Centene Corporation Regional Vice President; Operations Integration in St. Louis, Missouri

ProfessionalPosition Purpose: Set the integration and implementation strategy for business operations including M&A in collaboration with business leaders and IT.

Continually define and develop operations best practices for operations integration and implementation for all market and product lines and large scale mergers and acquisitions

Oversee the full end-to-end integration within functional and systems area to ensure post-merger operational excellence and deliver on the desired member and provider experience

Direct the development, maintenance and use of standard integration and implementation processes, methodology, and templates. Ensure alignment with company policies, procedures, and guidelines as well as state and federal regulatory requirements

Ensure smooth and seamless transition post-integration and implementation of all Operations and Systems functions, driving organizational growth, success, and continuous improvement

Coordinate all business support cross-functionally, including liaison with IT, business areas, contracting, and profit & loss centers

Measure and monitor work ensuring that all required internal, external and/or regulatory metrics (including SLAs) are met

Report strategic performance initiatives and integration/implementation progress and results to all stakeholders

Serve as key Integration and Implementation Management Office Leader for back office functions including PDM, Claims, Call Centers, Configuration, Membership and Billing

Education/Experience: Bachelor’s degree in Business Administration (Management or Finance) or Health Care Management required. Master’s degree preferred. 10+ years of large scale operations leadership experience within enrollment, billing, claims, call centers, provider data set-up and reimbursement, medical management and/or systems performance functions. Experience in a Managed Care and/or Medicaid setting back office operations and IT functions preferred. Experience in leading large-scale Program Management initiatives for integration and implementation in large corporations

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.

TITLE: Regional Vice President; Operations Integration

LOCATION: St. Louis, Missouri

REQNUMBER: 1089513

COMPANY: Claims Operations

POSITION TYPE: Professional