Senior Vice President, Operations

Posted on Jan 17, 2019 by Centene Corporation

Not Specified, PR
Senior Appointments
Immediate Start
Annual Salary
Full-Time
Senior Vice President, Operations Columbus, Ohio Apply Now Job ID Category Health Insurance Operations Organization Buckeye Community Health Plan Schedule Full-time 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 Qualifications: Education/Experience: * Bachelor's degree in Business Administration, Finance, Accountancy or a related field. * 10+ years of operations, management, or administration in the Healthcare or Insurance industry. Ideally Claims, Call Center, PDM, and Credentialing. * Experience in business development and/or RFP experience. * Extensive knowledge of state legislative and regulatory processes. * Master's degree preferred. Highly Preferred skills: * Previous experience with large scale change management, process improvement, and/or transformation initiatives * Lean/Six Sigma * Metric Driven - Able to establish what metrics to use to run the business day to day 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. Apply Now Education/Experience: * Bachelor's degree in Business Administration, Finance, Accountancy or a related field. * 10+ years of operations, management, or administration in the Healthcare or Insurance industry. Ideally Claims, Call Center, PDM, and Credentialing. * Experience in business development and/or RFP experience. * Extensive knowledge of state legislative and regulatory processes. * Master's degree preferred. Highly Preferred skills: * Previous experience with large scale change management, process improvement, and/or transformation initiatives * Lean/Six Sigma * Metric Driven - Able to establish what metrics to use to run the business day to day

Reference: 614624466

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