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Director – Business Implementation

Director – Business Implementation

CompanyCentene
LocationNew Mexico, USA, Kansas, USA, Pennsylvania, USA, Iowa, USA, Texas, USA, Florida, USA, South Carolina, USA, Georgia, USA, Tennessee, USA, Minnesota, USA, Utah, USA, Kentucky, USA, Wisconsin, USA, North Carolina, USA, Oklahoma, USA, Missouri, USA, Ohio, USA, Michigan, USA, Illinois, USA, United States
Salary$145100 – $268800
TypeFull-Time
DegreesBachelor’s, Master’s
Experience LevelSenior, Expert or higher

Requirements

  • Bachelor’s degree in related field or equivalent experience
  • Master’s degree preferred
  • 7+ years of project management experience
  • 5+ years of Government Programs Managed Care experience in multiple areas of Operations (Claims, Provider/Mbr Services/Medical Management/ Network, etc)

Responsibilities

  • Direct the creation and maintenance of standard models for the health plan implementation approach
  • Responsible for all healthcare functions during implementation phase
  • Provide leadership and oversight of the health plan business implementation processes; managing company adherence to standard implementation processes
  • Direct the operating infrastructure to provide organization wide Project Management
  • Provide input into operating models; standard corporate functional and information system models, performance metrics, expected outcomes and plan impacts, as appropriate
  • Direct health plan business implementations to meet budget, timeline and scope requirements
  • Maintain standard health plan business implementation organizational structures, team structures, work breakdown structures, work planning, issue logs, decision logs, change control and executive reports
  • Provide input into the business planning process and develop timelines for New Health Plan Business Implementations

Preferred Qualifications

  • Master’s degree preferred