Implementation Manager - Utilization Management

Position Purpose:

This role is responsible for leading the end-to-end implementation of technology solutions supporting Utilization Management, translating business and clinical requirements into scalable, well-governed system deployments. The Implementation Manager drives delivery from design through go-live and post-launch stabilization, partnering across clinical, operational, and IT teams to ensure new capabilities are configured, tested, and adopted successfully.

Key Details:

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

This is a remote position within the United States.

• Own the end-to-end execution of technology implementation initiatives by managing scope, timeline, stakeholder alignment, and delivery across cross-functional teams so projects move from requirements through configuration, testing, and go-live with the discipline needed to build executive confidence and secure investment for scale.

• Serve as the operational backbone of the implementation program — establishing governance structures, project frameworks, and performance measurement criteria that allow the organization to roll out new systems and workflows in a controlled, low-risk manner and make evidence-based decisions about configuration, phased rollout, and long-term support.

• Translate implementation results into enterprise decisions — synthesizing clinical outcomes, operational performance data, and frontline feedback into clear, executive-ready reporting that gives leadership the insight needed to prioritize technology investments, manage organizational risk, and build a credible, phased path to full-scale adoption.

• Identify, evaluate, and prioritize high-impact technology and process improvement opportunities that advance Utilization Management and enterprise business objectives.

• Manage system configuration, workflow design, and integration activities in partnership with IT and vendor teams, applying enterprise frameworks to identify repeatable, high-leverage implementation approaches.

• Exercise expert judgment in selecting appropriate implementation approaches (phased rollout, pilot, big-bang deployment, or parallel run) based on workflow complexity, risk, and business value.

• Lead requirements gathering, solution design, user acceptance testing, and cutover planning for core UM platforms, maintaining hands-on fluency with leading clinical and workflow management systems.

• Partner closely with line-of-business leaders, IT, clinical operations, vendor management, and enterprise Program Management Offices to ensure alignment with standards, architecture guardrails, and compliance requirements.

• Define and track success metrics tied to business outcomes, ensuring AI solutions reduce friction, improve effectiveness, and scale impact across teams.

• Act as a trusted advisor and thought partner—translating technical concepts, tradeoffs, and recommendations for stakeholders across varying levels of technical sophistication.

• Performs other duties as assigned.

• Complies with all policies and standards.

Education/Experience:

• Bachelor's Degree required.

• 2+ years of experience in technology implementation, systems configuration, or solution deployment including AI required. Fluent with a range of implementation and project management tools with demonstrated experience delivering enterprise systems.

• 3+ years project management and cross-functional delivery experience required. This may include cross-functional collaboration in an enterprise environment.

• Experience in the healthcare and/or managed care industries preferred.

• Demonstrated ownership and initiative with a desire to drive significant, measurable results.

• Strong project management, analytical skills, and high attention to detail.

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
 

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