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Centene

Runs government-backed health insurance plans

Vice President - Clinical Technology UM Portfolio Management

Product ManagementConfirmed live in the last 24 hours
Full-timeMissouri, USA$188.9k - $359.8k /yrRemote

About the Job

Requirements

  • A Bachelor's degree in a related field or equivalent experience is required.
  • At least 8 years of clinical technology experience is required.
  • A deep understanding of the member journey is required.
  • Product development experience is required.

Responsibilities

  • Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging, easy-to-use products across all business units.
  • Lead enterprise utilization management portfolio strategy and governance, partnering with clinical technology vendors and product development partners to align roadmap priorities, enforce service-level agreement accountability, and drive end-to-end delivery across prior authorization, concurrent review, and clinical correspondence workflows.
  • Drive deployment of artificial intelligence-enabled and other technology capabilities across the utilization management lifecycle, from intake through determination and correspondence, establishing operational effectiveness frameworks that measure productivity, accuracy, and throughput gains to enable scalable, compliant automation.
  • Own the enterprise return-on-investment and key performance indicator measurement framework for utilization management technology investments and strategic initiatives, delivering executive-ready reporting on financial performance, vendor outcomes, and artificial intelligence impact to inform senior leadership decision-making.
  • Develop and oversee the model for managing product development strategy.
  • Develop and oversee the product roadmap in alignment with company strategic goals, market trends, competitive landscape, and client and consumer needs.
  • Drive clinical, digital, and data/analytics product innovation, ensuring highly engaging products with high ease of use.
  • Partner with strategic business unit team leadership in Operations, Pharma Sales, Provider Sales, and Account Management, and with portfolio management, to plan and manage complex priorities and resources in response to dynamic business, client, and market needs.
  • Build an effective and efficient product organization, including product management, consumer engagement, strategic partnerships, and innovation.
  • Drive efficiency within the request for proposal and client implementation processes.
  • Review the market landscape, analyze usage of product offerings, and review business cases and key metrics to ensure return on investment.
  • Monitor and measure product competitiveness and support new business opportunities.
  • Manage, measure, and monitor strategic partners.
  • Perform other duties as assigned.
  • Comply with all policies and standards.

About the Company

Centene

Runs government-backed health insurance plans

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company size
10,001+
Company stage
IPO
Headquarters
Clayton, MO
Founded
1984

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