Centene Management Company LLC is looking for a Senior Manager, Call Center Business & Systems Operations to lead a team providing project and system support to the member and provider services call center. You will be responsible for identifying, managing, and overseeing system and business requirements to ensure performance meets health plan, state, and provider contract obligations.

What You'll Do

Oversee the successful setup of system builds for new markets and products, including configuration and testing.
Monitor and evaluate trends in system performance and identify new opportunities or improvements.
Oversee and ensure timeliness and accuracy of all reporting deliverables.
Establish and manage business specifications for authorization and claims/encounters system infrastructure in alignment with all relevant requirements.
Identify and implement process improvements for various functions, including new business implementations, claims, encounters performance, auto adjudication, extensive testing benefit specifications, and system integrity.
Establish and manage special projects to improve processes to increase efficiency, productivity, and accuracy across the organization.
Oversee the design and maintenance of all market provider contract rate exhibits and the configuration and testing of negotiated contracts.

What We're Looking For

Bachelor’s degree in a related field or equivalent experience.
6+ years of experience in health care operations, system administration, product/program management, or claims administration.
Experience with Medicaid and Medicare coding, benefit design, and various reimbursement strategies/methodologies.
Previous management experience, including responsibilities for hiring, training, assigning work, and managing performance of staff.

Nice to Have

Master’s degree.
Strong background in people leadership, call center operations, and call center tools.
Contracting and provider data management experience.

Team & Environment

You will lead a team providing project and system support to the member and provider services call center.

Benefits & Compensation

Compensation: $105,600.00 - $195,400.00 per year.
Health insurance.
401K and stock purchase plans.
Tuition reimbursement.
Paid time off plus holidays.
Flexible approach to work with remote, hybrid, field or office work schedules.

Work Mode

This position follows a hybrid work model.

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.