Note: The job is a remote job and is open to candidates in USA. Centene Corporation is hiring a Program Manager III - Payment Accuracy to improve program efficiency, service levels, and value. The role leads concurrent cross-functional projects, identifies operational improvement opportunities, and oversees project delivery and governance communications.
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 and to ensure regulatory compliance through enhanced operations
- Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment
- Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure
- Utilize corporate and industry standard project management tools and techniques to effectively manage projects
- Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
- Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations
- Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks
- Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives
- Provide functional and technical knowledge regarding overall program requirements and operations
- Responsible for the Governance communications and ceremonies
Skills
- Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience
- 5+ years project implementation, product or program management experience
- Master's degree
- Managed care or prescription benefit management experience
- Experience with Amisys, Xcelys or similar claims adjudication engines
- Demonstrated knowledge and experience of Payment Accuray programs within EDI Gateway Availity or similar programs
Benefits
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- A flexible approach to work with remote, hybrid, field or office work schedules
- Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Company Overview