Project Manager II - Risk Adjustment

Centene Corporation•Remote-NC, NC
•$70,100 - $126,200•Remote

About The Position

The Project Manager II will work with the Carolina Complete Health Plan Risk Adjustment team to plan, organize, monitor, and oversee risk adjustment projects. The role tracks monthly goals, assigns project tasks to Risk Adjustment Coordinators, contacts providers about project-related issues, and supports achievement of annual risk adjustment goals. It also includes vendor management, collaboration with Corporate Shared Services, strategy, and process improvement. The position manages the full project life cycle, from requirements gathering and project planning through resource and budget management, execution, deployment, and closure. The Project Manager uses corporate and industry-standard tools and techniques, maintains project documentation, communicates status to stakeholders, and coordinates cross-functional teams. The role also monitors project deliverables for quality and creates milestone documents, dashboards, ROI tables, and departmental success metrics. This is a fully remote role. Preferred skills include Power BI, CoPilot AI, risk adjustment knowledge, Excel analytics, MS365, dashboard reporting, and presenting project reports to executive leadership.

Requirements

  • Bachelor's degree in a related area or equivalent experience.
  • At least 3 years of project management experience.
  • Experience working with and leading diverse groups and in matrix-managed environments.
  • Proficiency with project management tools, MS-Project or other project management software, and MS-Office applications.

Nice To Haves

  • Healthcare experience.
  • PMP or CAPM certification.
  • Power BI, CoPilot AI, knowledge of Risk Adjustment, Excel Analytics, MS365, dashboard reporting, and reporting projects to Executive Leadership.

Responsibilities

  • Plan, organize, monitor, and oversee risk adjustment projects and track monthly goals.
  • Assign project tasks to Risk Adjustment Coordinators and reach out to providers about project-related issues.
  • Work toward meeting or exceeding annual risk adjustment goals; manage vendors; collaborate with Corporate Shared Services; and support strategy and process improvement.
  • Manage the full project life cycle, including requirements gathering, creating project plans and schedules, obtaining and managing resources, managing budgets, and facilitating execution, deployment, and closure.
  • Use corporate and industry-standard project management tools and techniques to manage projects.
  • Assist with establishing and maintaining corporate project management methodology and department procedures.
  • Maintain detailed project documentation, including meeting minutes, action items, issue lists, and risk management plans.
  • Communicate project status effectively to stakeholders.
  • Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.
  • Coordinate cross-functional meetings to meet stakeholder expectations and company objectives.
  • Provide functional and technical knowledge across multiple business and technical areas.
  • Monitor project deliverables, including design documents, test plans, training materials, and operations documentation, to ensure they meet quality standards.
  • Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics.

Benefits

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