Full-Time

Lead Population Health Strategy Specialist

Posted on 1/11/2025

Centene

Centene

10,001+ employees

Provides health insurance and services

Healthcare

Compensation Overview

$85.3k - $158.1kAnnually

Senior

Columbia, SC, USA

Must live within 2 hours of Columbia, SC.

Category
Project Management
Strategy Development
Business & Strategy
Required Skills
Data Analysis
Requirements
  • Requires a Bachelor's degree
  • 5 – 7 years of related experience
  • Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Responsibilities
  • Leads and oversees the design of highly complex population health strategy initiatives, programs, and operational plans to improve care coordination, health and quality outcomes of members based on population health principles
  • Identifies, manages, and tracks clinical, quality, documentation and data submission projects to achieve strategic objectives
  • Monitors care management trends and analytics to support program initiatives and efficiencies and help identify high risk member populations
  • Develops and reviews with senior leadership financial budgets and forecasts for strategic planning and initiatives
  • Coordinates with senior leadership strategic planning initiatives in accordance with federal and state regulations and company policy
  • Works cross functionally to identify areas for process improvements to manage costs and provide recommendations to improve health and quality outcomes
  • Tracks and monitors program participation and member outcomes to access the efficacy of programs and interventions and make recommendations for improvement
  • Collaborates with senior leadership team to provide insights to improve coordination of care, member utilization, and improve overall health and quality outcomes
  • May work across multiple Line of Business and states to encompass program needs into population health strategies
  • Works with senior leadership team to support clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements
  • May assist population health strategy senior leadership team with onboarding, hiring, and training care management team members
  • Performs other duties as assigned
  • Complies with all policies and standards

Centene Corporation operates in the healthcare industry, focusing on improving the health of individuals, especially those who are underinsured or uninsured. The company provides a variety of health insurance products and services, including medical, dental, vision, behavioral health, and pharmacy benefits. Centene's approach is localized, allowing it to tailor its services to meet the specific needs of different communities across the United States. This model helps the company serve a diverse clientele, with 27.5 million members and significant revenue from premium services. Unlike many competitors, Centene emphasizes cost-effective care while maintaining high quality, aiming to enhance health outcomes and manage expenses effectively. Additionally, the company is committed to corporate sustainability, addressing social health barriers, and supporting employee well-being through flexible work arrangements.

Company Stage

IPO

Total Funding

N/A

Headquarters

Saint-Louis, Senegal

Founded

1984

Simplify Jobs

Simplify's Take

What believers are saying

  • Expansion of telehealth services enhances access for underserved populations.
  • ICHRA introduction attracts customers seeking personalized, flexible insurance options.
  • Essential Plan expansion highlights growth potential in low-cost insurance markets.

What critics are saying

  • Increased competition in the Health Insurance Marketplace may impact Centene's market share.
  • Potential regulatory changes in Medicaid and Medicare could affect revenue streams.
  • Economic downturns may decrease premium collections, impacting financial performance.

What makes Centene unique

  • Centene's localized approach tailors healthcare services to specific community needs.
  • The company offers a wide range of health insurance products through local brands.
  • Centene focuses on cost-effective, high-quality care for underinsured and uninsured individuals.

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Benefits

Health Insurance

401(k) Retirement Plan

401(k) Company Match

Paid Vacation

Hybrid Work Options

Flexible Work Hours

INACTIVE