Centene Corporation Manager, Medical Management Operations in Little Rock, Arkansas
Evaluate existing medical management practices for assigned business unit
Evaluate and resolve inefficiencies; identify and drive process improvement opportunities
Utilize continuous process improvement techniques to explore approaches to work processes to eliminate waste and ensure resources are allocated to high value activity
Adopt and modify state specific requirements to ensure compliance with state contractual requirements
Develop effective and innovative medical management programs, processes, and models keeping abreast of medical trends, industry changes, and state requirements
Assist with initiatives to bring greater effectiveness and efficiency
May travel 25-40% of the timeProvide support to Medical Management to determine root causes of operational process inefficiencies, process improvement opportunities, and facilitate the creation of action plans for resolution.
Bachelor’s degree in Healthcare Administration, Nursing, Public Health, or related field or equivalent experience. 4+ years of managed care experience. Knowledge of Medicaid, Marketplace, or Medicare related programs preferred.
RN license 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.
TITLE: Manager, Medical Management Operations
LOCATION: Little Rock, Arkansas
COMPANY: Clinical & Nursing
POSITION TYPE: Professional