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ADAPTED_NOW

Lead

Position Purpose: Plan, develop, and drive execution of medical management and quality improvement programs, processes, and initiatives to ensure improved quality outcomes, achievement of health benefit ratio targets, and reduction in administrative costs. Expert understanding of Managed Care practices including utilization management, care management, clinical information systems, with strong financial acumen and focus, preferably in the governmental setting.

KBSkills

ACTIVE

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: Plan, develop, and drive execution of medical management and quality improvement programs, processes, and initiatives to ensure improved quality outcomes, achievement of health benefit ratio targets, and reduction in administrative costs. Drive adoption of best practices and standardization, while developing customized approaches for unique markets and product lines. Oversee corporate accreditation, quality improvement, medical management operations and new business development and implementation. <ul><li>Define medical management and quality improvement strategic and operating plans, balancing standardization with market or product specific solutions</li><li>Collaborate to evaluate medical trends and develop medical management and quality improvement initiatives to improve quality, achieve health benefit ratio targets, and reduce administrative costs</li><li>Drive discipline, consistency, and execution of standardized initiatives and best practices</li><li>Facilitate mechanisms to utilize pilots, measure results, and identify best practices to be used across health plans</li><li>Oversee the development and implementation of medical management policies and procedures to ensure NCQA and URAC standards</li><li>Develop and implement business plans to leverage technology to increase effectiveness and efficiency</li><li>Develop and implement standardized training, auditing, and work processes for new and existing business to ensure consistency and avoid redundant efforts</li><li>Develop and implement standardization in measuring and monitoring operational and outcome metrics</li><li>Facilitate integration and collaboration between the Health Plans and Specialty Companies related to medical management and quality improvement initiatives</li><li>Approximately 50% travel</li></ul>Education/Experience: Bachelor’s degree in business or healthcare related field; Master’s strongly preferred. 10+ years of experience working in a complex healthcare setting. Expert understanding of Managed Care practices including utilization management, care management, clinical information systems, with strong financial acumen and focus, preferably in the governmental setting. Proficient in the use of project management tools and application of continuous process improvement methodologies such as Lean, Six Sigma or equivalent. Six Sigma certification strongly preferred.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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Centene

Enterprise PHCO - Medicare & Duals - Lead

Auditing

Best Practices

Business Development

Business Plan

Clinical Information Systems

Cost Control

Diversity

Health Plan

Healthcare

Healthcare Quality

Lean Manufacturing

Lean Six Sigma

Managed Care

Medical Treatment

Medicare

Metrics

National Committee for Quality Assurance (NCQA)

Operational Measurement

Process Improvement

Project Management Software

Quality Assurance

Quality Management

Six Sigma Certification

Standards Development

Strategic Planning

Trend Analysis

Utilization Management

Utilization Review Accreditation Commission (URAC)

Willing to Travel

JobGet

Field Sales Representative

Whether you’re a recent grad or simply seeking a fresh challenge, this is your chance to earn like a highly educated professional—our proven products and systems are your roadmap to becoming a top earner in sales. Travel to Your Territory: Meet potential customers (farmers, small business owners, and families) face-to-face to build trust and educate them about Platinum’s supplemental insurance solutions.

Salary

Ready to jump-start your career and take charge of your earning potential? At Platinum Supplemental Insurance, we’re looking for motivated individuals ready to learn, grow, and thrive in a fast-paced environment. Whether you’re a recent grad or simply seeking a fresh challenge, this is your chance to earn like a highly educated professional—our proven products and systems are your roadmap to becoming a top earner in sales. If you’re prepared to unlock your full potential, let us show you how to build a lucrative and rewarding future. Why Join Platinum?Four-Day WorkweekTravel Monday–Thursday to meet with farmers and small business owners, then enjoy your weekends off. Say goodbye to the daily grind and hello to a work-life balance that lets you recharge and spend time on what matters most.Uncapped Earning PotentialThis is a commission-based role, and many of our new reps earn $75,000 or more in their first year, with top performers exceeding $100,000. The sky truly is the limit when it comes to your income.Ongoing Support & ResourcesFocus on building relationships and closing deals while Platinum handles marketing, recruiting, back-office support, and customer service. You’ll also benefit from generous bonuses, annual renewal income, and luxury travel incentives for high achievers.Cutting-Edge AI TrainingGet an edge on the competition with our new AI-driven training platform. You’ll receive personalized feedback, interactive coaching, and real-time support to help you master Platinum’s proven 10-step sales system—faster and more confidently than ever before. Your Day-to-Day1. Travel to Your Territory: Meet potential customers (farmers, small business owners, and families) face-to-face to build trust and educate them about Platinum’s supplemental insurance solutions.2. Leverage Our 10-Step Sales Process: Follow a time-tested system that helps you identify prospects, deliver compelling presentations, and close more sales—backed by our powerful AI training.3. Stay Motivated & Collaborate: Work within a supportive, team-based culture that celebrates wins, shares best practices, and drives everyone to reach new heights. What You’ll Enjoy<ul><li>High Earning Potential, No Caps: Earn based on your performance and ambition, without hitting a salary ceiling.</li><li>Residual Income: Benefit from ongoing earnings long after closing a sale, creating a steady income stream.</li><li>Advancement Opportunities: Rise quickly through the ranks and take on leadership roles as you prove your abilities.</li><li>Quarterly Vacations: Earn the chance to recharge on exciting getaways with fellow top performers.</li><li>Company Trips & Events: Enjoy travel and experiences on us—bring a significant other along, all expenses paid.</li><li>Weekends Off: A Monday–Thursday work schedule means you get every weekend free for family time or relaxation.</li></ul> Who Thrives Here<ul><li>Go-Getters: You bring the hunger, discipline, and drive needed to excel in a commission-based environment.</li><li>Clear Communicators: You can connect with people from various backgrounds, build trust, and explain concepts in a simple, relatable way.</li><li>Continuous Learners: You’re excited to leverage AI-based training and mentorship to refine your skills and grow quickly.</li><li>Flexible Travelers: You’re comfortable with overnight travel Monday–Thursday and are 18+ years old.</li></ul> Ready to Take the Leap?If the idea of earning what you’re worth, mastering an innovative sales system, and enjoying a 4-day workweek excites you, we’d love to hear from you! Apply today and discover how Platinum can help you unlock a thriving career in sales. About PlatinumPlatinum Supplemental Insurance specializes in helping individuals, families, and businesses secure their financial futures through supplemental coverage. By bridging the gaps left by traditional health plans, Platinum’s products offer peace of mind when unexpected health issues arise. With a people-first mentality, robust training programs, and a commitment to growth, Platinum provides the ideal environment for sales professionals to excel—no matter where they’re starting from. Join the Platinum team and see for yourself why so many have launched fulfilling, lucrative sales careers with us.

Platinum Supplemental Insurance

Outside Sales Representative (Training Provided)

salaryMin

salaryMax

payPeriod

currency

Customer Support/Service

Customer Training

Field Sales

Insurance

Marketing Objectives

Revenue Growth

Sales

Sales Closing Skills

Sales Qualification

Small Business

Training/Teaching

Appcast Exclusive 1

Outside Sales Representative

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