Job Description
Position Purpose:
The Program Manager IV is responsible for coordinating the implementation of new regulatory requirements, including the REAL Health Providers Act, Medicaid Mega Rule, state-specific directory regulations, and ongoing compliance reporting activities such as RARR. The role also serves as a key liaison for tracking regulatory changes, assessing business impact, and driving remediation efforts across multiple teams. 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:
Ideal candidates have proven experience leading enterprise-scale provider data governance, master data management (MDM), or healthcare data quality programs within a payer, provider, or healthcare technology organization
. Applicants for this job have the flexibility to work remote from home anywhere in the United States. 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.
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.
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
Job Tags
Full time, Part time, H1b, Work from home, Flexible hours