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Centene

Runs government-backed health insurance plans

Vice President - Operations

Business & StrategyConfirmed live in the last 24 hours
Full-timeLittle Rock, AR, USAIn-person

About the Job

Requirements

  • A bachelor's degree in Business Administration, Finance, Accountancy, or a related field is required, or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the position's level.
  • At least 9 years of experience in operations, management, or administration in the healthcare or insurance industry is required.

Responsibilities

  • Oversee business operations, procurement opportunities, new product implementations, and complex business-development initiatives using cross-functional business units and corporate teams to meet business-unit and corporate strategic objectives.
  • Partner with stakeholders and leadership to establish strategic visions, operational objectives, and policies and procedures that ensure compliance with state contracts, laws, regulations, and executive orders.
  • Monitor and report achievement of committed action plans to senior management.
  • Direct development and implementation of operational work processes and systems, with direct oversight for multiple departments within the business unit.
  • Be accountable for budget, revenue targets, and profit and loss.
  • Lead and oversee new-business implementation and procurement activities for all products and complex projects, including request for proposal responses.
  • Evaluate program opportunities and recommendations for effectiveness and return on investment.
  • Serve as senior liaison between the business unit, corporate teams, and external stakeholders.
  • Oversee preliminary discovery and due diligence for potential liabilities, internal control weaknesses, and financial integrity.
  • Be accountable for operational issues for all lines of business in the market: Ambetter, Medicare, Arkansas Total Care, and QualChoice.
  • Be accountable for regulatory operational responses to Arkansas Department of Human Services, Arkansas Department of Insurance, and legislative oversight panels and committees.
  • Comply with all policies and standards.
  • Perform other duties as assigned.

Desired Qualifications

  • A master's degree is preferred.
  • Experience in business development and/or request for proposal work is preferred.
  • Extensive knowledge of state legislative and regulatory processes is preferred.
  • Health plan operations experience is preferred.

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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