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Centene Corporation

Supervisor, Medicare Enrollment

Centene Corporation

. Monitor and oversee Medicare enrollment operations, regulatory audits, and related initiatives impacting membership for product lines and health plans .

Posted 11/3/2026full-timeRemote • United StatesJuniorMid-Level💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates expertise in Medicare enrollment operations, compliance risk identification, and audit preparation, while effectively managing staff performance and operational excellence programs. Strong analytical problem-solving skills and proficiency in Microsoft Excel enhance the ability to drive process improvements and meet regulatory standards.

Highest-signal resume keywords
Medicare Enrollment ExperienceAudit PreparationRoot Cause AnalysisMicrosoft Excel SkillsSupervisory Experience

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Medicare Enrollment TransactionsMember MaintenanceCancellationsDisenrollmentsReinstatementsCMS Processing RequirementsDocumentation ValidationFindings AnalysisProcess ImprovementBusiness Operations Experience
Soft Skills
Analytical Problem-SolvingStaff ManagementRelationship DevelopmentStakeholder CollaborationTraining Oversight
Industry Keywords
CMSRegulatory ComplianceManaged CareHealth PlansEnrollment and BillingContact Center OperationsClaims ManagementProvider Data Management

About the role

Key responsibilities & impact
  • Monitor and oversee Medicare enrollment operations, regulatory audits, and related initiatives impacting membership for product lines and health plans
  • Manage service levels and audit readiness
  • Identify compliance risks, root causes, service opportunities, and process improvements
  • Oversee implementation of quality and operations excellence programs
  • Monitor production status to ensure production and quality goals are met
  • Prioritize daily work volumes
  • Hire, train, and manage staff performance
  • Monitor service levels for compliance with state, federal, and company metrics and standards
  • Support special projects, process improvement evaluations, department business development, and ROI analysis
  • Partner with stakeholders on membership-related initiatives, including business needs, strategy recommendations, project outlines, deliverables, and ROI
  • Develop and maintain relationships with health plans, IT partners, and other business units
  • Oversee training and business processes
  • Perform other assigned duties and comply with 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
  • Strong Medicare enrollment experience highly preferred, including enrollment transactions, member maintenance, cancellations, disenrollments, reinstatements, and CMS processing requirements
  • Experience with CMS, state, corporate compliance, or other highly regulated operational audits highly preferred
  • Experience with audit preparation, documentation validation, findings, and root cause analysis highly preferred
  • Strong root cause analysis and analytical problem-solving skills highly preferred
  • Intermediate to advanced Microsoft Excel skills highly preferred, including formulas, pivot tables, graphs, and charts
  • Must be available Monday through Friday, 8:00 a.m. to 5:00 p.m. Eastern Time
  • Associate's degree in Business or related field or equivalent experience required
  • 2+ years supervisory/lead experience or management of large projects required
  • 2+ years business operations experience in enrollment and billing, contact center, claims, customer service, provider data management, or similar operations required
  • 2+ years experience in managed care and/or Medicare environment preferred
  • Up to 10% travel based on audit needs

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, subject to eligibility