
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.
🔥 6 minutes ago
🏈 Alabama, Arizona, +42 more states – Remote
💵 $102.9k - $190.5k / year
⏰ Full Time
🟠 Senior
✅ Product Manager
👻 Ghost score 0%
Where this job comes from
Posted on Centene Corporation's careers page, not through a job board
First seen by Remote Rocketship 6 minutes ago
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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.
• Own product strategy, roadmap, and end-to-end delivery for Payment Integrity platforms, including PISCES pre-pay claim editing and Appeals/PI Bot automation • Develop, maintain, and publish product strategy and multi-year roadmaps aligned with Payment Integrity, Mission Simplify, and BTS priorities • Lead strategic initiatives from intake and discovery through planning and delivery • Own BRDs, capability/feature hierarchy, and delivery-ready Jira backlogs • Partner with Operations, Engineering, Architecture, Project Management, and vendors to define scope, sequencing, dependencies, and success measures • Drive PI Planning, prioritization, and predictable feature delivery • Communicate risks, trade-offs, and decisions to leadership • Measure and report value realization, including savings, edit accuracy, automation rates, fallout, cycle time, efficiencies, ROI, and product investment value • Apply AI tools across discovery, requirements, documentation, and analysis • Champion responsible AI with human-in-the-loop controls • Arbitrate portfolio impacts and delivery commitments for new or modified priorities • Review and influence user stories and milestones to guide Agile and Scrum teams • Perform other duties as assigned and comply with policies and standards
• Bachelor's degree and 4–6 years of related experience, or equivalent experience acquired through applicable knowledge, duties, scope and skill • 5+ years of product management, product ownership, or related technology experience in a healthcare payer or claims environment preferred (7+ years preferred) • Payment Integrity, claims editing, appeals, or automation experience strongly preferred • Experience with Agile/SAFe delivery and applying AI tools to product work preferred • Experience with AI tools such as Microsoft Copilot, Windsurf/Devin Desktop, and Jira Rovo • Knowledge of PISCES pre-pay claim editing and Appeals/PI Bot automation platforms • Ability to work with Payment Integrity Operations, Engineering, Architecture, Project Management, and vendors • Knowledge of BRDs, capability/feature hierarchies, delivery-ready Jira backlogs, Agile and Scrum practices • Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
• 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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