Our Ability Jobs

Job Information

Centene Corporation Vendor Operations Oversight Specialist (Medicare) in Jefferson City, Missouri

You could be the one who changes everything for our 26 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.

Position Purpose: Develop and conduct effective vendor oversight programs, in collaboration with key stakeholders, to assure vendor performance consistently meets regulatory requirements and internal business objectives

This position is 100% remote within the United States. Up to 25% travel required.

• Monitor vendor performance, including subsidiaries and external vendors, to assure performance is consistent with regulatory and business requirements

• Assure vendors have an effective self-monitoring programs that identify potential and/or actual performance issues

• Develop standardized processes for tracking and documenting all vendor oversight activities and reporting to key stakeholders

• Assure vendors develop, implement and complete corrective action plans to resolve identified deficiencies in compliance with regulatory and business requirements

• Serve as a subject matter expert.on current CMS requirements for operational functions and vendor oversight

Education/Experience: Bachelor’s degree in Healthcare, Business Administration or related field. 2+ years of combined managed care operations, compliance, auditing, project management, or business analysis experience, preferably within the Medicare field. Previous experience coordinating cross functional teams on large scale projects. Ability to evaluate, understand, and communicate regulatory and business requirements. Demonstrated understanding of relationships and dependencies between functional areas.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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: Vendor Operations Oversight Specialist (Medicare)

LOCATION: Various, Missouri

REQNUMBER: 1353525