Director, Claims Workforce Management - Oklahoma Complete Health : Job Details

Director, Claims Workforce Management page is loadedDirector, Claims Workforce ManagementApply locations Remote-MO Remote-PA Remote-FL Remote-NY Remote-NC time type Full time posted on Posted Yesterday job requisition id 1583587

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:The Director, Workforce Management serves as a business leader who will be responsible for building, managing, and owning workforce management strategy, process, and execution for claims. Will focus on tactical and strategic plans, capacity planning, quality, efficiency standards, and tool development to meet short-term and long-term business objectives.

• Drives accountability for the workforce management function and supports the development of long-term growth plans.
• Ensures business operations provides high levels of service by leading the short- and long-term staffing models and monitoring daily activities.
• Develops staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for business operations.
• Influences adherence to established policies and procedures within workforce management.
• Adheres to department budget and allocates resources according to project(s) and schedule; reviews actual and budgeted comparisons and ensures expenses reflect effective and efficient utilization of company resources.
• Ensures strong partnerships between workforce management, training and other lines of business.
• Act as a key driver for change to support growth initiatives and continued business improvement and transformation.
• Use data, technology and innovation to drive continuous improvement to identify, assess and resolve issues across business operations.
• Supports daily inventory management and SLA performance of the organization.
• Drives cross functional improvements in processing times and prevention of aging work.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience:A Bachelor's Degree in a related field or equivalent experience required. A Master's Degree in business administration or analytical field preferred. 7+ years of professional level experience. Experience to include strategy development, identifying and implementing process improvements, presenting to senior management, and analytical background. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Claims capacity planning experience highly 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