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Director – Quality Medicare Strategy
Centene Corporation. Drive development of multi-year, market-specific Medicare Stars performance strategy .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare Advantage and Medicare Stars program strategies, with a strong financial and analytical background to drive market-specific performance and stakeholder engagement. Proven ability to develop and implement innovative business strategies while managing cross-functional teams and external partnerships.
Highest-signal resume keywords
Medicare Advantage ExperienceMedicare Stars ExpertiseBusiness Strategy DevelopmentFinancial AnalysisStakeholder Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Strategic PlanningMarket Expansion AnalysisData TranslationOperational ReportingSales Channel Development
Soft Skills
Cross-Functional CollaborationChange LeadershipProvider Engagement
Certifications & Qualifications
Bachelor's Degree
Industry Keywords
MedicareCMS RequirementsMarket-Specific StrategyInnovations in MedicareFinancial Reporting
About the role
Key responsibilities & impact- Drive development of multi-year, market-specific Medicare Stars performance strategy
- Plan and partner with stakeholders to understand geographic market expansion of the Medicare business
- Research and plan innovations for the Medicare Stars Program
- Direct the annual Medicare multi-year strategic planning process
- Develop recommendations for new state and county expansion markets
- Build cross-functional relationships to implement business strategies
- Oversee network and sales channel development for new state expansions
- Leverage Medicare product strategy to enhance go-to-market strategy across sales, marketing, and markets
- Work with product development to oversee implementation of new innovations
- Facilitate exploration of external partnerships to enhance Medicare strategic positioning
- Support financial, sales, and operational reporting and analysis
- Perform other duties as assigned
Requirements
What you’ll need- Bachelor's degree in a related field required, or equivalent work experience
- 5+ years of Medicare Advantage related experience
- 5+ years of experience developing and implementing new business strategies
- 3+ years of experience working in a Medicare Advantage environment
- Strong financial and analytical background
- Strong Medicare Advantage and Medicare Stars expertise
- Ability to translate complex data and evolving CMS requirements into actionable strategies
- Ability to align cross-functional teams and strengthen provider engagement
- Ability to lead change and execute business objectives through oversight and management of key stakeholders and owners
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- 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
- Equal opportunity and diversity commitment