Centene Corp

Program Manager III - Provider Data Operations

Centene Corp • $87K — $157K *
US-Anywhere
+ 16 other locationsRemote
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • Bachelor’s degree in Business Administration, Healthcare Administration, or related field; Master’s preferred.
  • 5+ years of project implementation or program management experience.
  • Preferred experience in managed care or prescription benefit management.
  • Familiarity with healthcare payer, provider operations, or network operations is ideal.
  • Proficiency in project management tools such as Smartsheet, Jira, and Power BI.

Responsibilities

  • Identify efficiency improvement opportunities and support implementation of Mission Simplify initiatives.
  • Develop and execute strategies ensuring alignment with strategic business objectives.
  • Manage multiple projects through full lifecycle, from discovery to transition activities.
  • Utilize project management tools to create project plans and executive status reports.
  • Communicate project status effectively to stakeholders through various formats.
  • Lead cross-functional meetings to meet organizational objectives and stakeholder expectations.
  • Monitor project health and track key performance indicators to ensure value realization.

Benefits

  • Access to advanced project management and reporting tools.
  • Participation in cross-functional leadership initiatives.
  • Opportunities for professional development and certifications.
  • Engagement with strategic transformation programs that shape healthcare operations.
Full Job Description

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.

Key Details: The Program Manager III leads the planning, execution, governance, and delivery of complex Mission Simplify initiatives supporting Provider Data Operations transformation. Partnering across business, technology, domain, and operational teams, this role drives initiatives from discovery through implementation and operational transition. The ideal candidate is a strategic, influential leader who aligns stakeholders, mitigates risk, and delivers measurable improvements in efficiency, provider data accuracy, and enterprise consistency through process optimization, automation, operating model transformation, and technology enablement.

  • Identify opportunities to increase efficiency, improve service levels, ensure regulatory compliance, and support successful implementation of Mission Simplify initiatives through enhanced operations.

  • Develop strategies to realize improvement opportunities and ensure organizational prioritization, resource alignment, and achievement of strategic business objectives.

  • Manage multiple projects through the full project lifecycle, including discovery, requirements gathering, scope definition, project planning, resource management, budget oversight, implementation, deployment, and transition activities.

  • Utilize corporate and industry-standard project management tools and techniques to develop integrated project plans, milestones, dependencies, RAID logs, and executive status reporting.

  • Maintain detailed project documentation, including action items, issues logs, risk mitigation plans, business requirements, acceptance criteria, and testing readiness documentation.

  • Provide leadership and effectively communicate project status to all stakeholders through executive summaries, dashboards, presentations, and governance updates.

  • Negotiate with project stakeholders to identify and secure resources, resolve issues, mitigate risks, and ensure stakeholder alignment and formal scope sign-off.

  • Lead cross-functional meetings and governance routines with Business Analysts, SMEs, technology teams, operational leaders, and business partners to meet stakeholder expectations and organizational objectives.

  • Provide functional and technical knowledge regarding overall program requirements, operational processes, and business solution implementation.

  • Monitor project health, track key performance indicators, identify risks and issues, and develop mitigation plans to ensure business benefits and value realization objectives are achieved.

  • Support change management, training readiness, stakeholder communications, and operational transition activities to promote successful adoption and implementation.

  • Establish and promote project management standards, tools, templates, and best practices while managing multiple concurrent initiatives with varying levels of complexity and organizational impact.

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.

Preferred Qualifications:

  • Healthcare payer, provider operations, provider data management, network operations, or health plan experience.

  • Proficiency with project management and reporting tools such as Smartsheet, Jira, Power BI, Microsoft Office Suite, and collaboration platforms.

  • PMP, PgMP, Lean Six Sigma, Agile, Scrum, or related certification.

  • Experience leading process improvement, automation, digital transformation, or operating model redesign initiatives.

  • Knowledge of provider credentialing, provider data management, enrollment operations, network management, or healthcare operations.

  • Experience supporting large-scale strategic transformation programs with measurable operational and financial outcomes including presenting to senior leadership and influencing decision-making across multiple business functions.

  • Experience leading enterprise-wide and cross-functional initiatives with multiple stakeholders.

  • Demonstrated experience managing project plans, requirements, risks, dependencies, budgets, and executive communications.

  • Experience facilitating requirements workshops, stakeholder engagement sessions, and governance reviews.

  • Knowledge of project management methodologies and delivery frameworks.

Pay Range: $87,700.00 - $157,800.00 per year

About Centene Corp

Centene Corporation is a managed healthcare enterprise at the forefront of innovation and growth for government-sponsored and commercial healthcare, providing access to fully integrated, high-quality, and cost-effective services that help people lead healthier lives. The company’s local approach addresses the needs of under-insured and uninsured individuals who often lack the resources required to sustain optimal health and wellness. Centene began as a single health plan in Milwaukee, Wisconsin in 1984. After an initial period of growth, Michael Neidorff joined as President and Chief Executive Officer (CEO) in 1996, moving Centene’s headquarters to St. Louis, Missouri, where it still resides today. In the decades since its humble beginnings, Centene has transformed into a publicly-traded Fortune 500 company serving communities across the United States. In fact, Centene provides coverage in all 50 U.S. states. More than 26 million Americans rely on Centene to access a wide range of insurance solutions, including Medicaid, Medicare, TRICARE, correctional, and behavioral health services. Centene prioritizes the development of technology that addresses systemic conditions impacting the whole health needs of underserved populations. As technology plays an increasingly critical role in diagnosing, managing, and treating disease, Centene understands that it enables better health outcomes for members, lessening the burden for providers, and allowing more automation and efficiency for business operations. As a steward of a significant set of data and insights, Centene leverages this data to not only shape but lead the digital transformation of healthcare and improve the patient-provider experience. Centene’s current CEO, Sarah London, and her team are leading the charge in this new age. Sarah London worked within Centene’s Technology Innovation and Modernization division, spearheading the company’s enterprise-wide technology strategy. Now leading Centene, her focus is on building the next generation of products and services and establishing Centene’s long-term growth and value creation. Although Centene has grown into the No. 1 insurer in the U.S. Health Insurance Marketplace, it has never lost its focus on the individual or its passion for community health. Remaining connected to the individuals and families that need care most is central to Centene’s commitment to shaping a better world of healthcare for the communities it serves. Centene also remains connected to the needs of its employees, who make Centene what it is. Through its commitment to diversity, equity, and inclusion practices, Centene promotes a safe and inviting environment above all. Because of Centene’s commitment to excellence and progression in the healthcare industry, it has been recognized as a Top Organization for Diversity by Modern Healthcare magazine, a Leading Disability Employer by the National Organization on Disability, a Best Place to Work for LGBTQ Equality by The Human Rights Campaign Foundation, and a global leader by Bloomberg’s Gender-Equality Index, among many other recognitions. Centene was also named a Top 50 Company for Diversity by DiversityInc and a Top Veteran-Friendly Company by U.S. Veterans Magazine. It has also been listed on FORTUNE® magazine's list of the World's Most Admired Companies for several consecutive years.

Centene Corp Careers

Join the dynamic team at Centene Corp, a leader in the healthcare industry, where your career growth and development are prioritized. At Centene Corp, we offer a range of job opportunities that allow you to make a significant impact on our community and beyond.

Explore a World of Opportunities

Discover the diverse career paths available at Centene Corp, from healthcare services to innovative program development. Our job opportunities span various professional fields, offering positions that cater to your unique skills and ambitions. Whether you're looking for an entry-level role or a senior leadership position, Centene Corp is committed to hiring top talent and fostering a culture of excellence.

Innovation and Leadership at Centene Corp

At Centene Corp, innovation and leadership go hand in hand. We empower our team members to lead with confidence and creativity, driving the company forward through strategic innovation and robust leadership. Our leadership programs are designed to cultivate your skills, helping you to thrive as a professional and make meaningful contributions to our company and the communities we serve.

Internships and Early Career Programs

Kickstart your career with Centene Corp through our internship and early career programs. These opportunities provide hands-on experience and a glimpse into the dynamic world of healthcare management. Internships at Centene Corp are a stepping stone to full-time employment, offering invaluable networking opportunities, mentorship, and the chance to develop your resume and interview skills in a real-world setting.

Commitment to Diversity and Inclusive Culture

Centene Corp is dedicated to maintaining a diverse and inclusive work environment. We believe that diversity fuels innovation and enhances our team's performance. Our diversity training ensures that all team members appreciate and leverage the broad range of experiences and perspectives that each individual brings to the company.

Benefits and Employee Growth

We value our employees' well-being and career aspirations. Centene Corp offers competitive benefits, including health insurance, retirement plans, and professional development programs. Our commitment to your growth is reflected in our continuous learning initiatives and performance management processes that help you achieve your career goals.

Join Our Team

Are you ready to advance your career at Centene Corp? Explore our current job openings and find the position that best matches your skills and interests. We are looking for passionate, curious, and solution-driven team players who are ready to make a difference.

Stay Connected with Centene Careers

Keep up to date with the latest career tips, insider perspectives, and industry-leading insights—all from the people who work at Centene Corp. Personalize your subscription to receive job alerts, latest news, and insider tips tailored to your preferences. Discover the exciting and rewarding opportunities that await you at Centene Corp.

SEARCH CENTENE JOBS

Centene Corp is not just a company—it's a place where you can shape your future and impact the lives of millions. Join us in our mission to transform the health of the community, one person at a time.
Learn more about Centene Corp
Size
72,500 employees
Market Cap
$46.5 billion
Industry
Healthcare
Net Income
$1.8 billion
Founded
1984
5 Year Trend
+25.4%
Revenue
$111.1 billion
NASDAQ
CNC
* Ladders Estimates

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