Centene Corporation

Systems Engineer

• Drives the collaboration with business and IT stakeholders to translate complex business requirements into comprehensive functional and non-functional technical specifications
• Gathers and validates business / technology requirements to establish scope and parameters of requirements and define project impact, outcome criteria, and metrics
• Analyzes and verifies requirements for completeness, consistency, comprehensibility, feasibility, and conformity to standards
• Translates conceptual user requirements into functional requirements in a clear manner that is comprehensible to developers / project team
• Creates systems and business process models, specifications, diagrams, and charts to provide direction to developers and/or the project team
• Interprets user requirements into feasible options and communicate these back to the business stakeholders
• Manages and tracks the status of requirements throughout the project lifecycle; enforce and redefine as necessary
• Communicates changes, enhancements, and modifications of business requirements to project managers, sponsors, and other stakeholders so that issues and solutions are understood
• Plans and coordinates user acceptance testing (UAT)
• Monitors and review levels of IT services specified in the service-level agreements (SLAs) with the business
• Research, reviews, and analyzes the effectiveness and efficiency of existing requirement gathering processes and develop strategies for enhancing or further leveraging these processes; quantify potential efficiency opportunities and track accordingly
• Maintains system protocols by writing and updating procedures
• Provides references for users by writing and maintaining user documentation; provide help desk support; train users
• Prepares technical reports by collecting, analyzing, and summarizing information and trends
• Involved in clarifying requirements and implementing solutions that meet the business needs
• Documents business requirements and potential solutions for system functionality and reporting needs
• Performs other duties as assigned
• Complies with all policies and standards

Senior Business Systems Analyst – CMDB

Backend Engineer

• Creates database system designs and architectures in line with the organization's technical needs
• Designs, implements, and ensures that database systems achieve 100% uptime with 24/7/365 operational availability
• Develops proposed systems which meet the required database and interface specifications, based upon identified business needs
• Troubleshoots and resolves critical problems across various tiers in the database systems
• Communicates software development initiatives and plans related database changes including database upgrades and data migrations
• Researches and provides both business and technical solutions based on business needs and specifications

Senior Database Engineer – Oracle

Program Manager

• Plan, organize, monitor, and oversee Culture Activation programs
• Support Culture Transformation initiatives through gathering requirements and managing resources
• Maintain detailed business process documentation
• Communicate program status to management and key stakeholders
• Manage projects through the full project life cycle

Program Manager II, Culture Activation

Security Engineer

• Leads cybersecurity and privacy principles to ensure the organization's applications and services are implemented according to internal security standards
• Recognizes vulnerabilities in security systems
• Oversees and performs threat modeling, security code reviews, security assessments
• Engineers and develops cloud automation routines to streamline operations
• Promotes understanding and adherence to the SSDLC Policy and Standards
• Ensures the implementation and maintenance of application security standards
• Executes architectural analysis of the current application security architecture
• Leads the audit of application security and operational configurations
• Remediates application security incoming alerts/vulnerabilities
• Creates application security documents, design standard operating procedures
• Automates routine operational tasks related to application security
• Implements application security solutions such as authentication, authorization, encryption, logging, and application security testing throughout the secure software development life cycle (SSDLC)
• Undertakes initiatives/policies to review and generate recommendations for the application security configuration

Lead Applications Security Engineer

• Plan, organize, monitor, and oversee Culture Activation programs
• Support Culture Transformation initiatives through requirements gathering, creation of plans and schedules
• Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans
• Create and monitor all department deliverables to ensure adherence to quality standards
• Communicate program status to management and key stakeholders
• Identify resources, resolve issues, and mitigate risks
• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations
• Manage programs through the full program life cycle

Program Manager I – Culture Activation

Product Analyst

• Contributes to strategy and delivery of a product within a defined domain
• Collaborates with Product Managers and Business Analysts to define and capture requirements for feature enhancements and new functionality
• Collaborates with engineering leadership on product delivery, resourcing needs and timeline shifts
• Communicates effectively with internal stakeholders to identify needs and evaluate alternative business solutions and strategies
• Writes Stories/Spikes/Features with clear outcomes, milestones and acceptance criteria
• Drafts priority of feature backlog and refinement
• Assists with performance measurement of a defined product
• Monitors daily product and product testing metrics and overall product outcomes
• Executes the testing and validation of product features and functions as required
• Performs other duties as assigned

Enterprise Platforms Product Analyst II

Director

• Directs business intake, assessment, and prioritization of projects, ensuring alignment between technical and business strategy.
• Defines and implements portfolio management frameworks for Agile/ Lean and traditional waterfall portfolios including methodologies, and best practices.
• Collaborates with business partners and technology leaders to foster effective communication, enhance transparency, and align IT initiatives with business priorities to achieve organizational objectives within budget constraints.
• Applies a strategic mindset in driving innovation, enhancing operational efficiency, and promoting continuous improvement within the IT portfolio management function that maximize technology investments and business value.
• Directs the development, management and optimization of portfolio, program, and project management methodologies and disciplines
• Builds partnerships, based on trust and transparency, within IT and the various business units
• Leads and facilitates the portfolio management processes to ensure strategic alignment on technologies and goals
• Develops and executes a portfolio change control, risk management and communications strategy
• Directs the hiring and training of new and existing staff, conduct performance reviews, and provide leadership, technical guidance and coaching
• Shares knowledge and develop staff capabilities to strengthen understanding of business issues and best practices
• Leads the development portfolio strategy and analysis deliverables and processes
• Develops and communicates organizational objectives; inspires and motivates team members to achieve results
• Builds and manages technology roadmaps
• Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project
• Understands and contributes to decisions on portfolio issue resolution and risk mitigation
• Identifies, incorporates and supports best practices
• Builds consensus with portfolio managers and develops best practice strategies
• Performs other duties as assigned
• Complies with all policies and standards

Senior Director, IT Portfolio Management

Therapist

• Perform utilization review of authorization requests regarding specialty therapy services for members, including speech language, occupational, and physical therapy across the identified regions and products
• Assist with training and network management support for therapy providers
• Perform detailed review of therapy service requests based on evidenced based practice, documentation standards as indicated by the national therapy associations, and organizational policies
• Refer members to case management as appropriate based on service request assessment
• Provide clinical recommendations for any adverse therapy determination
• Provide clinical expertise based on shared practice standards regarding sub-specialty therapy practice to peers
• Provide support for specialty therapy providers, including assistance with clinical trainings, consultation and guidance on matters related to therapy authorization and provision
• Provide clinical expertise to multi-functional areas within organization to support provider relations and operations
• Performs other duties as assigned
• Complies with all policies and standards

Utilization Specialty Therapist, OT, PT, SLP

General Counsel

• Provide legal advice and services including advising management concerning state and federal legislation, regulations and other requirements applicable to Centene business activities and initiatives
• Serves as a lead resource to Centene departments and entities for research and interpretation of specific healthcare policies and regulations
• Provides legal advice to Centene entities to define and develop solutions to regulatory requirements that impact various product lines and programs
• Reviews regulations, RFPs and other documents affecting such activities, and identifying and appropriately responding to regulatory risks or opportunities.
• Supports Government Relations and Compliance departments by assessing and translating complex legislation, rules and regulations into understandable information and facilitating analysis of compliance and implementation implications
• Reviews, drafts and negotiates contracts, policies and procedures and related documents
• Manages outside counsel and directs, monitors and develops legal strategies in connection with litigation and arbitration disputes
• Directs and conducts training and preventative law activities
• Acts as a lead Corporate Counsel on projects or certain matters

Associate General Counsel

Data Analyst

• Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions
• Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes
• Interpret and analyze data from multiple sources including claims, provider, member, and encounters data
• Identify and assess the business impact of trends
• Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools
• Contribute to the planning and execution of large-scale projects with limited direction from leadership
• Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation
• Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers
• Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment
• Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks
• Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products
• Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners
• Independently engage with customers and business partners to gather requirements and validate results
• Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required
• Provide technical guidance to junior analysts

Data Analyst III – Claims Analytics

Business Analyst

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures
• Performs other duties as assigned

Business Analyst II

Project Manager

• Manage a cross-functional team responsible for executing business transformation across the enterprise
• Hire, train, coach, mentor, provide feedback, conduct annual reviews, and all matters required by Human Resources
• Work with leadership to support the strategic oversight of the department
• Ensure delivery of metric and ROI tracking to ensure savings and improvements are captured
• Direct team on the use of tools for business improvement and transformation, and organizational change management
• Lead a cross functional team in the execution of enterprise level transformation initiatives
• Act as a talent multiplier, leader, mentor, and provides professional development guidance / feedback to direct reports
• Lead and coach team to identify, establish, and quantify measurable business benefits (financial/non-financial) achieved as a result of services provided

Senior Manager, Business Transformation – Project Management

• Responsible for identifying, evaluating, and integrating external innovations that can drive strategic advantage for the enterprise
• Serve as the organization's external radar—scanning the global technology landscape for disruptive trends, startups, academic research, and vendor capabilities
• Translate insights into actionable opportunities that feed into enterprise architecture and strategic planning
• Lead a structured, ongoing technology scouting program across startups, research institutions, think tanks, and vendor ecosystems
• Identify and assess emerging technologies, business models, and innovation patterns with potential enterprise impact
• Build and manage an innovation pipeline that aligns with enterprise priorities and domain and product architectural roadmaps
• Collaborate closely with Enterprise Architecture, the CIOs/MTLs and Domain & Product Managers
• Design and oversee pilot programs to test and validate new technologies in partnership with business and IT stakeholders
• Represent Centene in external innovation forums, consortia, and strategic partnerships
• Develop and maintain a knowledge base of emerging trends, competitive intelligence, and innovation benchmarks
• Provide executive-level briefings and recommendations to senior leadership on innovation opportunities and risks

Director, Vendor Engagement Strategy

Financial Planning and Analysis

• Compile and analyze financial information for the company.
• Lead various financial projects.
• Cost effectively manage the utilization of services and develop measures to track, trend and forecast related impacts of organizational strategic initiatives.
• Support Medical Affairs by delivering advanced financial, staffing, and utilization analytics that inform strategic decision-making, ensure regulatory alignment, and promote cost-effective healthcare delivery.
• Develop metrics to evaluate financial impact of operational, staffing, and vendor decisions.
• Create and analyze monthly, quarterly, and annual reports ensuring data accuracy.
• Identify trends, risks, and opportunities and present findings to senior leadership.
• Perform financial forecasting, modeling, and variance analysis.
• Support staffing and utilization modeling to align resources with business demand.
• Partner cross-functionally with Medical Affairs, operations, and vendor teams.

Finance Analyst IV – Medical Affairs

Analyst

• Provide analytic support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for current health plans, future business, and new products
• Utilize applications and tools to support network performance management reporting and analytic needs
• Evaluate and monitor financial performance of key provider contracts for health plans
• Perform financial analyses to identify medical cost improvement opportunities to develop and execute contracting action plans to achieve results
• Perform contract analysis to support contract negotiations including assisting in development of contract modeling tool
• Prepare network performance management reports to monitor and measure unit cost trends and network improvement opportunities
• Perform detailed contract analysis for executed contracts to evaluate contract terms and rates are meeting expected targets
• Research new business state payment methodologies and identify opportunities to improve unit cost management
• Collect data requirements from internal and external analytic customers to prepare financial analysis or develop analytic tool/model
• Performs other duties as assigned