HEDIS Program Manager IV

Centene Corporation•Remote-MO, MO
•$87,700 - $157,800•Remote

About The Position

The HEDIS Program Manager IV provides strategic leadership for complex quality reporting programs, partnering across Quality, Operations, QTS/IT, Health Plans, and other teams to drive successful outcomes. The role brings structure, alignment, and accountability to key initiatives while advancing process improvements and operational transformation. This position is fully remote, and candidates will be considered nationally.

Requirements

  • Bachelor’s degree in a related field or equivalent experience.
  • At least 8 years of Program or Project Management experience.
  • Previous experience as a lead in a functional area, managing cross-functional teams on large-scale projects, or supervisory experience that includes hiring, training, assigning work, and managing staff performance.
  • Proficiency in MS Office applications and project management tools.

Nice To Haves

  • Master’s degree.
  • Healthcare and/or managed care experience.
  • Project Management Professional (PMP) or Program Management Professional (PgMP) certification.

Responsibilities

  • Lead large-scale, cross-functional projects and oversee program planning, management, and execution, including scope, schedule, and budget.
  • Create comprehensive timelines and ensure project teams create and maintain appropriate deliverables in accordance with project management standards.
  • Drive large-scale projects by coordinating project managers and business analysts who manage individual workgroups, including Operations, Finance, and Benefit Operations.
  • Create executive-level dashboards and project status updates, and work with teams to develop reports for ongoing analytics after project implementation.
  • Develop and deliver best-practice and training information to indirect reports when applicable, peers, and other employees; work with the training team to create or review training materials.
  • Prepare and deliver documents for Program Steering Committees to the Executive team.
  • Work with functional business leaders to assess program risks and issues and escalate them as needed.
  • Proactively manage risk, budget and forecast, dependencies, and related areas; prepare strategic analyses of potential business or operational opportunities as needed.
  • Serve as the first escalation point for project issues and risks; work with project teams to resolve issues and create risk mitigation plans, escalate well-formulated issues and risks to leadership, and communicate business and technology issues and solutions effectively.

Benefits

  • Competitive pay
  • Health insurance
  • 401K and stock purchase plans
  • Tuition reimbursement
  • Paid time off and holidays
  • Flexible approach to work with remote, hybrid, field, or office work schedules
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