Centene Corp

Program Manager - PA Governance

Centene Corp • $87K — $157K *
US-AnywhereRemote in Missouri, US
Healthcare
5 - 7 years of experience
5 days ago
Job Overview by Ladders

Qualifications

  • Bachelor's in Business Administration, Healthcare Administration, or related field; Master's preferred.
  • 5+ years of experience in project implementation, product, or program management.
  • Managed care or prescription benefit management experience preferred.
  • Proven ability to lead cross-functional teams and manage stakeholder relationships effectively.
  • Strong analytical skills with a keen eye for process improvement.

Responsibilities

  • Identify and enhance efficiency in Prior Authorization governance processes and compliance.
  • Develop and implement strategies for effective Prior Authorization project prioritization.
  • Manage the complete project lifecycle for multiple Prior Authorization initiatives.
  • Ensure structured governance cycles for Prior Authorization are followed and documented.
  • Utilize project management tools to track and manage Prior Authorization initiatives.
  • Maintain comprehensive documentation for Prior Authorization program governance.
  • Facilitate communication and status updates on Prior Authorization programs to stakeholders.

Benefits

  • Competitive pay and comprehensive health insurance plan.
  • 401K and stock purchase plans for financial growth.
  • Tuition reimbursement to support further education.
  • Paid time off including holidays for work-life balance.
  • Flexible work arrangements available including remote and hybrid options.
Full Job Description
Position Purpose: The Program Manager is responsible for leading enterprise-wide Prior Authorization (PA) governance ensuring disciplined planning, data-driven prioritization, and effective execution across regulatory, operational, and clinical initiatives. This role partners closely with organizational leaders to drive alignment, manage change, and ensure PA decisions translate into measurable outcomes.

Responsibilities:
  • Identify opportunities to increase efficiency, improve service levels, and ensure regulatory and PA compliance through enhanced, standardized operations and governance practices.
  • Develop and execute strategies to realize PA improvement opportunities, ensuring enterprise-level prioritization, clear decision rights, and appropriate resource alignment.
  • Manage multiple PA initiatives through the full project lifecycle, including requirements gathering, governance intake, development of project plans and schedules, resource and budget management, execution, deployment, and closure.
  • Support structured PA governance cycles by ensuring initiatives are evaluated, prioritized, approved, and sequenced in alignment with enterprise standards and readiness criteria.
  • Utilize corporate and industry-standard project management and governance tools to manage PA initiatives effectively, including standardized trackers, RAID logs, and decision artifacts.
  • Maintain detailed and accurate PA program documentation, including action items, risk and issue logs, mitigation plans, and governance decisions, ensuring auditability and traceability.
  • Maintain accurate and up-to-date trackers, RAID logs, and documentation across multiple PA workstreams to support transparency and leadership oversight.
  • Compile, format, and validate review packets and governance decision materials to ensure consistency, completeness, and decision-readiness for leadership review.
  • Coordinate and validate market, clinical, and SME inputs to ensure they are accurately incorporated into final PA governance materials.
  • Partner with analytics, medical economics, and operations teams to review financial and operational claims data prior to governance review and decision-making.
  • Ensure ad-hoc PA requests are logged, tracked, prioritized, and either executed or formally deferred into subsequent governance cycles.
  • Maintain a centralized PA documentation repository as the single source of truth for governance artifacts, decisions, and reference materials.
  • Provide strong leadership and communicate PA program and governance status to stakeholders at all levels, including executive summaries, dashboards, and presentations.
  • Lead cross-functional governance and working sessions with Operations, Clinical, Finance, Analytics, Technology, and Compliance partners to meet enterprise objectives and stakeholder expectations.
  • Negotiate with stakeholders to secure resources, resolve cross-functional dependencies, and mitigate risks while maintaining alignment to PA governance standards.
  • Provide functional and operational expertise related to PA programs, requirements, and workflows to support informed decision-making.


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.

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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