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Centene CorporationPosted 10/21/2026full-timeRemote • Missouri • United StatesLead💰 $134,600 - $249,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in operational strategy development, process improvement, and compliance within managed care operations, particularly in Medicare or Duals. Proven ability to translate strategic objectives into actionable plans while optimizing performance through effective KPI management.
Highest-signal resume keywords
Operational Strategy DevelopmentManaged Care OperationsKPI ManagementProject ManagementRegulatory Compliance
About the role
Key responsibilities & impact- Lead the development, coordination, and execution of operational strategies and process improvements across shared services
- Translate strategy into operating plans and facilitate cross-functional alignment
- Drive delivery of new operating models, processes, and capabilities for compliant, accurate, and scalable product operations
- Manage day-to-day issues and serve as a subject matter expert for the Duals Integration Office
- Interface with Enterprise Business Operation Services
- Serve as a primary operational liaison between product leadership, shared services, and corporate partners
- Define operational strategies, annual objectives, KPIs, and standardized operating procedures
- Support enterprise due diligence, integration planning, and operational readiness for product expansions
- Monitor operational performance and identify gaps, risks, and optimization opportunities
- Evaluate performance using KPIs and maintain cost-effective programs
- Identify operational efficiencies and develop best-practice workflows, process improvements, policies, and procedures
- Provide operational input into new product and market development
- Oversee projects using corporate and industry-standard management tools and techniques
- Collaborate with stakeholders to identify resources, resolve issues, and mitigate risks
- Coordinate cross-functional meetings
- Provide functional and technical expertise across business units and technical areas
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
- Bachelor's Degree in Finance, Accounting or related field or equivalent work experience required
- 6+ years experience in assigned products (Medicare or Duals) managed care operations with emphasis on optimizing operational effectiveness, government contracting and/or regulatory compliance required
- Experience in operational areas such as Claims, Configuration, Enrollment is highly preferred
- Experience with project management, administration or operations in the Healthcare industry preferred
- Master's Degree in a related field preferred
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K plan
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
- Additional forms of incentives may be included in total compensation
- Diversity-focused equal opportunity employer
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Process ImprovementOperational EfficiencyClaims ManagementEnrollment ManagementConfiguration ManagementData AnalysisWorkflow DevelopmentCost ManagementPerformance EvaluationIntegration Planning
Soft Skills
Cross-Functional CollaborationStakeholder EngagementProblem SolvingCommunicationLeadership
Tools & Technologies
Management ToolsProject Management SoftwareData Analysis ToolsHealthcare Compliance Systems
Industry Keywords
Healthcare IndustryGovernment ContractingRegulatory ComplianceMedicareDuals Integration