About the role
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
This is a remote position and the individual selected can be located anywhere in the US.
Position Purpose: Oversee service product lines. Establish a profitable, disciplined organization that demonstrates a solid foundation for future growth.
- Collaborate with local health plans and corporate service areas to set overall strategy for Managed Long-Term Services and Supports or MLTSS and Duals
- Oversee development of product extensions, capabilities and services that meet the needs of prospects and members
- Determine and implement the company’s product and service area expansion plans
- Develop and implement reporting and oversight infrastructure to ensure that MLTSS and Duals products are meeting financial, quality, and operational goals while remaining in full compliance with all regulatory requirements
- Implement tactics to launch MLTSS and Duals product lines in new states and partner with dual eligible product team as it relates to MLTSS
- Develop standard model for MLTSS and Duals products to be modified based on local regulations while maintaining core elements to create consistency of care
- Provide subject matter expertise to subsidiaries, corporate departments and external stakeholders with respect to MLTSS and Duals
- Lead organization to strong relationships with CMS and state Medicaid departments
- Build network of relationships with MLTSS and Duals experts to ensure knowledge flow of best practices to the local health plans and corporate departments
- Identify innovative new models and solutions to improve care, quality and cost efficiency
- Institute continuous improvement program for MLTSS and Duals product lines
- At least 20% travel required
Education/Experience: Bachelor’s degree in related field. 7+ years of Medicare, dual eligible management or related specialty experience, preferably in a health plan. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Master’s degree preferred.
Licenses/Certifications: Current state driver’s license
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Skills & Tags
Aplyr's read
Centene is a key player in government-sponsored healthcare, focusing on under-insured populations. It offers diverse roles across compliance, analytics, and medical management.
What's promising
- •Centene's focus on government-sponsored programs ensures a steady demand for its services.
- •The company offers diverse roles, from analytics to medical leadership, catering to various professional backgrounds.
- •Centene's commitment to under-insured populations aligns with growing healthcare equity trends.
What to watch
- •Regulatory changes in healthcare policies can impact Centene's business model significantly.
- •The complexity of government contracts may lead to compliance challenges.
- •High competition in the healthcare sector could pressure Centene's market share.
Why Centene
- •Centene specializes in serving under-insured and uninsured individuals through government programs.
- •The company's multinational presence allows it to leverage diverse healthcare systems.
- •Centene's comprehensive service portfolio addresses a wide range of healthcare needs.
Aplyr’s read is generated by AI from public sources. Was it useful?
About Centene
Centene Corporation is a diversified, multi-national healthcare enterprise that provides a portfolio of services to government-sponsored healthcare programs, focusing on under-insured and uninsured individuals.
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