Program Manager III - Utilization Management

Centene Corporation•Remote-MO, WA

1d•$87,700 - $157,800•Remote

About The Position

This remote opportunity focuses on leading the end-to-end implementation of technology solutions supporting Utilization Management. The role involves translating business and clinical requirements into scalable, well-governed system deployments. As the implementation manager, you will drive delivery from design through go-live and post-launch stabilization, partnering across clinical, operational, and IT teams to ensure new capabilities are configured, tested, and adopted successfully. The position is remote within the United States and requires candidates to be authorized to work in the U.S. without future employment-based visa sponsorship.

Requirements

Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience.
5+ years project implementation, product or program management experience.
Candidates 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

Master’s degree preferred.
Managed care or prescription benefit management experience preferred.
Demonstrated ownership and initiative with a desire to drive significant, measurable results.
Strong project management, analytical skills, and high attention to detail.
Proven track record of successful project deliveries at the enterprise level.

Responsibilities

Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities.
Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.
Identify opportunities to increase efficiency, improve service levels, ensure regulatory compliance, and advance technology-enabled process improvements through enhanced operations and implementation of enterprise solutions.
Develop strategies to realize improvement opportunities, ensure organizational prioritization and resource alignment, and support business objectives through scalable technology and workflow transformation initiatives.
Manage multiple projects through the full project lifecycle, including requirements gathering, solution design, creation of project plans and schedules, obtaining and managing resources, managing budget, facilitating system configuration, user acceptance testing, implementation, deployment, and go-live activities.
Utilize corporate and industry-standard project management tools and techniques to effectively manage projects, establish governance frameworks, and support controlled, low-risk implementation approaches.
Maintain detailed project documentation as needed, including action items, issues lists, risk mitigation plans, success metrics, testing documentation, and implementation readiness materials.
Provide leadership and effectively communicate project status to all stakeholders, including executive summaries, presentations, dashboards, and reports that support enterprise decision-making and investment prioritization.
Negotiate with project stakeholders to identify and secure resources, resolve issues, mitigate risks, and ensure alignment across business, technology, operational, and vendor teams.
Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company objectives, including solution design sessions, governance reviews, testing activities, and implementation readiness discussions.
Provide functional and technical knowledge regarding overall program requirements and operations while serving as a trusted advisor who translates complex technical concepts, risks, and recommendations for diverse stakeholder groups.
Define and track project success metrics, implementation outcomes, and business value realization to ensure solutions improve effectiveness, reduce operational friction, and support long-term adoption and scalability.