Program Manager III (Provider Network Next Generation MyCare

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.

Position Purpose: Partner with health plan provider operations departments, sales, risk adjustment, quality and other health plan departments to enhance strategic provider relationships and develop avenues for communication that enhance member and provider engagement, claim trends and regulatory changes.

Develop and implement project plans to drive solutions for revenue and program deployment while leading a team of internal and external resources

Collaborate with various vendors and internal departments to drive key business initiatives and solutions across the enterprise to meet and exceed goals

Identify and develop enhancements and new functionalities to member and provider websites to increase self-service and provide information to members and providers

Assist with implementation of new applications and reporting to identify trends

Communicate business objectives as well as technical complexities of the program to key stakeholders at various levels of the organization

Create tools for health plans to utilize in provider education to achieve goals for electronic transactions

Education and Experience: Bachelor's degree in related field or equivalent experience. 5+ years of project management, provider relations, contracting, health care operations, or medical management. Experience in Managed Healthcare or Medicaid/Medicare industry.

Candidates must be in the state of Ohio to be considered for this position. This person will be allowed to work remotely full time, but also required to travel and attend meetings in-person occasionally (up to 20%).

Pay Range: $86,000.00 - $154,700.00 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. Total compensation may also include additional forms of incentives.

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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