Offer summary

Qualifications:

Bachelor's degree in Business Administration, Healthcare Administration, or related field; Master’s degree preferred., Minimum of 5 years experience in project implementation, product, or program management., Experience in managed care or prescription benefit management is preferred., Strong leadership, communication, and strategic planning skills..

Key responsibilities:

Develop and lead strategies for Medicare Supplemental Benefits, including financial and operational aspects.

Manage multiple benefit packages throughout their full lifecycle, from requirements gathering to deployment.

Coordinate with cross-functional teams and vendors to ensure project success and regulatory compliance.

Communicate project status and proposals effectively to stakeholders, including executives.

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, developing, monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Develop, plan, lead, monitor, and own multiple, concurrent resultant Medicare Supplemental Benefits utilizing cross functional teams to deliver defined results and meet company strategic objectives.

End-to-end development, filing and execution of the Medicare Supplemental benefits. Program Manager III will own a complex portfolio of designs, and directly responsible for developing the designs annually. Directly responsible for developing CMS filing guides for benefits. Program Manager III is responsible for development, aspects of contract and rate negotiations, developing complex benefits that support Medicaid -Medicare, and maintaining a competitive, innovative portfolio.
Develop and lead strategies, including financial strategies, member materials, benefit filing and contracting. Develop innovative and competitive portfolio.
Identify opportunities to increase efficiency, improve service levels and to ensure regulatory compliance through enhanced operations
Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment
Manage multiple benefit packages through full product life cycle process including requirements gathering, creation of RFIs, RFPs, vendor assessments, benefit analysis, plans and schedules, obtaining and managing resources, managing budget, and facilitating strategy execution, deployment and closure
Utilize corporate and industry standard project management tools and techniques to effectively manage benefit packages
Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
Provide leadership and effectively communicate status and proposals to all stakeholders, including executive summaries and presentations
Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks
Lead meetings with various functional areas and vendors to meet overall stakeholder expectations and company’s objectives
Provide functional and technical knowledge regarding overall program requirements and operations

Education/Experience: 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.

Pay Range: $86,000.00 - $154,700.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Required profile