Program Manager II

Centene Corporation
1d

About The Position

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: As part of Managed Health Services (MHS), a Centene company, the Program Manager will collaborate with internal and external stakeholders to ensure HEDIS, CAHPS, and NCQA initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members. Applicants must reside in the state of Indiana to be considered. 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. Support business department initiatives that promote, quality, safety and cost of care opportunities related to CAHPS, HEDIS, NCQA and other quality initiatives. Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment. Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures. 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. Communicate program status to management and key stakeholders. Identify resources, resolve issues, and mitigate risks. Identify requirements, procedures and problems to improve existing processes. Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives. Manage projects through the full project life cycle. Provide leadership and effectively communicate project status to all stakeholders. Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks. Performs other duties as assigned. Complies with all policies and standards.

Requirements

  • Bachelor's Degree in related field or equivalent experience required.
  • 3+ years of quality improvement, program management or project management experience required.
  • Applicants must reside in the state of Indiana to be considered.
  • 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.

Nice To Haves

  • Health care experience preferred.
  • 2+ years’ experience working/service Medicaid beneficiaries highly preferred.
  • 3+ years in healthcare quality improvement with working knowledge of HEDIS, CAHPS, and NCQA highly preferred.
  • 3+ years’ project and/or program management experience coordinating large complex engagements related highly preferred.
  • 3+ years’ experience in strategy development and implementation preferred.

Responsibilities

  • Support business department initiatives that promote, quality, safety and cost of care opportunities related to CAHPS, HEDIS, NCQA and other quality initiatives.
  • Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment.
  • Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures.
  • 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.
  • Communicate program status to management and key stakeholders.
  • Identify resources, resolve issues, and mitigate risks.
  • Identify requirements, procedures and problems to improve existing processes.
  • Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives.
  • Manage projects through the full project life cycle.
  • Provide leadership and effectively communicate project status to all stakeholders.
  • Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Benefits

  • 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.
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