Job Details
Location:
Lenexa, Johnson County, Kansas, USA
Posted:
Nov 08, 2019
Job Description
Position Purpose: Oversee all health plan operations, procurement opportunities, new product implementations and complex initiatives for business development utilizing cross-functional business units and corporate teams to meet business unit and corporate strategic objectives
Partner with multiple stakeholders and business unit leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders
Develop, execute, and communicate to all stakeholders annual plans for membership growth initiatives
Develop and implement key metrics and performance standards across the organization to review past, current and future performance of business unit
Monitor and report on achievement of committed action plans to senior management
Direct the development and implementation of operational work processes and systems with oversight for multiple departments within the business unit, including call center operational services
Oversee operational budget, revenue targets and profit and loss
Lead and oversee new business implementation and reprocurement activities for all products and complex projects, including RFP responses
Evaluate program opportunities and recommendations for effectiveness and ROI
Perform duties as senior liaison between the business unit, corporate and external stakeholders
Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses and financial integrity
About Centene
Centene is a multi-line health care enterprise offering Medicaid managed care and specialty services.
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