What are the responsibilities and job description for the Staff Vice President, Risk Adjustment position at Centene Management Company LLC?
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.
Position Purpose: Oversees execution and management of strategic initiatives supporting the Medicare line of business. Responsible for overseeing data driven analyses that support product development and financial forecasting.
- Serves as the subject matter expert to product team, health plans, encounter submissions teams, and actuarial teams communicating the impact of risk adjustment and the risk mix of Centene's membership
- Drives the financial goal setting process for risk adjustment scores and impact to Centene
- Supports compliance, RADV and other audit processes related to risk adjustment
- Develops annual operating plans and outlines goals, targets, and initiatives to support growth, quality, and affordability
- Partners with executive leadership to identify and monitor strategic priorities
- Supports corporate Quality Improvement plan and market Quality Improvement plan to achieve target HEDIS results
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience:
- Bachelor's Degree in Business Administration, Health Care Administration, Finance, or related field or equivalent experience required
- 8 years experience in strategy, financial operations, or consulting experience in the Healthcare, Insurance, or financial services industry required
- 1 years experience of direct people leadership including the management of other people leaders preferred
- 3 years experience of supervisory/management preferred
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
Salary : $182,100 - $345,600
