Program Manager II – Recovery Operations

🔥 0 minutes ago

🐊 Florida, Illinois, +3 more states – Remote

🐊 Florida – Remote 🌽 Illinois – Remote 🌲 North Carolina – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $70.1k - $126.2k / 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

• Plan, organize, monitor, and oversee programs using cross-functional teams to deliver defined requirements and meet business needs and strategic objectives • Serve as the primary coordinator for Recovery Operations and Recovery Platform initiatives • Organize work across operational, business, and technology teams • Facilitate meetings with internal stakeholders and external partners • Manage issue resolution and ensure timely delivery of strategic priorities • Monitor recovery inventory, operational performance, and platform-related initiatives • Identify risks and bottlenecks and coordinate remediation efforts with BTS and business teams • Provide executive-level reporting on program status, issues, and key performance metrics • Support business department initiatives that promote quality, safety, and cost-of-care opportunities • Gather requirements, create plans and schedules, manage resources, and facilitate project execution and deployment • Use corporate and industry-standard tools and techniques to oversee programs • Maintain business process documentation, including meeting minutes, action items, issue lists, and risk management plans • Create and monitor department deliverables to ensure adherence to quality standards • 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 to meet stakeholder expectations and business objectives • Manage projects through the full project life cycle • Provide leadership and communicate project status to stakeholders • Negotiate with stakeholders to secure resources, resolve issues, and mitigate risks • Perform other duties as assigned • Comply with all policies and standards

🎯 Requirements

• Bachelor's Degree in related field or equivalent experience required • 3+ years of quality improvement, program management or project management experience required • Health care experience preferred • Preferred experience supporting healthcare recovery operations, payment integrity, claims operations, revenue cycle, or related healthcare business functions • Preferred knowledge of recovery inventory management, operational reporting, workflow optimization, and process improvement methodologies • Preferred experience partnering with business stakeholders, technology teams (BTS/IT), and external vendors to deliver system enhancements and operational initiatives with JIRA, ServiceNow, etc. • Preferred familiarity with claims processing systems, recovery platforms, workflow management tools, data analytics, and performance reporting • Preferred experience leading cross-functional projects involving technology implementations, system integrations, or operational transformation initiatives • Preferred Lean Six Sigma Green Belt, Agile, Scrum, SAFe, or other process improvement/project management certification

🏖️ Benefits

• Competitive pay • Health insurance • 401K • 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