VP, Interoperability Strategy & Data Exchange (Remote)

Centene Corp.; United States; Hybrid; USD 228,000 - 431,000; Full time

Benefits offered by this job

Health insurance

401K and stock plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Job summary

Centene seeks a Senior Director of Enterprise Interoperability to lead strategy, governance, and execution of scalable data-exchange solutions across the enterprise, enabling secure data movement among members, providers, and partners. You will build partnerships with major EHRs and govern interoperability programs to drive regulatory readiness and improved outcomes.

You will lead, coach, and develop teams, establish metrics, and align efforts with CMS and state requirements, while collaborating

Qualifications

• Bachelor’s Degree in healthcare administration, business, information technology, informatics, or related field.
• 10+ years progressive leadership experience in healthcare interoperability, managed care operations, payer technology or related functions.
• 5+ years leading enterprise interoperability strategy and execution within a payer or managed care environment.
• 5+ strong knowledge of interoperability standards and requirements, including FHIR, HL7, EDI and CMS regulations.
• 5+ experience with core managed care workflows such as claims, utilization management, provider data, clinical data exchange, and prior authorization.
• 5+ demonstrated ability to influence across functions, communicate effectively with senior leaders, and drive results.

Responsibilities

• Lead the enterprise interoperability strategy, roadmap, and operating model.
• Oversee interoperability solutions that enables secure, accurate and timely data exchange between members, providers, health plans and payers.
• Ensure alignment with federal and state interoperability requirements and translate regulatory changes into actionable business and technology plans.
• Partner across lines of business, clinical, operational, and technology teams to improve data exchange across core managed care workflows.
• Establish governance, performance measures, and risk controls to support effective delivery and continuous improvement.
• Lead partnership management for EHR & Third-Party Integrators (e.g., Epic, Oracle, Athena) to ensure seamless bidirectional communication.
• Build and maintain strategic relationships with providers, vendors, delegated entities, and external partners.
• Lead, coach, and develop high-performing teams while fostering accountability, collaboration, and results.
• Performs other duties as assigned.
• Complies with all policies and standards.

Skills

Leadership

Interoperability standards (FHIR HL7 E

Healthcare workflows (claims, UM, data

Regulatory alignment

Education

Bachelor's Degree in relevant field

Tools

Epic

Oracle

Athena

Job description

Centene seeks a Senior Director of Enterprise Interoperability to lead strategy, governance, and execution of scalable data-exchange solutions across the enterprise, enabling secure data movement among members, providers, and partners. You will build partnerships with major EHRs and govern interoperability programs to drive regulatory readiness and improved outcomes.

You will lead, coach, and develop teams, establish metrics, and align efforts with CMS and state requirements, while collaborating