Program Manager – PA Governance

🕒 May 27

🏰 Missouri – Remote

🏰 Missouri – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Program Manager

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Centene Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1984

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

📋 Description

• Identify opportunities to increase efficiency, improve service levels, and ensure regulatory and PA compliance through enhanced, standardized operations and governance practices • Develop and execute strategies to realize PA improvement opportunities, ensuring enterprise‑level prioritization, clear decision rights, and appropriate resource alignment • Manage multiple PA initiatives through the full project lifecycle • Support structured PA governance cycles by ensuring initiatives are evaluated, prioritized, approved, and sequenced • Utilize corporate and industry‑standard project management and governance tools to manage PA initiatives effectively • Maintain detailed and accurate PA program documentation • Compile, format, and validate review packets and governance decision materials for leadership review • Coordinate and validate market, clinical, and SME inputs for PA governance materials • Partner with analytics, medical economics, and operations teams to review financial and operational claims data • Ensure ad‑hoc PA requests are logged, tracked, prioritized, and either executed or formally deferred • Maintain a centralized PA documentation repository as the single source of truth for governance artifacts • Provide strong leadership and communicate PA program and governance status to stakeholders • Lead cross‑functional governance and working sessions to meet enterprise objectives and stakeholder expectations • Negotiate with stakeholders to secure resources, resolve cross‑functional dependencies, and mitigate risks

🎯 Requirements

• Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience • Master’s degree preferred • 5+ years project implementation, product or program management experience • Managed care or prescription benefit management experience preferred

🏖️ Benefits

• competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules