Head of Business Risk

Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans. Remote role with preference in AZ location with occasional travel Develop and implement action plans, across all departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reports Identify and partner with various departments to implement assigned products business requirements Develop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamics Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products Identify and support health plan initiatives related to assigned products Prepare dashboards for senior management and identify improvement opportunities Strong understanding of coding, RA programming Strong presenter with leadership and provider

network Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry. Previous managed care or Medicare experience preferred. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. 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.

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.