VP, Interoperability Strategy & Data Exchange (Remote)

Centene Management Company LLC; United States; Hybrid; USD 228,000 - 431,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Job summary

Centene Management Company LLC is seeking a senior leader to drive enterprise interoperability, enabling secure, seamless data exchange across members, providers, and payers. You will shape strategy, governance, and execution across all lines of business.

You will partner with clinical, operational, and tech teams to implement standards (FHIR/HL7/EDI), manage payer workflows, and ensure regulatory readiness. Strong leadership and cross-functional influence are essential.

Qualifications

• Bachelor’s degree in a related field is required.
• 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+ knowledge of interoperability standards 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.

Responsibilities

• Lead the enterprise interoperability strategy, roadmap, and operating model to enable seamless data exchange across the enterprise.
• Oversee interoperability solutions for secure, accurate, timely data exchange among members, providers, health plans and payers.
• Ensure alignment with federal and state interoperability requirements and translate regulations into actionable plans.
• Collaborate across lines of business to improve data exchange in core managed care workflows.
• Establish governance, performance measures, and risk controls to support delivery and improvement.
• Lead partnerships with EHRs and third-party integrators (Epic, Oracle, Athena) to enable bidirectional communication.
• Build strategic relationships with providers, vendors, and external partners.
• Lead, coach, and develop high-performing teams with accountability and results.

Education

Bachelor’s Degree in healthcare administration, business, information technology, informatics, or related field

Tools

FHIR

HL7

EDI

CMS regulations

Job description

Centene Management Company LLC is seeking a senior leader to drive enterprise interoperability, enabling secure, seamless data exchange across members, providers, and payers. You will shape strategy, governance, and execution across all lines of business.

You will partner with clinical, operational, and tech teams to implement standards (FHIR/HL7/EDI), manage payer workflows, and ensure regulatory readiness. Strong leadership and cross-functional influence are essential.