Director, New Business Implementation & Operations (Duals)

Centene Corporation; Missouri; Hybrid; USD 145,000 - 269,000; Full time

Job summary

Centene Corporation is seeking a D-SNP Implementation Leader to oversee multiple business implementation teams and ensure compliance with CMS requirements. This remote position requires extensive experience in health plan operations and project management, offering a competitive salary and comprehensive benefits.

Benefits

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Qualifications

• 7+ years of health plan experience in multiple areas of operations.
• Experience leading cross-functional teams in healthcare.
• Strong understanding of project management tools and methodologies.

Responsibilities

• Direct multiple business implementation teams simultaneously.
• Maintain knowledge of CMS and state-specific D-SNP requirements.
• Oversee successful transition of executed projects to long term ownership.

Skills

Project Management

Leadership

Collaboration

Risk Management

Healthcare Knowledge

Education

Bachelor's degree in a business related field

Master’s degree preferred

Tools

Project Management Methodologies

Job description

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 can be located throughout the US.

Position Purpose: Direct multiple business implementation teams simultaneously; and advise the company on standard implementation models, tools and processes. Develop, integrate and operationalize a product, service, subsidiary or health plan into the corporation.

• Serve as the primary D-SNP implementation leader and point of accountability for assigned state markets.
• Work collaboratively across the broader D-SNP Implementation team through market status updates, sharing of key risks or concerns, mitigation and solution collaboration, etc.
• Maintain knowledge of CMS and state-specific D-SNP requirements, including MMP transitions, LTSS coordination, and integration with Medicaid services.
• Participate in the development of business implementation strategies including identification and engagement of key resources to support projects.
• Lead internal interdisciplinary teams covering all essential functions during the implementation phase.
• Provide leadership and oversight in the development of integrated project work plans, schedules and budgets.
• Identify, assess and resolve implementation issues across functional areas.
• Oversee the successful transition of executed projects to long term ownership
• Assist in the creation and maintenance of standard models and tools for the implementation approach.
• Provide input into operating models, standard corporate functional and information system models, performance metrics, expected outcomes and plan impacts
• Maintain standard implementation organizational structures, team structures, work breakdown structures, work planning, issue logs, decision logs, change control and executive reports.
• Oversee and direct the efforts of other departmental resources assigned to support the business implementation project.

Education/Experience: Bachelor's degree in a business related field. Master’s degree preferred. 7+ years of health plan experience in multiple areas of operations (claims, provider/member services, medical management, network/IT, etc) or experience leading a cross functional team in implementation of a new, start-up business, business function or integration of an acquired business, preferably in the healthcare industry. Experience with project management, including use and understanding of project management methodologies and tools (i.e., integrated schedules, work breakdown structures, risk management, executive/scorecard reporting, project budgeting, project staffing, issue management and change control). Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Pay Range: $145,100.00 - $268,800.00 per year

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. Total compensation may also include additional forms of incentives.

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