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: Plan, manage and coordinate the analysis and configuration of claims information systems to meet business needs with Optum.
- Lead a team responsible for claims pricing including vendor oversight and management, request and ticket management, building, monitoring and supporting health plans.
- Oversee the configuration changes and design within core claims payment system.
- Monitor production, backlog and accuracy of configuration.
- Develop configuration tools and methodologies to enhance production of change requests.
- Participate in planning, managing, analyzing, designing and implementing projects.
- Break down problems, determine cause and provide a high-level solution to direct reports.
- Evaluate programming techniques and training needs; select and implement training as needed.
Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 5+ years of related IT or systems/application configuration experience, including systems design, coding, and testing.
One or more of the following skills desired:
- Claims configuration
- Healthcare experience
- Relationship building
- Change Management
- Root Cause Analysis
Pay Range: $103,500.00 - $191,600.00 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. 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
What We Do
Centene provides healthcare solutions to individuals across the United States with more than 23 million members nationwide.
