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: Plan, organize, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives.
- Creating/maintaining work processes for the UM/CM team to ensure compliance with NCQA/State/Federal guidelines and requirements.
- Support business department initiatives that promote, quality, safety and cost of care opportunity.
- Ensuring policies/processes and other information on the UM/CM SP sites/folders are current .
- Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures.
- Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable.
- Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation.
- Communicate program status to management and key stakeholders.
- Change management when rolling out new processes.
- Support reporting requirements, productivity tracking for UM/CM teams.
- Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives.
- Manage projects through the full project life cycle.
- Provide leadership and effectively communicate project status to all stakeholders.
- Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Bachelor's Degree in related field or equivalent experience required
3+ years of quality improvement, program management or project management experience required
Health care experience preferred
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
