Senior Population Health Strategy Specialist at Centene

**Who this is for** This role is for a strategic, analytical professional looking to design and manage complex initiatives that improve health outcomes and oper

Work type: remote

Location: Remote-KY | Remote-OH

Salary: $75,300 – $135,400/yr

Type: Full-time

Summary

**Who this is for** This role is for a strategic, analytical professional looking to design and manage complex initiatives that improve health outcomes and operational efficiency for specific member populations. **Key highlights** You will work closely with senior leadership to monitor care management trends, manage project budgets, and ensure that population health programs align with state, federal, and NCQA standards. **You might be a good fit if you...** - Have 4-6 years of experience in healthcare strategy or program management. - Are located in Ohio or Kentucky. - Can translate clinical and non-clinical data into effective, scalable program designs. - Are skilled at cross-departmental collaboration and managing large-scale quality improvement projects.

Job Description

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

Candidates must reside in Ohio or Kentucky.

Position Purpose: Plans and designs the population health strategy initiatives and programs to improve care coordination and health outcomes including developing efficiencies in programs (clinical and non-clinical). Monitors the effectiveness of care and identifying areas for process improvement to manage costs and to comply with federal and state regulations.

• Develops and designs complex population health strategy initiatives, programs, and operational plans to improve care coordination, health and qualify outcomes


• Managers, identifies, and tracks clinical, quality, documentation and data submission projects to achieve strategic objectives


• Monitors and researches care management trends and analytics to support program initiatives and efficiencies and help identify high risk member populations


• Develops financial budgets and forecasts for strategic planning and initiatives


• Partners with senior leadership team strategic planning initiatives in accordance with federal and state regulations and company policy


• Partners across departments to identify areas for process improvements to manage costs and support initiatives to improve health and quality outcomes


• Tracks and monitors program participation and member outcomes to access the efficacy of programs and interventions and make recommendations for improvement


• Partners with senior leadership team to provide insights to improve coordination of care, member utilization, and improve overall health and quality outcomes


• Collaborates with ensuring clinical initiatives and/or programs are in accordance with National Committee for Quality Assurance (NCQA) guidelines, state mandates, and/or government contract requirements


• May work across multiple Line of Business and states to encompass program needs into population health strategies


• Performs other duties as assigned


• Complies with all policies and standards

Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Pay Range: $75,300.00 - $135,400.00 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, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

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