Program Manager I

Centene CorporationRemote-IL, IL
$27 - $49Hybrid

About The Position

As part of Meridian Health Plan, the Program Manager is responsible for overseeing HealthWorks agency performance, ensuring compliance with DCFS and YouthCare requirements, managing provider relationships, leading audits, and supporting statewide program operations across Illinois. This is an hourly role. Applicants residing in Illinois (greater Chicago area) highly preferred due to business need and in-person department meetings. 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.

Requirements

  • Bachelor’s degree in related field or equivalent experience required.
  • 1+ years of project management or business process experience preferred.

Nice To Haves

  • Program Management
  • Healthcare Operations
  • Audit Management
  • Relationship Management

Responsibilities

  • Ensure compliance with HealthWorks Program Manual requirements, contract obligations, and DCFS standards.
  • Support business department initiatives that promote, quality, safety and cost of care opportunity including requirements gathering, creation of plans and schedules, obtaining and managing resources, and facilitating program execution and deployment.
  • Conduct quarterly desk reviews and audits of the agencies.
  • Analyze audit results and provide coaching, training, and technical assistance.
  • Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures.
  • Serve as the primary liaison between YouthCare, DCFS, and HealthWorks agencies.
  • Facilitate quarterly agency meetings and operational discussions.
  • Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives.
  • Review monthly and quarterly performance reports.
  • Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable.
  • Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation.
  • Develop and deliver training for HealthWorks agencies.
  • Communicate program status to management and key stakeholders.
  • Identify trends and opportunities to improve outcomes and compliance.
  • Identify resources, resolve issues, and mitigate risks.
  • Identify requirements, procedures and problems to improve existing processes.

Benefits

  • competitive pay
  • health insurance
  • 401K
  • stock purchase plans
  • tuition reimbursement
  • paid time off plus holidays
  • flexible approach to work with remote, hybrid, field or office work schedules
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