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.
This is a remote position, but location in Eastern or Central time zones is preferred.
Position Purpose:
The Senior Manager, Business Operations Oversight leads a team providing advanced first-line oversight of regulatory reporting, audits, and risk management activities. This role partners closely with leadership and business teams to assess regulatory impacts, monitor remediation efforts, and ensure sustainable, compliant operations. Provides strategic direction, oversight, and cross-functional guidance to ensure compliant, efficient, and scalable first-line oversight.
- Lead a team of Business Operations Oversight professionals providing advanced first-line oversight of regulatory reporting, audits, and regulatory changes.
- Manage oversight of regulatory reporting and responses to state and federal inquiries in partnership with business stakeholders.
- Analyze regulatory changes and advise senior leadership on impacts to business processes.
- Support identification, analysis, and remediation of Archer findings and similar risk issues.
- Monitor key risk and compliance metrics and provide oversight of remediation progress.
- Oversee the development and execution of policies, procedures, and processes aligned to federal and state regulations.
- Evaluate systemic issues and ensure sustainable remediation strategies are implemented.
- Support scalability and operational excellence through proactive oversight and continuous improvement.
- Direct operational compliance audits and oversee development and execution of corrective action plans.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
Bachelor's Degree in Business Administration, Healthcare Administration, or related field or equivalent experience required.
Master's Degree in Business Administration, Healthcare Administration, or related field or equivalent experience preferred.
6+ years of experience in healthcare operations, compliance, or regulatory oversight (Medicare/Medicaid/Marketplace preferred) required.
2+ years of leadership experience, including leading teams or influencing cross-functional stakeholders preferred.
Licenses/Certifications:
Certified Project Management Professional (PMP)-PMI preferred
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.
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.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
