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VP, Dual Eligible Strategy & Growth

**Position Purpose:**

Oversee overall enterprise strategy for dually eligible individuals, including strategy development, innovation, business development, policy, industry thought leadership and overall helping the product lines drive growth of dual Centene (CNC) membership.

+ Develop, coordinate and communicate the enterprise duals strategy in partnership with the product organizations and markets that determine key priorities, policies and procedures for duals product lines and programs.

+ Drive innovation by developing new models, partnerships and other competitive differentiators that ensure company maintains leadership across the duals spectrum and maximizes the value for CNC.

+ Ensure the enterprises strategic objectives are maintained at the health plans; develop and implement metrics to assess results and performance

+ Conduct financial analysis and participate in cross-development matrix teams to analyze business opportunities and address critical issues (e.g. network growth, provider termination, etc.) Also participate in the development of cross-product financial plans, business plans and strategy to support administrative, financial, and marketing objectives.

+ Develop federal and state policy positions for the product lines in collaboration with key internal/external stakeholders.

+ Maintain relationships with CMS to ensure compliance with guidelines and requirements and evaluates conditions to identify and implement shifts in strategic direction as needed.

+ Facilitate and ensure regular, ongoing, and effective communications among shared service matrix partners, key contacts across the segment and enterprise as appropriate.

+ Represent the organization in relationships with key internal and external stakeholders related to dually eligible beneficiaries and integrated care; provide subject matter expertise.

+ Coordinate investment asks related to duals agendas on behalf of the product and market stakeholders

**Education/Experience:**

Bachelor’s degree in Business Administration, Healthcare Administration, or related field required. Master’s degree preferred. 10+ years of experience with complex populations including Medicare Dual Eligible Special Needs Plans (D-SNPs), Medicaid-Medicare Plans (MMP), and/or Medicaid Long-Term Services and Supports (LTSS).

_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._

**TITLE:** VP, Dual Eligible Strategy & Growth

**LOCATION:** Clayton, Missouri

**REQNUMBER:** 1221475

**COMPANY:** Administrative & Operations support

**POSITION TYPE:** Both

VP, Dual Eligible Strategy & Growth

Full time
Clayton, NC

Published on 04/11/2021

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