Centene Corporation

Marketing

• Manage day-to-day relationships with local health plan marketing teams to successfully procure/re-procure Medicaid managed care contracts
• Execute the annual marketing plans for the Medicaid managed care plans to grow member acquisition and retention
• Identify, design and drive adoption of marketing capabilities, platforms, and processes at a national level
• Execute portfolio strategy for the state/locality to proactively communicate Health Plans’ state/local community impact to key stakeholders
• Identify and share best practices and learnings with state-based markets and establish a community of practice to scale across the network
• Develop and adapt marketing activations content so that they are relevant and accessible to all audiences
• Support execution of the marketing budget and annual marketing plans
• Derive insights from regional markets to inform marketing strategy and execution

Senior Manager, Marketing

Data Engineer

• Manages the overall production support team and mentors the team of data engineers.
• Supports planning features, measuring outputs, and ensuring quality products.
• Lead a Production Support team responsible for monitoring, triaging, and resolving incidents for batch processes across 3 shifts.
• Ensure consistent achievement of batch SLAs, timely incident resolution, high-quality service request handling, and accurate team timekeeping.
• Serves as the primary escalation point for high-severity issues, ensuring clear communication and coordinated response.
• Manages the planning, prioritization, and execution of activities of team of data engineers.
• Develops the standards and processes required to ensure the delivery of high-quality data products.
• Manages and oversees the automation of key ETL / ELT (Extract / Transform / Load) and quality assurance (in collaboration with the quality engineering team) processes for large volumes of data and migrations of workloads.
• Performs and monitors data quality, integrity, standards, master data management.
• Allocates available resources to meet operating objectives and provides team leadership, fostering a diverse and inclusive workplace.

Manager, Data Engineering – Production Support

Account Manager

• responsible for the strategic development of contractual relationships with the plan's major vendors currently providing dental, vision, pharmacy and transportation services
• manages all aspects of oversight for the operational, contractual, financial, network adequacy, utilization and quality management aspects of these relationships
• monitors the operational aspects of the vendor relationship through spearheading the design, and execution of audits and evaluations of financial and operational performance
• ensures that vendors adhere to all applicable legal, regulatory and accreditation mandates
• manages the relationship governance process to ensure compliant operations and monitors fulfillment of contract obligations
• responsible for service level management and reporting

Senior Director, Vendor Partnerships

Project Manager

• Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives
• Manage the full project life cycle, including review of various sources to assess requirements, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure
• Utilize corporate and industry standard project management tools and techniques to effectively manage projects
• Establish and maintain corporate project management methodology and other department procedures
• Communicate project status to all stakeholders and external agencies
• Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks
• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives
• Provide functional and technical knowledge across multiple business and technical areas
• Manage the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation

Project Manager V

Clinical Operations

• Directs the development and implementation of clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes
• Oversees the clinical operations team and ensures clinical processes are consistent with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
• Directs process improvements for clinical initiatives and/or programs to improve care coordination, efficiency, and health and quality outcomes
• Leads the clinical operations team on performance, improvement, and career growth considerations
• Oversees the development of clinical initiatives and monitors programs to ensure appropriate metrics are in place to deliver efficient health and quality outcomes, improve care coordination, and meet requirements of contracts
• Leads, develops, and ensures clinical initiatives and/or programs are in accordance with NCQA guidelines, state mandates, and/or government contract requirements
• Develops long-term clinical operations strategies and influences decisions by providing recommendations that align to organizational objectives
• Develops the department budget while collaborating inter-departmentally with senior leadership team
• Develops the overall strategy for onboarding, hiring, and training clinical operations team members to ensure adequate training and high-quality clinical initiatives and/or programs
• Works cross functionally to drive process improvements to manage costs and support initiatives to improve health and quality outcomes

Director, Clinical Operations – Integrated Duals CM

Program Manager

• Promote increased program efficiency, service levels, and value by capturing and monitoring performance
• Plan, organize, monitor, oversee and lead multiple projects utilizing cross functional teams
• Manage a portfolio of cross functional healthcare transformation initiatives
• Lead the ideation and identification of initiatives to increase efficiency, improve service levels, and innovate
• Develop strategies to realize improvement opportunities
• Monitor initiatives to drive performance and analyze data to determine trends
• Manage multiple projects through full project life cycle process
• Provide leadership and effectively communicate project status to all stakeholders

Program Manager III – Healthcare Transformation

Financial Planning and Analysis

• Support, manage and drive enterprise strategic initiatives with heavy focus on financial and qualitative results
• Manage key enterprise performance initiatives, including monitoring critical milestones and financial benefit realization for larger scale initiatives
• Lead quarterly forecast updates and the annual budget, collaborating with cross-functional partners to align financial plans with performance targets
• Monitor key milestones indicative of initiative success and aide in performance management of initiatives from ideation through implementation/execution
• Track realization of benefits, including financial and qualitative key performance indicators
• Develop financial pro formas for new business initiatives to guide cost implementation, resource planning, and investment decisions
• Prepare and review monthly and quarterly reporting summaries prepared for Senior Management on initiative performance and status
• Review key performance indicator and financial benefit realization tracking methodology
• Identify and execute process improvement opportunities within the department; partner cross-functionally to drive process improvement with internal partners (related to executing against initiative portfolio)

Senior Manager, Finance & Performance Management

• Responsible for all aspects of the planning and delivery of strategic LTSS (Long Term Services and Support) programs
• Provides leadership, direction, and hands-on support to matrixed teams to ensure successful completion of complex integration LTSS initiatives
• Responsible for creating and presenting executive level communications to provide program updates
• Participate in LTSS strategy meetings and developing related work plans
• Attend select conferences and representing Centene
• Proactively manage areas such as risk, budget/forecast, dependencies
• Escalate well-formulated issues and risks to leadership
• Oversee all aspects of program planning, management, and execution (scope, schedule, and budget)
• Drive large scale projects by coordinating the work of one or more project managers/business analysts
• Prepare strategic analysis of potential business and/or operational opportunities as needed.

Program Manager IV

• Compile and analyze financial information for the company
• Serve as a finance business partner to operations leaders by translating financial and operational data into actionable insights
• Improve financial visibility and decision support through enhanced reporting, modeling, and process improvements
• Assist Develop integrated revenue/expense analyses, projections, reports, and presentations
• Create and analyze monthly, quarterly, and annual reports and ensures financial information has been recorded accurately
• Identify trends and developments in competitive environments and presents findings to senior management
• Perform financial forecasting and reconciliation of internal accounts

Finance Analyst II – FP&A

Manager

• Assists in developing, assessing, and coordinating holistic care management activities
• Develops personalized service care plans/service plans for long-term care members
• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Collects, documents, and maintains long-term care member information and care management activities
• Interacts with long-term care healthcare providers and partners to ensure member needs are met

LTSS Service Care Manager – Child Welfare

• Support analytical data needs for assigned business unit
• Handle complex data requests and acts as a “go to” person for other Data Analysts
• Initiate and manage companywide data processes improvements
• Manage cross functional activities related to large-scale analytic projects to deliver on schedule, within budget and with superior quality
• Develop and lead activities to accomplish overall strategic department goals and lead the communication of these goals to stakeholders at all levels of the organization

Senior Manager, Data Analysis

• Create and execute the category strategy
• Communicate intent and purpose to internal and external stakeholders
• Communicate decisions among category council stakeholders
• Establish cadence with strategic suppliers and business stakeholders for reviewing supplier performance against contractual obligations
• Establish KPIs, identify benchmarks and set targets to regularly capture and report on the performance of direct categories/sub-categories
• Coach on how to conduct risk assessments using established processes and frameworks
• Oversee procurement process compliance and buying channel adherence for purchases
• Work with the Sourcing team to coordinate the sourcing strategy review with business stakeholders
• Monitor execution of sourcing activities (RFI, RFQ, events, etc.) within category to achieve identified value and outcomes
• Provide active support to fact-based negotiations with suppliers
• Facilitate high value proposal evaluation and award decisions with business stakeholders
• Develop the category plan (e.g. vision, strategy and implementation road map) with category and procurement leaders by conducting assessments of current and future business requirements needs
• Implement the category plan utilizing the category team to take on initiatives such as strategic sourcing and demand management aligned to the category strategy / plan
• Perform periodical financial and spend reviews to track and review category financial performance using key metrics and actual vs budgeted spend variance
• Develop, manage and lead the Category team with a focus on procurement in a strategic and goal-oriented manner

Manager, Category Management

Data Analyst

• Analyze integrated and extensive datasets to extract value
• Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights
• 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
• Demonstrate a sense of ownership over projects

Data Analyst III, Healthcare Analytics

Network Operations

• supports all provider network operational activities and ensures compliance with Health Net standards
• manages several operational functions as assigned by the Director of Operations
• monitors the provider onboarding process from end-to-end
• allocates and distributes work according to department need
• manages the Provider Network Management dashboard
• takes a lead role in the implementation of new initiatives
• maintains ongoing internal and external communication with subordinates, providers, groups, regulatory bodies and corporate

Manager, Provider Network Operations

• Responsible for analytical data needs
• Handle complex data requests, reports, and predictive data modeling
• Analyze health management programs including: data collection, validation and outcome measurement
• May include: Financial, pharmacy, claims, provider, and member data
• CMS and ad hoc reporting
• Internal data cleansing and data reconciliation analysis
• Trend analysis in various functional areas
• Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW)
• Write database queries in SQL
• Create visualizations in Power BI
• Produce reports for and interface with senior management and internal and external stakeholders
• Gather and interpret business requirements and monitor data trends to proactively identify issues
• Analyze reports/dashboard to discover business value insights to help operations and customer experience
• Trouble shoot report and data issues
• Create database views
• Attend stakeholder meetings, gather requirements, and propose reporting solutions to meet business needs
• Execute data changes
• Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly
• Assist with training lower level Data Analysts