Staff Vice President, Member Fulfillment & Claims Intake Operations

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.

**Position Purpose:**

Oversee operations, procurement opportunities, new product implementations and initiatives for assigned business unit or product line to meet strategic objectives.

Position exists to lead the ICS (Integrated Communications Services) department in the execution of Inbound & Outbound Communications management core processes and responsibilities, serving the enterprise as centralized support service team:

**Inbound Communications** : functional responsibilities include managing enterprise mail intake (first time claims, appeals/grievances, correspondences and returned mail), hard copy distribution; triage, scan & vertex into electronic workflow; copy centers; managing all associated support vendors. Multiple locations, internal staff and vended onsite.

**Outbound Communications** : functional responsibilities include Development (graphics / copy), Composition (data/file processing), Production (print/fulfillment) & Distribution (shipping). Multiple internal production centers (MDCs) and external vendors. Scope: Processing of all Member communications w/associated processes, controls, client interface, QA and incident management support functions.

**Responsibilities:**

+ Responsible for day to day operations of assigned business unit or product line ensuring product strategy developed and key priorities are implemented. Execute projects and activities to ensure health plans are meeting all product goals.

+ Provide day to day oversight of assigned business unit or product line.

+ Collaborate with multiple stakeholders and business unit leadership to establish strategic vision, operational objectives, and policies and procedures ensuring compliance with state and federal contracts, related laws, regulations and executive orders.

+ Perform duties as senior liaison between product line, other business units, corporate, and external stakeholders related to operational areas.

+ Ensure key operational needs of assigned business unit or product line are met Oversight of relevant corporate business units to ensure the development and implementation of operational work processes and systems within product lines to senior management.

+ Act as lead on new product implementations.

**Education/Experience:**

Bachelor's degree in Business Administration, Healthcare Administration, or related field. Masters degree preferred. 8+ years of operations, management, or administration experience in the Healthcare or Insurance industry. Experience with business development and knowledge of legislative and/or regulatory processes preferred.

**Other desired competencies:**

+ Supply chain / logistics management

+ Implementation experience

+ Document management

+ Marketing communications management

+ Project management

Pay Range: $178,500.00 - $338,800.00 per year

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.

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