Provider Data Process Owner

Centene Management Company LLC; Missouri; Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off + holidays

Job summary

Centene Management Company LLC is seeking a senior professional to lead and drive complex, large-scale cross-functional initiatives within the healthcare/insurance space. The role emphasizes end-to-end process improvements, vendor management, and strategic execution, with a focus on collaboration, governance, and measurable ROI.

The position requires a Bachelor's degree with 5+ years of industry experience; PMP/IAPM and CSSBB are preferred.

Qualifications

• Bachelor's Degree in a related field or equivalent experience required.
• 5+ years of health care or insurance industry experience having led or been a key contributor on large scale initiatives required.
• PMI PMP - PMI preferred.
• IAPM - Certified Project Manager preferred.
• CSSBB - Six Sigma Black Belt preferred.

Responsibilities

• Support strategy for complex business transformational priority.
• Actively participate in the execution of complex business cases to assess feasibility, opportunities, risks and ROI.
• Aid activation of strategic and policy guidance for comprehensive 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 recommend practices improving effectiveness and productivity with cost containment.
• Collaborate with stakeholder SMEs for knowledge transfer, training and implementation.
• Ensure end-to-end integrity to complete project work through final recommendations and implementation.
• Create timely communications to stakeholders and contribute to executive level presentations.

Skills

Process improvement

Vendor management

Strategic planning

Stakeholder communication

Education

Bachelor's Degree in related field

PMI PMP

IAPM Certified Project Manager

Six Sigma Black Belt (CSSBB)

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. Researches 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.

Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Support strategy for complex business transformational priority Actively participate in the 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 Aid in 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 SMEs for knowledge transfer, training and implementation 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. 5+ years of health care or insurance industry experience having led or been a key contributor on large scale initiatives required. Operations experience preferred. Certified Project Management Professional (PMP)-PMI preferred. Certified Project Manager (IAPM) preferred. CSSBB - Six Sigma Black Belt preferred.

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.

Should you need an accommodation, please email [e-mail].