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Medicare Compliance Advisory Project Manager II

Role overview

Qualifications

  • Bachelor's degree in related area or equivalent experience
  • 3+ years of project management experience
  • Proficient with project management tools, MS-Project or other project management software, and MS-Office applications
  • Healthcare, Medicare, and/or Compliance experience preferred

Responsibilities

  • Plan, organize, monitor, and oversee projects utilizing cross-functional teams
  • Support management of departmental meetings and follow-up
  • Manage the full project life cycle including requirements gathering, creation of project plans and schedules
  • Effectively communicate project status to all stakeholders

Key facts

Hard skills

Other skills

  • Negotiation
  • Communication
  • Organizational Skills
  • Teamwork

About the company

Centene Corporation logo

Centene Corporation

Health Insurance (Payers)

Centene Corporation provides high-quality healthcare services to members in all 50 states. Since its founding in 1984, Centene has worked to transform the health of communities, one person at a time. Centene is the largest Medicaid managed care organization in the country and provides a portfolio of services to government sponsored healthcare programs. Centene believes that healthcare is best delivered locally. Our local health plans offer a range of health insurance solutions with a focus on providing accessible care to uninsured and under-insured individuals. Many receive benefits provided under Medicaid, including the State Children's Health Insurance Program (CHIP), as well as Aged, Blind or Disabled (ABD), Foster Care and Long Term Care (LTC), in addition to other state-sponsored/hybrid programs, and Medicare (Special Needs Plans). Centene also contracts with other healthcare and commercial organizations to provide specialty services including behavioral health management, care management software, dental benefits management, in-home health services, life and health management, managed vision, pharmacy benefits management, specialty pharmacy and telehealth services. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Company details

Company typeXLarge
IndustryHealth Insurance (Payers)
Company size10001

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Job description

Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.


Key Details:  Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.


  • Support management of departmental meetings (e.g. CMS Account Management, Medicare Compliance Committee, etc.), preparations, notes, action items, and follow-up.
  • Oversee the Medicare Compliance Officer Mailbox, maintain the CMS Inquiry Log and Issue Disclosure.
  • Manage access and administration for HPMS, Acumen, and EPOC.
  • Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure.
  • Utilize corporate and industry standard project management tools and techniques to effectively manage projects.
  • Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans.
  • Effectively communicate project status to all stakeholders.
  • Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.
  • Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives.
  • Provide functional and technical knowledge across multiple business and technical areas.
  • Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.
  • Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics.

Education/Experience:

  • Bachelor's degree in related area or equivalent experience.
  • 3+ years of project management experience.
  • Experience working with and leading diverse groups and matrix managed environments.
  • Proficient with project management tools, MS-Project or other project management software, and MS-Office applications.
  • Healthcare, Medicare, and/or Compliance experience preferred.

License/Certification: PMP or CAPM certification preferred.

Pay Range: $70,100.00 - $126,200.00 per year

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

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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