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: The Program Manager IV is responsible for all aspects of the planning and delivery of Special Needs Plans (SNP) Model of Care documents required by CMS across the enterprise to execute defined requirements and meet company strategic objectives. This role provides leadership, direction, and hands-on support to matrixed teams to ensure the successful completion of complex integration initiatives such as completion and submission of SNP MOCs and management of related policies and procedures including Long-Term Services and Support (LTSS) policies and procedures. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.
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Lead and/or support large scale, cross functional projects for implementation including working with organizational leaders for restructuring and realignment of compliance documents to support operational changes. Understands and oversees all aspects of program planning, management, and execution. Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.
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Drive large scale projects by coordinating the work of one or more business partner(s) who are managing the operational aspects of compliance documents (MOCs, policies and procedures, etc.) involved in the project.
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Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post annual project implementation.
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Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.
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Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.
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Proactively manage areas such as risk, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.
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Serve as the first escalation point for program/project issues and risks. Work directly with the program operational teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.
Education/Experience:
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Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred.
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8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required.
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Healthcare experience and/or managed care experience preferred.
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Experience and knowledge of Medicare, Medicaid, Medicare Advantage, Population Health, Care Management in a healthcare organization highly preferred.
License/Certification: Project Management Professional (PMP) or Program Management Professional (PgMP) 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. Total compensation may also include additional forms of incentives.
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
