Director, Duals Experience

Centene; Brasil; Teletrabalho; BRL 617.000 - 1.143.000; Tempo integral

Resumo da oferta

A leading health organization seeks a professional to enhance the experience of Dual members through strategic initiatives. The position requires extensive experience in Medicare and Medicaid operations, strong leadership skills, and a proven track record in strategic planning. This fully remote role offers a comprehensive benefits package and a competitive pay range of $116,100 - $214,700 annually.

Serviços

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualificações

• 5+ years of supervisory/management experience.
• 7+ years of Strategic Planning or Business Development or similar experience.
• Preferred: Background in consumer experience.

Responsabilidades

• Identify opportunities and guide strategies to improve member experience.
• Develop and implement member satisfaction and retention strategies.
• Provide strategic oversight for member experience activities.

Conhecimentos

Medicare operations

Medicaid operations

Strategic Planning

Cross-functional collaboration

Formação académica

Bachelor's Degree

Master's in Health Care

Descrição da oferta de emprego

Overview

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 fully remote role. Candidates may reside anywhere within the continental U.S. The ideal candidate will have extensive experience with Medicare and Medicaid operations, with Duals program experience highly preferred.

Position Purpose

This role is responsible for identifying opportunities and guiding strategies to improve the overall member experience for Duals members. The position focuses on developing and implementing member satisfaction and retention strategies across all product lines through cross-functional collaboration at a senior leadership level. Key departments involved include, but are not limited to, Member Services, Grievances and Appeals, Quality, Provider Relations, Network Operations and Contracting, Health Equity, Vendor Management, Product, Finance, Enrollment, IT, Communications, Sales, and Marketing. Analyzing and interpreting member needs to develop both short- and long-term strategic directives and programs aimed at enhancing the member experience is an expectation of the role. The position provides strategic and operational insights to senior leadership to drive key initiatives and market growth plans, while ensuring alignment with broader organizational initiatives through collaboration with Corporate Strategy partners. Additionally, the role acts as a key resource for gathering information and initiating action plans on a wide range of topics, issues, and projects that impact operations and strategic initiatives.

• Analysis of outcome data, adjusting strategy accordingly and pro-actively to maximize outcomes for experience driven measures.
• Provides strategic oversight and leadership for all member experience activities for Dual members and providers.
• Partners with Quality to support Quality and Healthcare Effectiveness Data and Information Set (HEDIS) initiatives and focus on STARS improvement, CAHPS, access and availability surveys, financial incentives and improving EPSDT scores.

Education/Experience

• 5+ years of supervisory/management experience.
• 7+ years of Strategic Planning or Business Development or similar experience. Preferred: Background in consumer experience. BA/BS - Bachelor’s Degree or equivalent required. MS - in a Health Care related field preferred.

Pay Range: $116,100.00 - $214,700.00 per year

Benefits

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