• Centene Corporation
  • $90,860.00 -66,130.00/year*
  • Belton , MO
  • Executive Management
  • Full-Time
  • 18607 S Cleveland Ave


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Vice President, Case Management (Long Term Care)
Sunrise, Florida Apply Now Job ID 1133141 Additional Locations US,Florida;Florida,US,Florida;Florida,US,Florida;Florida Category Health Insurance Operations Organization Sunshine State Health Plan Schedule Full-time
Description:
Position Purpose: Provide strategic leadership and comprehensive product performance management of Long Term Care. The position will be accountable for strategic planning, local market guidance and support for health plan membership management, operations, financial management, product development and the overall success of the Long Term Care Support and Services products and membership.
* Track utilization trends and implement case management interventions to deliver high quality outcomes, operational compliance and financial performance.
* Lead root cause resolution of challenges across departments.
* Research changes and updates to government regulations and health plan guidelines.
* Direct the development and implementation of work processes and operational systems for Long Term Care.
* Lead innovation and communication within the health plan and in partnership with vendors and community organizations.
* Build internal and external network of relationships to ensure implementation of Long Term Care best practices.
Qualifications:
Education/Experience: Bachelor's degree in business administration, health care administration, nursing, social work or related field. Master's degree preferred. 8+ years of managed healthcare operations, administration and management experience. Knowledge of clinical and non-clinical case management practices, managed care and Medicaid programs. 3+ years of supervisory or management experience.
License/Certification: Case management license/certification 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.
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Education/Experience: Bachelor's degree in business administration, health care administration, nursing, social work or related field. Master's degree preferred. 8+ years of managed healthcare operations, administration and management experience. Knowledge of clinical and non-clinical case management practices, managed care and Medicaid programs. 3+ years of supervisory or management experience. License/Certification: Case management license/certification preferred.


Associated topics: business development, case manager, case management, plan, project, program development, program management, project development, project management, resource development

* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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