All jobs

Senior Population Health Strategy Specialist

100% Remote Full-time Open now

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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Candidate must reside in Georgia or South Carolina. Position Purpose: Plans and designs the population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Monitors the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations. Develops and designs complex population health strategy initiatives, programs, and operational plans to improve care coordination, health and qualify outcomes Managers, identifies, and tracks clinical, quality, documentation and data submission projects to achieve strategic objectives Monitors and researches care management trends and analytics to support program initiatives and efficiencies and help identify high risk member populations Develops financial budgets and forecasts for strategic planning and initiatives Partners with senior leadership team strategic planning initiatives in accordance with federal and state regulations and company policy Partners across departments to identify areas for process improvements to manage costs and support initiatives to improve health and quality outcomes Tracks and monitors program participation and member outcomes to access the efficacy of programs and interventions and make recommendations for improvement Partners with senior leadership team to provide insights to improve coordination of care, member utilization, and improve overall health and quality outcomes Collaborates with ensuring clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements May work across multiple Line of Business and states to encompass program needs into population health strategies Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Pay Range: $75,300.00 - $135,400.00 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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 Apply To This Job

You might also like

Regional Strategic Account Manager

100% Remote Full-time

Medical Science Liaison - Bone Health - North Texas

100% Remote Full-time

Senior Salesforce Technical Lead

100% Remote Full-time

Behavior Health Case Manager

100% Remote Full-time

Associate Director, Regulatory Business Operations

100% Remote Full-time

Capital Sales Manager - Northern California

100% Remote Full-time

Manager of Volume and Revenue Analytics- Remote

100% Remote Full-time

Principal Software Engineer - Networking Architecture and SDN - TeraWave

100% Remote Full-time

Senior Manager, Beef Procurement - Remote

100% Remote Full-time

Technical Support Representative

100% Remote Full-time

Experienced Customer Service Representative – Part-Time Remote Opportunity at arenaflex

100% Remote Full-time

Part-Time Transaction Coordinator (Remote) | Kovacs Savage Team

100% Remote Full-time

Billing and Posting Clerks (Health Care and Social Assistance)

100% Remote Full-time

Senior Full-Stack Developer

100% Remote Full-time

Customer Success Manager

100% Remote Full-time

Mobile Notary Service | Nationwide / Independent Contractor

100% Remote Full-time

Virtual Teacher, CTE-Computer Science (MN, NJ)

100% Remote Full-time

Experienced Full Stack Customer Support Specialist – Social Media & Direct Channel Strategy

100% Remote Full-time

Experienced Part-Time Evening Remote Data Entry Specialist – Flexible Schedule and Career Growth Opportunities at arenaflex

100% Remote Full-time

Part-Time Data Entry Specialist – Flexible Opportunity for Freshers & College Students at arenaflex

100% Remote Full-time