You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: The Business Process Consultant leads large scale, cross-functional initiatives and serves as an extension of the Director of Medicaid Enrollment, leading issue triage, trend identification, and global root cause analysis across Centene’s East Region Medicaid markets.
- Assists business case development for those proposed initiatives to which are assigned to ensure adequate assessment of opportunities, risks and return on investment.
- Facilitates the optimization of business unit performance by enhancing alignment of policy, process and technology and designing/implementing for future business needs as well.
- Leads large scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance.
- Conduct 834 enrollment reporting and data analysis, pulling from multiple platforms.
- Create and manage Jira tickets, track to resolution and escalate based on impact
- Provides policy guidance on assigned initiatives so that end-to-end processes are considered for maximizing effective implementation.
- Organizes work teams, drives consensus and ensures end-to-end policy/process integrity to accomplish project work including: identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.
- Performs detailed analysis of data, workflows, policies, procedures, organization of staff, skills and offer potential solutions in order to execute initiatives.
- Supports the project work by utilizing project management software such as, but not limited to, Excel, PowerPoint, Visio, and Microsoft Project.
- Leads all levels of staff who are responsible for initiatives included in the company’s operating plan in order to support their success, development and effective completion and communication of their initiatives.
- Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc.
- Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives.
- Possesses and utilizes knowledge and experience leveraging IT solutions.
- Provides other related support as needed to improve the performance of the business.
Education/Experience: Bachelor’s degree in related field or equivalent experience.
Master’s degree preferred. Five to seven years related experience; previous experience in health care and/or insurance highly desired. Demonstrated experience and skill in training, presenting and facilitating.
This position is 100% remote within the United States with preference of Central and East coast time zone residency.
Pay Range: $68,700.00 - $123,700.00 per yearCentene 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
