Remote Director - Medicare Stars & 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

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.