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Senior Manager, Business Systems Operations

Company: Centene Coproration
Location: Austin
Posted on: December 5, 2019

Job Description:

Description: Position Purpose: Identify, manage and oversee the system and business requirements for new and existing business and ensure performance meets all health plan, state, and provider contract requirements. Oversee the successful setup of system builds for new markets and products system, including configuration and testing Monitor and evaluate trends in system performance and identify new opportunities or improvements Oversee and ensure timeliness and accuracy of all reporting deliverables Establish and manage business specifications for authorization and claims/encounters system infrastructure in alignment with all relevant requirements to maintain system specifications Identify and implement process improvements for various functions, including new business implementations, claims, encounters performance and auto adjudication, extensive testing benefit specifications, and system integrity Establish and manage special projects to improve processes to increase efficiency, productivity, and accuracy across the organization Oversee the design and maintenance of all market provider contract rate exhibits and configuration and testing of negotiated contracts

Keywords: Centene Coproration, Austin , Senior Manager, Business Systems Operations, Executive , Austin, Texas

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