Implementation Manager – Utilization Management

🔥 12 hours ago

🏄 California, Florida, +13 more states – Remote

🏄 California – Remote 🐊 Florida – Remote 🌽 Illinois – Remote 🌾 Nebraska – Remote 🏖️ New Jersey – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote ☕ Washington – Remote

💵 $87.7k - $157.8k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛠️ Implementation Specialist

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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

• Lead end-to-end implementation of technology solutions supporting Utilization Management • Translate business and clinical requirements into scalable, well-governed system deployments • Drive delivery from design through go-live and post-launch stabilization • Partner across clinical, operational, and IT teams to configure, test, and successfully adopt new capabilities • Manage scope, timelines, stakeholder alignment, and delivery across cross-functional teams • Establish governance structures, project frameworks, and performance measurement criteria • Synthesize clinical outcomes, operational performance data, and frontline feedback into executive-ready reporting • Identify, evaluate, and prioritize technology and process improvement opportunities • Manage system configuration, workflow design, and integration activities with IT and vendor teams • Select implementation approaches based on workflow complexity, risk, and business value • Lead requirements gathering, solution design, user acceptance testing, and cutover planning for core UM platforms • Partner with business leaders, IT, clinical operations, vendor management, and enterprise Program Management Offices • Define and track success metrics tied to business outcomes • Translate technical concepts, tradeoffs, and recommendations for stakeholders • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor's Degree required • 2+ years of experience in technology implementation, systems configuration, or solution deployment including AI required • Fluent with a range of implementation and project management tools • Demonstrated experience delivering enterprise systems • 3+ years project management and cross-functional delivery experience required • Experience in the healthcare and/or managed care industries preferred • Demonstrated ownership and initiative • Strong project management skills • Strong analytical skills • High attention to detail

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation • Equal opportunity employer committed to diversity