Senior Manager, Claims

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.

Position Purpose: Directly and indirectly manages the activities of managers, supervisors and subordinate work group(s) for regional claim processing units. Oversees multiple states and lines of business, considers issues and impacts at a departmental level, and has ongoing collaboration with key business partners to identify and resolve process issues. Drives solutions, function in a leadership capacity in addressing issues, and focuses on departmental needs that go beyond those of their individual teams.

• Responsible for the performance management processes for direct reports including coaching, counseling, providing feedback, career planning, goal setting, and performance assessment.
• Recruits, selects, trains and retains highly qualified professionals.
• Mentors lower level management for succession planning.
• Investigates, recommends alternatives and provides guidance for claims-related process improvement initiatives, seeking root cause and developing appropriate corrective action with the objective of meeting production, timeliness and quality standards at a departmental level.
• Evaluates alternatives, resolves issues, proposes and implements solutions with minimal supervision.
• Plans, conducts and directs work on projects/programs necessitating the origination and application of new approaches.
• Makes recommendations for improvements to business processes and participates in discussions with senior management to plan and create business improvements at a departmental level. Developing appropriate corrective actions.
• Leads the implementation of programs and strategies and plays a major role in working with other business units to coordinate workflow and improve results.
• Develops collaborative relationships and addresses problems with sense of diplomacy in order to preserve them.
• Provides recommendations on matters of policy in areas of expertise.
• Presents issues and solutions, conferring with director as needed, and leads to resolution.
• Steps into role of director when director is absent and ensures that no disruption to day to day business and / or strategic activities occurs.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Bachelor's Degree in a related field or equivalent experience required. 5+ years experience in operations, claims or financial management preferably in a managed care setting. Required 3+ years in a supervisory capacity including hiring, training, assigning work and managing performance required.

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