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Director, Regulatory & Filing Operations

Company: Centene Commercial Solutions
Location: Casper
Posted on: July 5, 2024

Job Description:

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: Integral partner in strategy and decision making for the company's commercial products. Responsible for formulating strategy for implementation for the commercial product. Directs a management team which is responsible for end-to-end commercial product processes, related to creation of templates and filing submission/approval for various commercial product segments. Lead a motivated team of managers and their direct reports.

  • Develop and lead the department vision, including quarterly vital setting and multi-year roadmap, that support organizational goals, which incorporates continuous staffing assessments and refinement of roles and responsibilities. Serves as a leader, responsible for making decisions related to identifying and resolving complex technical and operational problems within the department and leads multiple managers or highly specialized subject matter experts to meet commercial product and regulatory business goals.
  • Support the team with development activities for filing documents and submissions; oversee management of regulatory filings and audit processes, including the review of commercial product-related materials.
  • Review, interpretation, and summarization of current and/or newly proposed and enacted regulatory updates with the development of comprehensive summaries, cross-functional risk assessment and subsequent communication to business leads and leadership for implementation readiness - related to filing documentation.
  • Leads management team with strategic mindset to maintain relationships with internal and external stakeholders, including government regulators.
  • Direct the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the business to scale efficiently and effectively.Education/Experience: Bachelor's degree, preferably in Business, Communications, Healthcare, Political Science, or related degree. +7 years of experience in commercial health insurance or highly regulated industry. In depth knowledge of health products, procedures, and state insurance regulations. Knowledge of SERFF and HIOS or prior experience with state filing documents in healthcare preferred. Experience providing product regulatory proposals and recommendations; ability to propose recommendations and make decisions related to process improvement initiatives. Pre-Law, Master's Degree or JD desirable. +3 years of supervisory/management experience.
    Travel: 20% within continental United StatesPay Range: $113,800.00 - $210,500.00 per yearCentene 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. Total compensation may also include additional forms of incentives.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.

Keywords: Centene Commercial Solutions, Casper , Director, Regulatory & Filing Operations, Executive , Casper, Wyoming

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