Director, Operations (Risk Adjustment) (m/f)

Centene Corporation
Smyrna, DE
Mar 14, 2018
Mar 15, 2018
Executive, Director
Full Time
The company is a leading medical services provider.Oversee the development and implementation of action plans, across all departments and any vendor partners affectingA' assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reportsIdentify and partner with various departments to implement assigned products business requirementsDevelop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamicsEvaluate and manage the risk adjustment strategy across all functional areas that impact assigned productsIdentify and support company wide risk adjustment and quality initiatives related to assigned productsPrepare dashboards for senior management and identify improvement opportunitiesReview and ensure compliance with all federal and state regulations, guidance, and technical specifications Bachelor's degree in Management or Business or equivalent experience. 4+ years experience in management, business, or contracting. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Managed care, insurance, Medicare or Medicaid experience preferred. 7 + years Risk Adjustment, Project Management, operations and quality improvement experience strongly preferred.