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: Lead/coordinate program, product and implementation projects across multiple functional teams while ensuring delivery excellence. Drive key business initiatives and solutions across the project while adhering to the prescribed methodologies. Oversee additional process and performance related initiatives to achieve continuous quality improvement in Buckeye Community Health Plan's and provider's performance.
***The Process & Performance Support Program Manager is primarily remote with annual travel expectations to Columbus, Ohio. Candidates that reside in Ohio or near it are preferred. ***
Responsibilities:
Develop and manage network development plans to achieve Centene's growth objectives.
Analyze metrics and report on trends in provider reimbursement changes.
Identify and implement strategies for network utilization improvement, reducing network spend.
Interprets and analyzes data from multiple sources including claims, provider, member, and encounters data. Identifies and assesses the business impact of trends.
Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required.
Manage cross functional activities related to project and program implementations to deliver programs on schedule, within budget and with superior quality.
Lead and motivate cross functional team members through building a positive team attitude, resolving conflicts and clearly communicating program objectives.
Act as single point of contact for all program related issues and escalations including risk management.
Communicate business objectives, program process as well as technical complexities of the program to key stakeholders at various levels of the organization.
Ensure all program documentation is up to date and accessible.
Highly Preferred:
5+ years of project management and provider network management experience
Value Based Program knowledge
Proficient in Excel and Power BI tools
Strong organization and prioritization skills
License/Certification: Project Management Professional (PMP) certification preferred.Pay Range: $86,000.00 - $154,700.00 per year
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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
