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Centene
Centene

Leading company in the healthcare industry

Vice President, Claims Configuration Operations (Health Plan)

직무오퍼레이션
경력임원급
위치Remote-NJ
근무원격
고용정규직
게시3주 전
지원하기

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.

Position Purpose:

Oversee business 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 leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders.
  • Monitor and report achievement of committed action plans to senior management.
  • Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit.
  • Accountable for budget, revenue targets, and Profit & Loss.
  • Lead and oversee new business implementation and procurement 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.

Education/Experience:

  • Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required.
  • Master's Degree preferred.
  • 9+ years of operations, management, or administration in the Healthcare or Insurance industry experience required.
  • Experience in business development and/or Request for Proposal (RFP) preferred.
  • Extensive knowledge of state legislative and regulatory processes preferred.
  • For Acaria Health Specialty Pharmacy, substitution of a PharmD coupled with 9+ years of experience is acceptable.
  • Role will oversee pharmacy fulfillment operations and case management.
  • Establish and maintain operational strategic vision for our specialty operations.

Pay Range: $171,900.00 - $326,900.00 per year

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

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Centene 소개

Centene

Centene

Public

Centene Corporation is an American for-profit healthcare company that serves as an intermediary for government-sponsored and privately insured healthcare programs. Based in Clayton, Missouri, Centene ranked No. 23 on the 2025 Fortune 500.

10,001+

직원 수

the Greater St

본사 위치

$17B

기업 가치

리뷰

10개 리뷰

3.3

10개 리뷰

워라밸

3.8

보상

2.8

문화

3.7

커리어

2.5

경영진

2.8

62%

지인 추천률

장점

Flexible hours and schedule

Good benefits and health benefits

Strong team culture and collaboration

단점

Limited career advancement and upward mobility

Poor management and lack of direction

Overwhelming workload and stress

연봉 정보

20개 데이터

L2

L6

Director

L3

L4

L5

L2 · Administrative Assistant L2

0개 리포트

$27,810

총 연봉

기본급

$11,124

주식

$13,905

보너스

$2,781

$19,467

$36,153

면접 후기

후기 3개

난이도

2.7

/ 5

소요 기간

14-28주

합격률

33%

경험

긍정 33%

보통 0%

부정 67%

면접 과정

1

Application Review

2

Recruiter Screen

3

Technical Phone Screen

4

Behavioral Interview

5

Hiring Manager Interview

6

Offer

자주 나오는 질문

Technical Knowledge

Behavioral/STAR

Past Experience

Culture Fit