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Program Manager IV- Duals Transformation

Role overview

Qualifications

  • Bachelor’s degree in related field or equivalent experience required
  • 8+ years of Program or Project Management experience required
  • Proficiency in MS Office applications and project management tools required
  • Healthcare experience and/or managed care experience preferred

Responsibilities

  • Lead large scale, cross functional projects for implementation or process improvement
  • Oversee all aspects of program planning, management, and execution
  • Create and deliver best practice and training information to indirect reports and peers
  • Proactively manage areas such as risk, budget/forecast, dependencies, etc.

Key facts

Hard skills

Other skills

  • Program Management
  • Leadership
  • Governance
  • Training And Development
  • Communication
  • Decision Making
  • Problem Solving

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

This is a fully remote position and the candidate can be located anywhere in the US.


Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet company strategic objectives. This role provides leadership, direction, and hands-on support to matrixed teams to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.


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


  • Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.
  • Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.
  • Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.
  • Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.
  • Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.
  • Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.
  • Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.

Supplemental Responsibilities and Core Work Products: 

The Program Manager IV personally develops and manages the program structure and artifacts required to: 

  • Build and execute the integrated portfolio roadmap, including priorities, sequencing, scope, delivery plans, milestones, commitments, and outcome measures. 
  • Translate strategy and approved future-state designs into programs, workstreams, deliverables, implementation plans, readiness requirements, and operational-transition criteria. 
  • Establish work-product expectations, owners, contributors, dependencies, due dates, and acceptance criteria with accountable business and functional leaders. 
  • Maintain integrated tracking of milestones, deliverables, risks, issues, assumptions, dependencies, decisions, and commitments. 
  • Integrate partner contributions and drive execution through influence, governance, documented commitments, decision management, and escalation. 
  • Develop governance structures, executive updates, and decision and escalation briefs that communicate progress, program health, risks, dependencies, recommendations, and actions needed. 
  • Develop business cases, funding requests, resource and capability requirements, and supporting QAI, AOP, Planview, and other approved portfolio documentation with Finance and accountable partners. 
  • Partner with the aligned Senior Process Improvement Manager to translate approved process designs into implementation plans, readiness criteria, adoption activities, controls, and outcome measures. 
  • Lead implementation readiness, adoption, warranty, stabilization, outcome tracking, transition to operational ownership, and program closeout. 

Education/Experience: Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.

License/Certification: Project Management Professional (PMP) or Program Management Professional (PgMP) preferred


Supplemental Preferred Qualifications (in addition to the standard Education/Experience requirements above) 

  • 6+ years of program or project management experience. 
  • Experience leading complex healthcare transformation across functions, markets, products, or platforms. 
  • Proven ability to personally build and execute portfolio roadmaps, program plans, governance, business cases, and implementation strategies. 
  • Ability to turn evolving strategy into work products, milestones, owners, dependencies, decisions, and measurable outcomes. 
  • Hands-on individual contributor who leads through influence in a complex, matrixed organization. 
  • Strong executive communication, decision facilitation, risk management, escalation, and stakeholder skills. 
  • Working knowledge of Medicare, Medicaid, Duals, D-SNP, Care Management, integrated care, or health-plan operations; direct Duals or D-SNP experience strongly preferred. 
Pay Range: $87,700.00 - $157,800.00 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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