Note: The job is a remote job and is open to candidates in USA. Centene Corporation connects people to the care they need to live healthier lives and works to make healthcare more accessible and effective. The Program Manager II will coordinate Recovery Operations and Recovery Platform initiatives, manage cross-functional teams and stakeholders, monitor performance and risks, and oversee projects through delivery and deployment.
Responsibilities
- Serve as the primary coordinator for Recovery Operations and Recovery Platform initiatives by organizing work across operational, business, and technology teams, facilitating meetings with internal stakeholders and external partners, managing issue resolution, and ensuring timely delivery of strategic priorities
- Monitor recovery inventory, operational performance, and platform-related initiatives; identify risks and bottlenecks, coordinate remediation efforts with BTS and business teams, and provide executive-level reporting on program status, issues, and key performance metrics
- Support business department initiatives that promote, quality, safety and cost of care opportunity
- 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
Skills
- Bachelor's Degree in related field or equivalent experience
- 3+ years of quality improvement, program management or project management experience
- Health care experience
- Supporting healthcare recovery operations, payment integrity, claims operations, revenue cycle, or related healthcare business functions
- Knowledge of recovery inventory management, operational reporting, workflow optimization, and process improvement methodologies
- Partnering with business stakeholders, technology teams (BTS/IT), and external vendors to deliver system enhancements and operational initiatives with JIRA, ServiceNow, etc
- Familiarity with claims processing systems, recovery platforms, workflow management tools, data analytics, and performance reporting
- Leading cross-functional projects involving technology implementations, system integrations, or operational transformation initiatives
- Lean Six Sigma Green Belt, Agile, Scrum, SAFe, or other process improvement/project management certification
Benefits
- Health insurance
- 401K
- Stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field or office work schedules
Company Overview
Company H1B Sponsorship