Director, Service Solutions - Contact Center Process Design
Centene Corporation Clayton, Missouri
As part of the Customer Service department, you’ll use your knowledge of Centene’s insurance products and service to help our members understand their benefits, details and policy procedures. With your skills, you can help transform the health of every community, one person at a time.
What does it take?
What are the qualities that will help you achieve success in this role at Centene?
Our Customer Service Roles
Customer Care Opportunities at Centene
Our Customer Service teams work to ensure high levels of service and customer satisfaction. Learn more about this vital group at Centene
As part of a tight-knit team and working as a partner to each provider, you’ll evaluate the needs of your health plan and process all claims in accordance with guidelines.
While ensuring that provider and member requests are taken care of, you’ll review requests from providers and work with state health plans to ensure the accuracy and quality of claims.
Customer Service Representative
You’ll use your healthcare knowledge, analytical skills and our information resources to quickly and correctly answer questions from members and providers.
You’ll process incoming membership files and focus on maintaining the enrollment integrity of our individual health plan systems.
Systems Solutions Manager
While leading a team of business analysts, you’ll work with the IT department to drive end-to-end solutions for core applications supporting Centene’s operations. Claims Analyst.
Category Customer Service
Position Purpose: Responsible for the development, implementation and management of initiatives to support health plan Member and Provider services and operations. Provide strategic direction to drive consistency and collaboration across the health plan call centers and other customer service channels. Lead the enterprise teams to drive process development and continuous improvement, as well as to steward the ongoing development of operational and self-service solutions.
Education/Experience: Bachelor’s degree in business, information systems, operations or related field or equivalent experience. 8+ years of customer service and operational management experience. Experience in business requirement definition, training, project management, and system/process implementation. Management consulting and health plan operations experience preferred Experience with CRM applications, work force management solutions, and web, chat, and mobile engagement channels preferred.
Licenses/Certifications: Current state driver’s license.
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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“Centene has been instrumental in my professional development. I’m pushed in a way that challenges my fears, improve my skills, and enhance my knowledge on healthcare.”- Meaghan Hooks, Business Analyst II
“My job has a direct impact on our providers and members. With every claim paid out the door we are directly helping to save someone’s life!”- Jonelle Levy, Business Analyst II
Centene is consistently recognized for how well we treat our members, our people, and the communities we serve.Honored to be Honored
Our Hiring Process
Learn more about our hiring process and discover other helpful information for applicants.Learn More
“Centene is an exciting company to work for.”
Started as a Case Manager, now a Senior Vice President of OperationSee Esmeralda's career path
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