Vice President, Interoperability Strategy and Operations
At a glance
VP-level role at Centene. Remote, United States · full-time · $227,700–$431,400 base.
remoteroles summary, based on the employer's posting.
What you'll do
- Set the enterprise roadmap and operating approach for exchanging healthcare data across systems and organizations
- Oversee secure, accurate data exchange among members, providers and health plans, including payer-to-payer connections
- Turn federal and state interoperability rules into practical plans for business and technology teams
- Coordinate clinical, operational and technology teams to improve data movement across managed care workflows
- Build partner relationships with EHR vendors and integrators, while leading and developing your teams
What you bring
- A bachelor's degree in healthcare administration, business, IT, informatics or another related field, or equivalent experience
- At least ten years in progressive leadership across interoperability, managed care operations, payer technology or a related area
- At least five years leading payer or managed-care interoperability strategy and execution
- Five years of knowledge spanning FHIR, HL7, EDI and relevant CMS rules, plus experience with core managed care workflows
Who this fits
This VP role suits a senior healthcare technology or managed-care leader who can set enterprise direction and influence across teams. It is a full-time, remote position in the United States.
From the employer
- Lead the enterprise interoperability strategy, roadmap, and operating model to enable seamless exchange and utilization of healthcare data across the enterprise.
- Oversee interoperability solutions that facilitates secure, accurate and timely data exchange between members, providers, health plans and payer-to-payer capabilities.
- Ensure alignment with federal and state interoperability requirements and translate regulatory changes into actionable business and technology plans.
- Partner across lines of business, clinical, operational, and technology teams to improve data exchange across core managed care workflows.
- Establish governance, performance measures, and risk controls to support effective delivery and continuous improvement.
- Lead partnership management for EHR & Third-Party Integrators (e.g., Epic, Oracle, Athena) to ensure seamless bidirectional communication, reduce administrative burden and advance Centene’s strategic roadmap.
- Build and maintain strategic relationships with providers, vendors, delegated entities, and external partners.
- Lead, coach, and develop high-performing teams while fostering accountability, collaboration, and results.
- Performs other duties as assigned.
- Complies with all policies and standards.
10+ years progressive leadership experience in healthcare interoperability, managed care operations, payer technology or related functions required.
5+ experience leading enterprise interoperability strategy and execution within a payer or managed care environment.
5+ strong knowledge of interoperability standards and requirements, including FHIR, HL7, EDI, and applicable CMS regulations.
5+ experience with core managed care workflows such as claims, utilization management, provider data, clinical data exchange, and prior authorization.
5+ demonstrated ability to influence across functions, communicate effectively with senior leaders, and drive results in a complex organization.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Pay Range: $227,700.00 - $431,400.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
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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