Senior Process Excellence Consultant - Remote/Hybrid

Centene Corporation; United States; Hybrid; USD 88,000 - 158,000; Full time

Benefits offered by this job

Competitive pay

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off + holidays

Flexible work schedules: remote,Hybrid

Job summary

Centene Corporation is seeking a Senior Business Process Consultant to lead cross-functional initiatives, develop business cases, and align strategic plans with operational delivery. You will coordinate with Payment Integrity, Claims, technology teams, and external vendors to drive improvements and maximize ROI.

Role requires 6+ years of project management experience, a related bachelor's degree (master's preferred), and expertise in process optimization and data analysis.

Qualifications

• Bachelor's Degree in a related field or equivalent experience required.
• Master's Degree in a related field preferred.
• 6+ years managing projects required.

Responsibilities

• Lead cross-functional initiatives across Payment Integrity, Claims, technology teams, and external vendors, coordinating priorities, dependencies, risks, and deliverables.
• Drive implementation and ongoing optimization of CRP-to-Claims processes, ensuring recovery activity is integrated into claims operations.
• Manage complex exceptions, reconciliations, defects, and escalations, partnering with business and technology stakeholders to identify root causes and drive resolutions.
• Lead business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and ROI.
• Provide input and support planning and prioritization of initiatives as part of the strategic and business planning process.
• Ensure initiatives support the strategic business plan and are executed well tactically.
• Ensure that all approved business cases are transitioned to initiatives with clear responsibilities.
• Lead larger scale cross-functional initiatives to drive performance improvement, financial gains, customer satisfaction and compliance.
• Provide strategic and policy guidance on assigned initiatives to maximize implementation effectiveness.
• Organize work teams, drive consensus and ensure end to end policy/process integrity with project plans and defined responsibilities.
• Perform detailed analysis of data, workflows, policies, procedures, and staff skills to execute initiatives.
• Support project work using Excel, PowerPoint, Visio, and Microsoft Project.
• Lead all levels of staff responsible for initiatives included in the operating plan to support success and development.

Skills

Project management

Cross-functional collaboration

Process improvement

Data analysis

Education

Bachelor's Degree in a related field

Master's Degree in related field (preferred)

Tools

Excel

PowerPoint

Visio

Microsoft Project

Job description

Centene Corporation is seeking a Senior Business Process Consultant to lead cross-functional initiatives, develop business cases, and align strategic plans with operational delivery. You will coordinate with Payment Integrity, Claims, technology teams, and external vendors to drive improvements and maximize ROI.

Role requires 6+ years of project management experience, a related bachelor's degree (master's preferred), and expertise in process optimization and data analysis.