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Head of Provider Operations

May 29, 2026

Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose:The Executive will be accountable for the strategic leadership and oversight of all provider network operations, including provider data management, credentialing, and market service excellence. This position is critical to driving operational efficiency, regulatory compliance, and provider engagement across Centene's Enterprise Business Operations Services (EBOS).<ul><li>Direct the accurate, timely, and compliant management of provider data, maintaining data integrity and ensuring alignment with Centene EBOS and regulatory standards.</li><li>Oversee and optimize the provider credentialing process, guaranteeing that all provider credentials are current and adhere to internal policies and all applicable regulatory requirements.</li><li>Champion initiatives to advance market service excellence by implementing process improvements and fostering a culture of continuous improvement, with a focus on both provider and member satisfaction.</li><li>Lead and coordinate across the enterprise, facilitating cross-functional collaboration and clear communication to support organizational objectives and drive performance outcomes.</li><li>Ensure unwavering compliance with all healthcare regulations, Centene policies, and standard operating procedures (SOPs), proactively identifying and mitigating potential risks.</li><li>Promote and drive the adoption of industry best practices, leveraging data and analytics to identify opportunities for standardization and operational excellence.</li><li>Establish, monitor, and report on key performance indicators (KPIs), using data-driven insights to lead performance improvement initiatives and ensure achievement of EBOS goals.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul>Education/Experience:<ul><li>Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required.</li><li>Master's Degree in a related field preferred.</li><li>Minimum of 15 years’ experience in healthcare operations, with at least 5 years in a leadership capacity overseeing provider network functions.</li><li>Demonstrated expertise in provider data management, credentialing processes, and regulatory compliance within a large healthcare organization.</li><li>Exceptional leadership, communication, and organizational skills, with a proven ability to drive cross-functional collaboration and performance outcomes.</li><li>Proven ability to drive transformation at scale.</li><li>Strategic thinking and advanced problem-solving capabilities.</li><li>Strong analytical skills and meticulous attention to detail.</li><li>Proficiency in provider data operations functions (i.e. credentialling, roster management, issue intake and resolution, etc.).</li><li>Excellent interpersonal, negotiation, and stakeholder engagement skills.</li><li>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</li></ul>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

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...