Vice President, Population Health & Clinical Operations

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 Overview

The Vice President of Population Health & Health Outcomes is a senior leadership role responsible for developing and executing strategies that drive measurable improvements in member health. Reporting directly to the Chief Medical Officer, this leader will oversee a team of Directors and large cross-functional teams to ensure initiatives are strategically aligned, operationally executed, and continuously improved.

This role is charged with assuring that the organization has a robust population health strategy that supports achievement of business goals, improves the current and future health of members, and aligns with the direction of Centene and the Ohio Department of Medicaid. While the primary focus is on Medicaid, the VP will also collaborate with organizational partners who lead Medicare and Marketplace initiatives to ensure alignment and shared best practices.

Key Responsibilities

• Strategic Leadership
  • Develop, implement, and maintain a comprehensive population health strategy that advances business objectives, improves member health outcomes, and aligns with Centene and the Ohio Department of Medicaid.
  • Lead population health initiatives with a strong focus on Medicaid while collaborating with partners on Medicare and Marketplace programs.
  • Translate organizational vision into actionable initiatives with clear metrics and accountability.
  • Serve as a trusted advisor on population health strategy as part of the senior leadership team.
• Operational Execution
  • Ensure the successful implementation of population health initiatives by driving accountability for results, measuring impact, and aligning resources with strategic priorities.
  • Translate strategy into operational reality by building systems, processes, and performance standards that deliver sustained improvements in quality, outcomes, and efficiency.
  • Integrate population health initiatives across clinical, operational, and financial functions to ensure consistency, compliance, and alignment with organizational goals.
  • Continuously monitor program performance, identifying opportunities for innovation and course correction to achieve optimal results for members and the organization.
• Regulatory & Corporate Collaboration
  • Build and maintain strong partnerships with the state Medicaid regulator to ensure compliance and program success.
  • Collaborate with Centene corporate teams to align local initiatives with enterprise-wide strategies.
  • Partner with leaders responsible for Medicare and Marketplace to ensure consistency, integration, and shared learning.
  • Work closely with operations, finance, and other internal teams to achieve organizational objectives.
• Communication & Stakeholder Engagement
  • Build trusted relationships with state regulators, providers, community partners, and internal executives to advance shared goals and improve member outcomes.
  • Serve as a visible ambassador for population health initiatives, clearly articulating strategy, progress, and outcomes to diverse audiences, including the Board, senior leadership, regulators, and community stakeholders.
  • Anticipate stakeholder needs and concerns, proactively engaging in dialogue that fosters collaboration, transparency, and alignment across all levels of the organization.
• Vendor & Partner Management
  • Oversee relationships with key vendors to ensure programmatic success, accountability, and value.
  • Negotiate and manage vendor contracts to align deliverables with organizational priorities.
• Team Leadership & Development
  • Mentor, coach, and develop a high-performing team of Directors and staff.
  • Delegate effectively while ensuring accountability and ownership across teams.
  • Foster a culture of innovation, collaboration, and continuous improvement.

Education/Experience:
Current state RN license preferred.
Previous experience in a managed care organization strongly preferred.
3+ years of leadership experience required.
Master's degree or other advanced degree in nursing, social work, health services research, health policy, information technology or other relevant field.

Must have at least five years of progressively responsible professional experience in population health, service coordination, ambulatory care, community health, case or care management, or coordinating care across multiple settings and with multiple providers.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.

Candidate must reside or relocate to Ohio

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