Centene is transforming the health of our communities one person at a time.  As an Executive on our team, you could be the one who changes everything for our 28 million members.
 

• Develop, socialize, and create buy-in for cross-product, cross-functional, and multi-lateral CNC Duals Integration strategy to include short and long-term strategic development.
• Finalize & implement integrated CNC Duals Operating Model across LOBs, shared services, and markets (to include clinical, member experience, technical, network access & quality, community-based coordination, and member acquisition models).
• Leverage local, enterprise, external/community, and combined resources and processes; identify & scale best practices from across enterprise.
• Develop differentiating financial, health outcome, disease-specific, and health equity-focused operating model solutions.
• Measure, report, and manage integrated CNC Duals Operating Model performance within market and LOB P&Ls (to include financial, clinical, health outcome, operational, network, and member experience performance).
• Drive annual CMS and routine State multi-lateral Duals product development and bid strategy input and leverage public policy expertise and interpretation to drive CNC strategic positioning.
• Ensure financial and member impact-focused benefit design optimization through coordination of Medicaid & Medicare coverage.
• Drive innovation and effectiveness in Duals product design.
• Chair/lead cross-product, functional, and multi-lateral MMP Conversion/DSNP RFP/SMAC Agreement processes (including partnership with Bus Dev & Markets).
• Define, assess, report on on-going CMS & State compliance and reporting readiness.
• Serve as internal & external executive leadership representative and advocate (serve on key Duals-related industry groups).
• Drive and report on on-going federal and state-level Duals policy strategies (define & help drive Duals Stars and Alignment policies).
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Bachelor's Degree business, healthcare administration or related field required. Master's Degree preferred. 10+ years of relevant experience in Managed Care supporting complex populations to include prior executive-level experience in Duals. Prior experience in Duals policy and engagement with CMS/State Regulator engagement required.

Pay range: $350,000 - $800,000

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act