Job Description
Position Purpose:
Lead the development, coordination, and execution of operational strategies and process improvements across shared services to support enterprise and market‑level product growth, implementation, and performance objectives. Translates strategy into operating plans, facilitates cross‑functional alignment, and drives delivery of new operating models, processes, and capabilities that enable compliant, accurate, and scalable product operations. This role will manage day to day issues and be a subject matter expert for the Duals Integration Office interfacing with our Enterprise Business Operation Services.
Key Details:
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Applicants for this job have the flexibility to work remote from home anywhere in the United States.
Experience in operational areas such as Claims, Configuration, Enrollment is highly preferred.
Serve as a primary operational liaison between product leadership, shared services, and corporate partners to ensure alignment, timely decision‑making, and issue resolution across enterprise and market operations.
Partner with shared services, market leaders, and product teams to define operational strategies, annual objectives, KPIs, and standardized operating procedures that support scalable execution.
Support enterprise due diligence, integration planning, and operational readiness activities for product expansions.
Monitor enterprise and market operational performance, identifying gaps, risks, and opportunities to optimize operations supporting assigned product.
Evaluate operational performance using KPIs and ensure cost effective programs are developed and maintained throughout the business unit.
Identify operational efficiencies and develop “best practice” workflows, process improvements, policies and procedures.
Provide operational input into the development of new products and markets.
Utilize corporate and industry standard management tools and techniques to effectively oversee projects; collaborate with stakeholders to identify resources, resolve issues, and mitigate risks.
Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business unit objectives.
Provide functional and technical expertise across business units and technical areas.
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience:
Bachelor's Degree in Finance, Accounting or related field or equivalent work experience required. Master's Degree in a related field preferred.
6+ years experience in assigned products (Medicare or Duals) managed care operations with emphasis on optimizing operational effectiveness, government contracting and/or regulatory compliance required.
Experience with project management, administration or operations in the Healthcare industry preferred.
Pay Range: $134,600.00 - $249,000.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day.
You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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
Job Tags
Full time, Part time, Work experience placement, H1b, Work at office, Remote work, Work from home, Flexible hours