Program Manager III, Integration Quality & UAT (UM)

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. 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. The ideal candidate will have a strong understanding of Utilization Management processes, along with experience in process improvement and quality or system testing. Advanced proficiency with Microsoft Project or Smartsheet is highly preferred. One year of experience with TruCare Classic and one year with TruCare Cloud preferred; experience with Care Central and Facets is a plus. Exposure to system migrations or implementations and possession of a Project Management Professional (PMP) or Program Management Professional (PgMP) certification are also preferred. This is a remote role that requires a high level of schedule flexibility. Candidates must be available to work nights and weekends, as these hours are a required and ongoing part of the role; this scheduling expectation is non‑negotiable. Applicants must also be willing and able to travel periodically to meet business needs. Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.

• 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 projects through full project life cycle process 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 as needed including action items, issues lists and risk mitigation plans
• Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations
• Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks
• Lead cross-functional meetings with various functional areas 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: $87,700.00 - $157,800.00 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 Apply tot his job Apply To this Job