Director, Quality Medicare Strategy

Centene Corporation; Missouri; Hybrid; USD 135,000 - 249,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K plan

Stock purchase plan

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is seeking a Director of Quality Medicare Strategy to drive multi-year, market-specific Medicare Stars performance. This remote role supports Medicare Advantage and partners with stakeholders to shape geographic market expansion and innovative strategies.

The ideal candidate translates CMS requirements into actionable plans that improve quality outcomes, member experience, and Medicare performance.

Qualifications

• Bachelor's degree required or equivalent work experience.
• 5+ years of Medicare Advantage related experience.
• 5+ years of experience in developing and implementing new business strategies.
• 3+ years of experience in working in a Medicare Advantage environment.

Responsibilities

• Directs the Medicare multi-year strategic planning process annually.
• Develops new state and new county expansion market recommendations.
• Builds cross-functional relationships to implement business strategies.
• Oversees network and sales channel development of new state expansions.
• Leverages Medicare product strategy to enhance go to market strategy across sales, marketing and markets.
• Oversees implementation of new innovations with product development.
• Facilitates exploration of external partnerships to strengthen Medicare positioning.
• Provides support for financial, sales and operation reporting and analysis.
• Lead change and execute on business objectives with key stakeholders.

Skills

Medicare Advantage

Strategy development

Stakeholder management

Cross-functional leadership

Data interpretation

Education

Bachelor's degree

Job description

Position Purpose:

The Director of Quality Medicare Strategy drives the development of our Multi-year, market specific Medicare Stars Performance Strategy. In addition, this individual plans, and partners with key stakeholders to understand the geographic market expansion of our Medicare business and the researches and plans innovations to our Medicare Stars Program.

This is a remote opportunity supporting Medicare Advantage.

The ideal candidate brings strong Medicare Advantage and Medicare Stars expertise. This strategic, analytical leader can translate complex data and evolving CMS requirements into actionable strategies, align cross-functional teams, strengthen provider engagement, and drive measurable improvements in quality outcomes, member experience, and Medicare performance.

• Directs the Medicare multi-year strategic planning process annually.
• Develops new state and new county expansion market recommendations.
• Builds strong cross-functional relationships with internal departments to implement business strategies.
• Oversees the network and sales channel development of new state expansions.
• Leverages our Medicare product strategy to continuously enhance our go to market strategy across, sales, marketing and markets.
• Works with product development to oversee the implementation of new innovations.
• Facilitates the exploration of external partnerships to enhance our Medicare strategic positioning.
• Provides support for financial, sales and operation reporting and analysis.
• Ability to lead change and execute on business objectives through oversight and management of key stakeholders and owners.
• Performs other duties as assigned.Additional Responsibilities:

Candidate Education:

• Required A Bachelor's Degree in a related field Bachelor's degree Required or equivalent work experience
• 5 + years of Medicare Advantage related experience
• 5+ years of experience in developing and implementing new business strategies
• 3+ years of experience in working in a Medicare Advantage environment

Pay Range: $134,600.00 - $249,000.00 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
• 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