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.

Position Purpose: Represents the highest level of technical expertise in the area of Provider Configuration, Provider, and Network Maintenance while providing leadership and partnering with Fidelis Care New York’s Senior and Executive Management.

***This role is primarily remote. Candidates must reside in New York in order to be considered for the position.***

Responsibilities:

Supports initiatives and business as usual tasks required for Compliance and Provider maintenance, new lines of business development, and innovation projects, Contract Configuration, and Claims Mass Adjustments.
Collaborates with resources across the organization to define, prioritize, staff, and implement business initiatives requiring resources and expertise.
Provides recommendations to the Director, Provider Configuration Services on critical topics concerning resources, technology, and project lifecycle.
Lead and develop a team of cross-trained business analysts and coordinators who support organizational initiatives and business as usual business application maintenance tasks.
Provide updates on staffing, technology, and opportunities in an informative and timely fashion.
Collaborate across the organization to support large and small initiatives while also providing high quality customer service.
Ability to work well as a member of a team or independently

Business Analysis Knowledge: Skilled to work in a fast paced environment. Must have strong analytical and problem solving skills.
Customer Service: Skilled to communicate with all levels of Management, internal and external customers. A
Effective Business Communication: Skilled in communicating with technical and business constituencies in writing effective business specifications and requirements.

Education/Experience: BA/BS-Bachelors Degree or equivalent in related field required. Three to five years Management experience preferred. Eight or more years experience in Claims Configuration and Provider Network. Five or more years working in TriZetto Facets. Four to six years related experience required. Proficiency in Microsoft Office; Lotus Notes; TriZetto Facets. Provider Network and Claims Configuration working knowledge and experience.Pay Range: $84,300.00 - $151,700.00 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. 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.

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Manager, Provider Configuration Services