, or concerns for members and/or providers
• Leverages a variety of communication channels to provide members and/or providers with timely, accurate, and personalized support on routine complaints
• Receives and responds to routine member and/or provider inquiries, requests and/or concerns in an accurate and timely manner
• Mitigates and prevents complaints from being escalated to resolve in initial contact
• Serves as the front-line resolution advocate on various member and/or provider inquiries, requests, or concerns
• Resolves basic problems by communicating the requested information regarding the assessment of the member or provider needs
• Maintains performance and quality standards based on established contact center metrics
• Provides customer service in a high pace contact center environment over the phone, via live chats and emails
• Documents all member or provider information and communications for quality and performance tracking through the Customer Relationship Management (CRM) applications
• Remains up-to-date and adheres to quality standards, regulation, and all other policies to ensure quality, consistency, and compliance
• Performs other duties as assigned

Bilingual Customer Service Advocate I – Russian

• Conduct analysis, pricing and risk assessment to estimate financial outcomes.
• Manage health plan specific actuarial needs and produce actuarial reports to aid in developing corporate strategy.
• Serve as the main point of contact for all actuarial related activities for VBC contracts.
• Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes.
• Research and analyze the impact from legislative changes.
• Assess cash reserves and liabilities enable payment of future benefits.
• Analyze various data reports, identify trends and gaps and recommend action.
• Create and update actuarial reports.
• Participate in merger and acquisition analysis.

Associate Actuary, Strategic Analytics

Program Manager

• Lead large-scale, cross-functional projects supporting Gold Card program implementation, ongoing operations, and process improvement, including collaboration with organizational leaders on team restructuring and realignment as needed
• Oversee all aspects of program planning and execution, including scope, schedule, budget, dependencies, and resource alignment, ensuring adherence to project management standards
• Drive complex initiatives by coordinating and overseeing the work of project managers and business analysts across multiple workstreams (e.g., Operations, Finance, Benefit Operations, Analytics, Configuration, Regulatory)
• Provide shared operational support for National and regulatory Gold Card programs, coordinating day-to-day activities across analytics, configuration, operations, and other supporting teams
• Maintain centralized Gold Card program data, monitoring inputs, documentation, and regulatory artifacts, ensuring accuracy, consistency, and readiness for program use, audits, and executive review
• Establish and maintain operational processes, templates, and reference materials to ensure standardization and accessibility for all relevant stakeholders
• Support annual reassessment cycles and recurring audit activities through timely coordination of data, documentation, and cross-functional inputs
• Create and maintain reliable tracking mechanisms to provide visibility into in-flight work across Gold Card initiatives
• Develop executive-level dashboards and status reporting that clearly communicate program health, milestones, risks, and outcomes
• Partner with analytics teams to develop reports and dashboards to support ongoing monitoring, performance evaluation, and post-implementation insights
• Proactively manage program risks, issues, dependencies, and budget forecasts across Gold Card initiatives
• Serve as the first point of escalation for program risks and issues; work directly with project teams to resolve challenges and develop risk mitigation strategies
• Prepare and deliver well-structured materials for Program Steering Committees and executive leadership, including risk assessments, decision points, and progress updates
• Effectively communicate business and operational impacts, regulatory considerations, and proposed solutions to senior leaders
• Create and deliver best-practice guidance and program training to indirect reports, peers, and stakeholders, as applicable
• Partner with training teams to develop, review, and maintain Gold Card–specific training materials to support operational readiness and ongoing adoption

Program Manager – Gold Carding Program

Business Development Rep

• Responsible for leading and scaling business development strategies and execution within the healthcare sector
• Own market strategy, team performance, and growth outcomes for assigned regions or segments
• Lead a team of Business Development Managers to expand adoption of ICHRA and Ambetter Health solutions
• Partner closely with senior internal stakeholders to translate enterprise growth objectives into actionable plans
• Ensure consistent and effective execution across the team
• Maintain executive level relationships with key consultants, brokers, and industry leaders
• Accountable for pipeline health, revenue performance, market penetration, and talent development
• Serve as a strategic leader within the broader Business Development organization
• Lead, coach, and develop Business Development Managers, providing clear direction and ongoing development
• Establish standards and best practices for relationship management, opportunity development, and market engagement

Senior Manager, ICHRA Business Development

• Responsible for timely, consistent, and accurate communication of regulatory updates
• Prepares, organizes, and submits the annual QHP and Off-Exchange product filings
• Monitors regulatory guidance and requirements affecting Centene’s commercial products
• Analyzes, interprets, summarizes and distributes regulatory filing guidance
• Provides guidance to business to understand regulatory filing requirements and timelines
• Executes timely and accurate formal regulatory filings
• Acts as the primary contact between Regulators and the company
• Manages relationship with regulatory agencies
• Leads responses to DOI objections and CMS correction communications
• Conducts assigned special projects and maintains multiple critical trackers

Regulatory Operations Filing Analyst II – ACA/Marketplace

Analyst

• Implement new client benefit setup and hierarchy based on the specific needs of the client
• Modification client benefit setup based on plan design changes of existing clients
• Develop all hierarchy levels in PBM system for client setups and configuration
• Review and verify client setup is accurately reflected in PBM system
• Support quality reviews and testing of all benefit setup prior to client implementation and go-live date
• Partner with Compliance department to audit client setups and configuration post go-live
• Resolve escalated and complex processing, change requests, issues or questions
• Responsible for own work flow assignments and must be able to take the initiative to resolve problems and meet deadlines
• Serve as a lead for team regarding any benefit and configuration issues or questions
• Performs other duties as assigned
• Complies with all policies and standards

Benefit Configuration Analyst

Security Engineer

• Manages day to day operations of the Security Issues Management team
• Ensures remediation activities are executed accurately and within established SLAs
• Provides people leadership and operational oversight
• Serves as a primary liaison between the Issues Management Program Manager and cross functional stakeholders
• Leads and oversees the lifecycle of security issues management
• Manages, prioritizes, and allocates team resources to address the most pressing risk areas
• Provides direct people leadership for Security Issues Management analysts
• Serves as a subject matter expert on security issues remediation
• Oversees remediation activities from internal and external audits
• Partners with Internal Audit, Compliance, Legal, and technical teams to coordinate remediation activities
• Identifies systemic issues and drives process improvements
• Develops and improves processes to enhance cybersecurity risk management

Manager, Security Issues Management

Product Marketing

• leads product positioning, messaging, and go‑to‑market initiatives to ensure offerings are competitive and effectively adopted in the marketplace
• serves as a key liaison between Product, Sales, Marketing, and Operations
• develops and maintains product positioning and messaging tailored to employers, brokers, and benefit consultants
• conducts competitive analysis, market research, and industry trend monitoring
• leads go‑to‑market planning and execution for new product launches and enhancements
• builds and executes marketing campaigns that drive adoption, engagement, and retention
• supports Sales and Account Management teams through sales enablement activities
• partners with Product, Underwriting, and Operations to align marketing with product development and compliance
• translates customer, broker, and field feedback into actionable insights to inform marketing and product strategies
• develops and oversees creation of marketing assets such as presentations, product guides, one‑pagers, FAQs, and case studies
• contributes to thought leadership initiatives such as whitepapers and webinars
• monitors and analyzes key performance indicators such as product adoption and broker satisfaction
• uses data and performance insights to optimize messaging, campaigns, and positioning throughout the product lifecycle

Senior Product Marketing Manager

Artificial Intelligence

• Leads the technical evaluation and assurance efforts within our AI Governance team
• Establishes enterprise-grade, decision-relevant methodologies for red teaming, testing, and evaluating AI systems across traditional ML, Generative AI, and Agentic AI applications
• Develops reproducible frameworks to measure AI value, user impact, and broader outcomes
• Designs rigorous evaluation methodologies for assessing AI system performance, safety, reliability, and alignment with intended use across the AI lifecycle
• Develops criteria and benchmarks to determine whether existing evaluations are adequate and sufficient for different AI applications and risk profiles
• Designs and executes comprehensive red team exercises to identify vulnerabilities, failure modes, and unintended behaviors across diverse AI systems
• Establishes standards for evaluation coverage, rigor, and documentation across the AI lifecycle
• Advances the scientific understanding of AI evaluation and safety through white papers and trainings
• Provides technical leadership and mentorship to scientists, engineers, and compliance professionals while building organizational evaluation capabilities
• Stays at the forefront of AI safety research and identify novel risks emerging from advanced AI capabilities
• Translates complex technical findings into actionable recommendations for leadership, governance boards, and cross-functional teams
• Collaborates with external researchers, institutions, and industry partners to advance evaluation methodology

Principal AI Governance Scientist – Artificial Intelligence

Manager

• Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams
• Oversee the claims operation function, including contracting and configuration
• Monitor staff performance to identify any process or quality gaps and develop/implement business solutions to correct issues
• Provide management with necessary data to expedite resolution of claims issues and support in policy decisions related to claims operations
• Serve as the subject matter expert in resolution of claims and configuration issues
• Manage the health plan’s workflow to assure timely, accurate submission and implementation of contracts
• Act as health plan interface on software product upgrades/implementations that affect contract implementation
• Promote change through establishment and sharing of best practices
• Interface with all organizational levels to mobilize commitment and ensure accurate configuration, contract implementation, and claims operations