[Hiring] Manager, Operations, HEDIS Engine & Operational Technologies @Centene Corporation

Role Description

This role involves overseeing operations and business strategy utilizing cross-functional departments to meet strategic objectives. This Manager serves as the product owner for the HEDIS engine and operational technologies, overseeing hybrid project builds, measure catalog support, and day-to-day execution within related platforms.

• Develop and manage methodologies for tracking, identifying and problem-solving issues
• Interpret and present program results and insights
• Develop data-driven analysis approach for clients
• Perform data analysis from a variety of data sources to evolve metrics for measuring effectiveness and return on investment
• Collaborate with staff to identify internal and external customers and their expectations
• Initiate process changes to increase quality, decrease costs, and improve satisfaction
• Facilitate and support operations staff in planning, achievement, and tracking of key strategic initiatives
• Serve as an internal resource and advisor on improvement activities
• Explore new approaches to work processes using quality improvement techniques
• Able to travel up to 25%

Qualifications

• Bachelor’s degree in Business Administration, related field, or equivalent experience
• 4+ years experience in operational business processes or data analysis, preferably in the managed care or insurance industry
• Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable
• Experience working within a matrix environment preferred
• Strong HEDIS operations experience highly preferred

Requirements

• Ability to oversee operations and business strategy
• Experience in data analysis and problem-solving
• Strong collaboration skills with internal and external customers
• Ability to facilitate and support strategic initiatives
• Willingness to travel up to 25%

Benefits

• Competitive pay
• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules