Product Operations Specialist
Company: Sunshine State Health Plan
Location: Tallahassee
Posted on: October 30, 2024
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Job 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.
**Qualified applicants will reside in Jacksonville, Tallahassee or
Orlando Florida**Position Purpose: This position supports the
implementation and/or drives the ongoing operational maintenance of
assigned product(s) or service area(s) through communication and
solid relationship management with internal and external
stakeholders, identifying opportunities for integrated process
improvement, escalating issues as necessary, and supporting the
success of the product. Creates and maintains reporting tools to
effectively analyze and develop process improvement opportunities
that enhance the operational effectiveness of the product(s) or
service area(s).
Candidate Experience:Benefits, Product Management, Marketing and
Sales, Strategic Planning, and/or Project Management or Data
analysis and process improvement in the following areas: Benefits,
Healthcare or Regulatory/Government Affairs or
Vendor management or oversight; preferably with healthcare
vendors.
Required 2+ years of experience in customer service experience in a
healthcare contact center or customer service environment dealing
with claims, grievances pharmacy and appeals authorizations in one
or more of the following: Medicare, Medicaid, PDP, Exchange
etc.
Experience in health care or managed care environment
preferred.
Experience working the state reporting, regulatory/government
affairs.Pay Range: $54,000.00 - $97,100.00 per yearCentene 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.
Qualified applicants with arrest or conviction records will be
considered in accordance with the LA County Ordinance and the
California Fair Chance Act
Keywords: Sunshine State Health Plan, Tallahassee , Product Operations Specialist, Other , Tallahassee, Florida
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