Program Manager III – Provider Data Operations

🔥 13 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

📋 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

• Promote increased program efficiency, service levels, and value by capturing and monitoring performance and identifying improvement opportunities • Plan, organize, monitor, oversee, and lead multiple concurrent projects using cross-functional teams • Lead planning, execution, governance, and delivery of complex Mission Simplify initiatives supporting Provider Data Operations transformation • Drive initiatives from discovery through implementation and operational transition • Identify opportunities to increase efficiency, improve service levels, ensure regulatory compliance, and enhance operations • Develop strategies for improvement opportunities, organizational prioritization, resource alignment, and strategic business objectives • Manage projects through discovery, requirements gathering, scope definition, planning, resource management, budget oversight, implementation, deployment, and transition • Develop integrated project plans, milestones, dependencies, RAID logs, and executive status reporting • Maintain project documentation, including action items, issue logs, risk mitigation plans, business requirements, acceptance criteria, and testing readiness documentation • Communicate project status through executive summaries, dashboards, presentations, and governance updates • Negotiate for resources, resolve issues, mitigate risks, and secure stakeholder alignment and formal scope sign-off • Lead cross-functional meetings and governance routines with Business Analysts, SMEs, technology teams, operational leaders, and business partners • Provide functional and technical knowledge regarding program requirements, operational processes, and business solution implementation • Monitor project health and KPIs, identify risks and issues, and develop mitigation plans • Support change management, training readiness, stakeholder communications, and operational transition activities • Establish and promote project management standards, tools, templates, and best practices

🎯 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 • Healthcare payer, provider operations, provider data management, network operations, or health plan experience • Proficiency with Smartsheet, Jira, Power BI, Microsoft Office Suite, and collaboration platforms • PMP, PgMP, Lean Six Sigma, Agile, Scrum, or related certification • Experience leading process improvement, automation, digital transformation, or operating model redesign initiatives • Knowledge of provider credentialing, provider data management, enrollment operations, network management, or healthcare operations • Experience supporting large-scale strategic transformation programs with measurable operational and financial outcomes, including presenting to senior leadership and influencing decision-making across multiple business functions • Experience leading enterprise-wide and cross-functional initiatives with multiple stakeholders • Demonstrated experience managing project plans, requirements, risks, dependencies, budgets, and executive communications • Experience facilitating requirements workshops, stakeholder engagement sessions, and governance reviews • Knowledge of project management methodologies and delivery frameworks

🏖️ Benefits

• Competitive pay • Health insurance • 401K plan • Stock purchase plan • 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