Program Specialist II

🔥 0 minutes ago

🐊 Florida, Kentucky, +3 more states – Remote

🐊 Florida – Remote 🐎 Kentucky – Remote 🚗 Michigan – Remote 🏰 Missouri – Remote 🍑 Georgia – Remote

💵 $56.2k - $101k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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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

• Oversee implementation of assigned programs • Lead development of program initiatives to improve and monitor service delivery and outcomes for assigned populations • Develop and implement new programs, including project and work plans • Execute program development efforts with provider and/or internal organizations • Research industry trends to propose new programs and strategies • Develop provider and/or internal training modules • Develop and track outcome measures for specific populations • Analyze and interpret outcome data and present to management • Propose funding opportunities • Direct cross-departmental teams in program development and improvement efforts • Develop innovative solutions for treatment issues related to specific populations • Represent the company in key community and State meetings related to specific populations • 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 in Nursing or Master's degree in Healthcare related field • 3+ years in Behavioral or Physical Health experience • Experience with formulary, pharmacy, and regulatory terminology preferred • CAPM, PMP, Lean Six Sigma, or comparable project-management credential preferred • Ability to develop and track outcome measures • Ability to analyze and interpret outcome data • Ability to lead cross-departmental teams

🏖️ 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

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