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Prepare concise stories on cutting medical cost without harming access, explaining MLR swings, and partnering with ops in a government-program payer like Centene.
Best fit: leaders with managed-care medical economics depth and Medicaid market fluency at scale.
As Senior Director, Medical Economics at Centene, you would lead medical-cost and utilization analytics for Medicaid and other plan lines—turning claims and enrollment into MLR, pricing, and network decisions that finance and clinical leaders can act on.
Focus on medical economics, Medicaid cost drivers, advanced Excel/SQL modeling, and executive storytelling. No certification resources were supplied for this posting.
No—the listing flags remote as 0 for Pennsylvania.
It runs managed-care programs for government-sponsored and privately insured members (CNC).
No verified pay figures were in the source data.
Website: centene.com
Centene Corporation is an American for-profit healthcare company that serves as an intermediary for government-sponsored and privately insured healthcare programs. Based in Clayton, Missouri, Centene ranked No. 23 on the 2025 Fortune 500.
Public cache only — not an employee review.
Senior Director, Medical Economics at Centene Corporation in Pennsylvania, US About the Role The Senior Director, Medical Economics plays a pivotal role in shaping and executing strategic initiatives that drive value for our 28 million members. This part-time position requires a deep understanding of healthcare economics and policy to ensure optimal outcomes for both patients and providers. Day-to-Day Responsibilities Develop and implement medical economics strategies aligned with Centene's overall business objectives. Analyze market trends, financial data, and regulatory changes impacting our operations. Collaborate with cross-functional teams to identify cost-saving opportunities and enhance revenue generation. Provide strategic guidance on pricing, reimbursement, and payment models for healthcare services. Skills & Qualifications A minimum of 10 years of experience in medical economics or a related field. Proven track record in developing and executing successful business strategies. Strong analytical skills with the ability to interpret complex data sets. Excellent communication and leadership abilities, capable of influencing stakeholders at all levels. Why Join Centene Corporation At Centene, you'll have the opportunity to make a significant impact on the health of our communities. Our diverse and national organization offers competitive benefits, including flexible work arrangements that cater to your lifestyle needs. Join us in transforming healthcare for millions. Ready to Apply? To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. Ensure you meet all requirements and have a comprehensive understanding of the role before applying.
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