Supervisor, Pricing Configuration

Centene Corporation; United States; Remote; USD 68,000 - 124,000; Full time

Job summary

A healthcare organization in the United States is seeking a Supervisor of Pricing Configuration. The role involves managing a team dedicated to maintaining pricing configurations and contracts, ensuring compliance with regulations, and overseeing vendor relationships. Candidates should possess a Bachelor's degree and have at least two years of experience in medical claims environments. A competitive benefits package is offered.

Benefits

Health insurance

401K plans

Tuition reimbursement

Paid time off

Flexible work schedules

Qualifications

• Minimum two to three years experience in an automated medical claims environment.
• Strong understanding of systems logic and testing.
• Experience in managed care/multiple product environments.

Responsibilities

• Manage a team for pricing configuration and contract maintenance.
• Ensure compliance with regulatory changes to documentation.
• Oversee vendor relationships and performance.

Skills

Team management

Project management

Communication

Education

Bachelor's degree

Job description

Overview

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: The Supervisor of Pricing Configuration manages a team to create and maintain contracts configuration, pricing and division of financial responsibility, as needed. This position manages overall project workload to completion assuring accuracy for our customers (Claims, Providers, Members and other internal departments). The Supervisor of Pricing Configuration is responsible for representing the team and department in cross functional meetings related to any system changes/modifications and works closely with Product Development and Sales to ensure accurate representation of benefit designs. This position will also oversee vendor relationships and performance and will assist the department manager with daily configuration workflow.

• Answers pricing configuration inquiries and addresses issues identified by claims department, network management, customer contact department and other internal customers.
• Attends meetings related to new product or regulatory changes; implements changes to related processes, documents, such as contract compensation, and appropriate databases, ensures proper follow-up and resolution for all updates/product changes.
• Answers questions and assists configuration analysts in relation to contract development.
• Supervises, directs, and evaluates the activities of staff; serves as a resource for staff and continuously cross-trains staff to maximize knowledge, capabilities, and level of expertise.
• Ensures compliance with regulatory changes to processes/documentation.
• Oversees SOX compliance for all controls, and works closely with compliance as needed.
• Supervises updates of Medicare fee schedules to assure the regulatory aspect of the updates.
• Works in conjunction with teams responsible for Division of Financial.

Education/Experience: Bachelor's Preferred. Minimum two to three years experience in an automated medical claims environment and managed care/multiple product environment desired. Minimum one to two years experience in systems logic and testing desired.

Pay Range: $68,700.00 - $123,700.00 per year

Benefits Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and 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