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Head of Member Enrollment & Billing - Job Opportunity at Centene

Missouri, US
Full-time
Executive
Posted: April 24, 2025
Hybrid
USD 231,900 - 440,500 per year

Benefits

Competitive 401(k) with matching and stock purchase plans for long-term wealth building
Comprehensive health insurance package reflecting healthcare industry focus
Flexible PTO policy with additional paid holidays supporting work-life balance
Progressive remote/hybrid work arrangements demonstrating modern workplace approach
Career development through tuition reimbursement program

Key Responsibilities

Lead strategic transformation of enrollment and billing operations across multiple regions with P&L responsibility
Drive regulatory compliance and risk management for complex healthcare operations
Architect and implement operational excellence frameworks affecting 28 million members
Direct revenue cycle management and financial performance optimization
Build and mentor high-performing teams across multiple operational units
Spearhead process innovation and digital transformation initiatives
Manage strategic stakeholder relationships and customer experience programs

Requirements

Education

Bachelor's Degree in business administration, healthcare management, or related field required; Master's Degree preferred

Experience

10+ years of healthcare operations experience required

Required Skills

Healthcare operations management Revenue cycle management Regulatory compliance Staff management and development Strategic planning Process improvement Financial analysis Healthcare billing systems
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Sauge AI Market Intelligence

Industry Trends

Healthcare payer organizations are increasingly focusing on digital transformation and automation of enrollment and billing processes to improve efficiency and member experience. Regulatory complexity in healthcare continues to drive demand for experienced operations leaders who can navigate compliance while driving innovation. The intersection of healthcare and technology is creating new opportunities for process optimization and data-driven decision making in enrollment and billing operations.

Salary Evaluation

The offered salary range of $231,900 - $440,500 aligns with executive compensation for large healthcare organizations, reflecting the role's scope and complexity. The wide range suggests room for negotiation based on experience and proven track record.

Role Significance

Likely leading a large, multi-functional team of 50-100+ staff across enrollment, billing, and support functions, with multiple layers of management.
Executive leadership position with significant influence on organizational strategy and member experience. Direct impact on revenue cycle and operational efficiency for a major healthcare payer.

Key Projects

Enterprise-wide billing system modernization initiatives Regulatory compliance program implementations Digital transformation of member enrollment processes Revenue cycle optimization programs Cross-regional operational standardization efforts

Success Factors

Deep understanding of healthcare regulatory environment and ability to navigate complex compliance requirements Strong leadership skills with proven ability to drive change across large organizations Strategic thinking combined with operational excellence focus Technology acumen and digital transformation experience

Market Demand

High demand position due to healthcare industry expansion and increasing complexity of operations. The role combines traditional healthcare operations with modern digital transformation needs, making qualified candidates particularly valuable.

Important Skills

Critical Skills

Healthcare regulations and compliance expertise: Essential for navigating complex regulatory landscape Strategic operations management: Core to driving efficiency and growth Financial acumen: Critical for managing revenue cycle and budgets Leadership and change management: Vital for organizational transformation

Beneficial Skills

Healthcare technology systems knowledge Project management expertise Data analytics capabilities Public health understanding

Unique Aspects

Opportunity to impact healthcare delivery for vulnerable populations
Combination of strategic leadership and operational management in a regulated environment
Scale of operations affecting millions of members

Career Growth

Typical tenure in role is 3-5 years before advancement to enterprise-wide executive positions

Potential Next Roles

Chief Operating Officer Chief Revenue Officer Regional President Head of Health Plan Operations

Company Overview

Centene

Centene is a major player in the managed healthcare sector, serving over 28 million members through government-sponsored healthcare programs.

Fortune 500 company with significant market presence in Medicaid, Medicare, and Health Insurance Marketplace segments.
Strong national footprint with significant operations across multiple states
Professional corporate environment with emphasis on compliance, operational excellence, and member-focused innovation
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