Director, Product Performance

Business Area: Administrative & Claims Operations

Job Type: Full time

Position Purpose: Responsible for driving the product performance function for assigned products, across multiple lines of business. Oversee the review of product performance, the analysis of performance of products, the coordination of product improvement initiatives, and the preparation of executive leadership for regular interactions with key regulators across the state.

Key Details : Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT

The ideal candidate will reside in North Carolina.

• Cross-product performance oversight (Medicaid & Medicare).

• Liaison with Medicare Corporate and health plan SMEs, tracks need areas and helps bring teams together to drive towards resolution.

• Responsible for the overall Medicaid RFP planning infrastructure at the health plan level.

• On the ground business development work/connection to government affairs.

• Influence and collaborate with cross-functional leadership team to define and execute strategic priorities to ensure success of product

• Develop and monitor key business metrics dashboard; identify and lead efforts to resolve negative trends.

• Determine, develop and continually improves strategies, objectives and policies for the long term portfolio and identifies and resolves any issues that may hinder program success.

• Evaluate enhancements to products to assess how they support strategic plan, membership enrollment and retention targets.

• Define and execute strategies to manage cost structure and deliver competitively priced products to improve profit and loss statement performance, including tracking programs to manage medical costs, unit costs, and selling costs.

• Oversee the implementation of various work group deliverables to ensure support of business objectives and meet compliance requirements.

• Develops and maintains collaborative relationships with distribution channel leaders and third party partners.

• Performs other duties as assigned.

• Complies with all policies and standards.

Education/Experience: Bachelor’s degree in Marketing and Sales, Business Administration or related field, or equivalent experience. 7+ years of product development/management, consulting, analysis, or project management experience in a PPO, HMO or other managed care organization. Management experience required.

Pay Range: $134,600.00 - $249,000.00 per year

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. 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. 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