Director, Provider Data Process Owner

Centene Corporation; Kentucky; Hybrid; USD 148,000 - 274,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Remote, hybrid, field or office work

Job summary

Centene Corporation in Kentucky is seeking an experienced leader to drive complex cross-functional initiatives across healthcare and insurance domains. You will analyze processes, enable scalable improvements, and oversee vendor and program strategy while ensuring governance and budget adherence.

The role requires a Bachelor’s degree and 7+ years in healthcare/insurance with experience leading major initiatives. Flexible work arrangements are available across remote, hybrid, and office settings.

Qualifications

• Bachelor's Degree in a related field or equivalent experience.
• 7+ years health care or insurance industry experience having led large scale initiatives.

Responsibilities

• Support strategy for complex business transformational priority.
• Provide directional oversight for execution of complex business cases to ensure feasibility, ROI and alignment with objectives.
• Lead activation of strategic guidance so processes maximize effective implementation and results.
• Perform detailed analysis of data, workflows, policies, and staffing to execute initiatives.
• Collaborate with stakeholder SMEs for knowledge transfer, training and implementation.

Skills

Project management

Data analysis

Stakeholder collaboration

Process improvement

Education

CSSBB (Six Sigma Black Belt)

PMP (PMI)

Job description

Position Purpose:

Utilizes business expertise to facilitate, lead and drive complex large scale work efforts across domains and/or large scale cross functional initiatives with matrixed team support. Analyzes and measures the effectiveness of existing business processes and develop sustainable, scalable and quantifiable business process improvements. Research industry best practices to ensure alignment of strategic planning, collaboration with key stakeholders, communication delivery, operational execution/implementation, and compliance and budget adherence. Delivers expertise in areas such as process improvement (end to end), vendor management, technology and scalability.

• Support strategy for complex business transformational priority


• Provide directional oversight for execution of complex business cases for proposed initiatives to ensure adequate assessment of feasibility, opportunities, risks and return on investment to meet key business objectives


• Lead the activation of strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results


• Perform detailed analysis of data, workflows, policies, procedures, organization of staff, and skills to execute initiatives


• Collect and analyze process data to initiate, develop and recommend business practices and procedures that focus on enhanced effectiveness and increased productivity with a consideration for cost containment.


• Collaborate directly with stakeholder SME’s for knowledge transfer, training and implementation


• Drive consensus and confirm end to end integrity to accomplish project work up to and including final recommendations and implementation


• Partner on creation of timely communication to all key stakeholders and contribute to executive level presentations for support, awareness, and effectiveness of all deliverables


• Performs other duties as assigned


• Complies with all policies and standards

Education/Experience:

Bachelor's Degree in a related field or equivalent experience required

7+ years health care or insurance industry experience having led large scale initiatives required required

Operations Experience Preferred

• CSSBB - Six Sigma Black Belt preferred


• Certified Project Management Professional (PMP)-PMI preferred

Pay Range: $148,000.00 - $274,200.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including:

• competitive pay


• health insurance


• 401K and stock purchase plans


• tuition reimbursement


• paid time off plus holidays


• 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