Jobs › Centene

Senior Director, Claims Workforce Management

Centene · MO · Remote available · $146,000–$269,600 a year · Full time

Posted Sep 14, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time you automated a recurring planning model. What did it save and what did it change?

What they are checking: Whether they have actually moved planning off manual spreadsheets and can show the payoff.

Tell me about a time a forecast was badly wrong. What did you learn and what did you change?

What they are checking: Whether they own misses and improve the model rather than blaming the business or the data.

How do you lead a workforce management team that is fully remote across the country?

What they are checking: Whether they can set direction and develop people they mostly see on video calls.

What would you do

A sudden spike in claims volume threatens prompt-pay standards. What do you do in the first week?

What they are checking: Whether they can act fast on staffing levers while keeping an eye on regulatory timeliness rules.

How do you influence senior leaders who want lower headcount than your model says you need?

What they are checking: Whether they can defend a staffing plan with data while showing tradeoffs leaders can choose between.

How do you balance service, quality and efficiency when they pull against each other?

What they are checking: Whether they can make clear tradeoffs instead of promising leaders they can maximize everything at once.

About the work

Walk me through how you would build a capacity plan for a large claims operation.

What they are checking: Whether they understand claims inventory, handle times and staffing math well enough to lead the model design.

How is workforce planning for claims different from planning for a contact center?

What they are checking: Whether they know backlog work behaves differently from live calls and needs different forecasting.

Which scenarios would you build into a long-term staffing model for claims?

What they are checking: Whether they think ahead to membership growth, new markets, automation and policy changes.

How would auto adjudication rates affect your staffing assumptions?

What they are checking: Whether they understand how system automation changes the human workload in a claims operation.

What key performance measures would you put in front of executives each month?

What they are checking: Whether they know which few numbers tell leaders if the claims operation is healthy.

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The full job description

As published by Centene.

Position Purpose: Defines the strategy for the building and automation of recurring capacity and scenario planning models to support service, quality, and efficiency standards. Influences senior leadership on strategic plans to meet short-term and long-term business objectives. This is a strategic workforce management leadership role supporting a large-scale claims operation. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Applicants for this job have the flexibility to work remote from home anywhere in the United States. Experience developing workforce capacity and staffing plans within a claims operation is highly preferred. • Plans and directs workforce management policies, objectives, operations, and initiatives • Defines the overall vision for workforce management within the contact center to ensure achievable goals and milestones are set • Prioritizes initiatives and opportunities consistent with mission and strategic direction of the organization to lead the workforce management team • Analyzes operations and influences key performance criteria to influence staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for contact center • Develops and directs the inter-departmental partnerships to collaborate and maintain effective operations within the workforce management department of the contact center • Oversees efforts in development of workforce management budget and hiring strategies with business stakeholders to ensure they are in line with the operational and business goals • Establishes operational targets, best practices, and training programs to support the contact center and drive quality and efficiency standards • Oversees the strategic initiatives related to onboarding, hiring, recent promotes, transfers and performance and/or reward decisions within workforce management function to support future growth and strategy • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 10+ years of related experience, including prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 5+ years management experience preferred. Pay Range: $146,000.00 - $269,600.00 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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