Director, Operations
Posted on: 17 Mar 2021
Charlotte, NC
Job Description
Position Purpose:
* Manage work flow of the department and maintain production and quality standards for the department.
* Ensure compliance with all related laws, regulations and executive orders.
* Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities.
* Establish the departments strategic vision, objectives, and attendant policies and procedures for the organization.
* Evaluate and implement improved procedures and practices for accomplishing the organization and departments objectives and to ensure compliance with all related laws, regulations and executive orders.
* Coordinate activities of assigned work function and/or department with related activities of other work functions and/or departments to ensure efficiency and proper prioritization.
* Analyze reports and records on departmental and organizational activities and disseminate relevant information to business unit leaders for effective decision making.
* For PA Health & Wellness - Oversees staff to provide for the timely and accurate processing of Claims, Encounter forms and other information necessary for meeting Agreement requirements and the efficient management of the CHC-MCO.Coordinate, negotiate and handle activities of the department and aid the chief administrative officer in formulating and administering organization policies and procedures.
Education/Experience:
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.
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.
Centene
St Louis, MO
Centene Corporation operates as a diversified and multi-national healthcare enterprise that provides programs and services to under-insured and uninsured individuals in the United States. The company’s Managed Care segment offers health plan coverage to individuals through government subsidized programs, including Medicaid, the State children’s health insurance program, long-term services and support, foster care, and medicare-medicaid plans, which covers dually eligible individuals, as well as aged, blind, or disabled programs. Its health plans include primary and specialty physician care, inpatient and outpatient hospital care, emergency and urgent care, prenatal care, laboratory and X-ray, home-based primary care, transportation assistance, vision care, dental care, telehealth, immunization, specialty pharmacy, therapy, social work, nurse advisory, and care coordination services, as well as prescriptions, limited over-the-counter drugs, medical equipment, and behavioral health and abuse services.
This segment also offers various individual, small group, and large group commercial healthcare products to employers and directly to members in the Managed Care segment.Its Specialty Services segment provides pharmacy benefits management services; health, triage, wellness, and disease management services; and vision and dental, and management services, as well as care management software that automate the clinical, administrative, and technical components of care management programs. This segment offers its services and products to state programs, correctional facilities, healthcare organizations, employer groups, and other commercial organizations. The company provides its services through primary and specialty care physicians, hospitals, and ancillary providers. Centene Corporation was founded in 1984 and is headquartered in St. Louis, Missouri.
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IndustryHealthcare
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No. of Employees47, 300
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Website
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Jobs Posted349
