Program Manager III - Medical Affairs

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: With the Corporate Medical Affairs Operations team, you will support our Regional Medical Affairs Teams primarily overseeing Medical Affairs operations for Medicaid and Ambetter products. This position will be a primary resource for our regional leaders to align with leaders on strategic goals, and provide business insights through data to influence performance trends to meet targets. Strategic initiatives that come up for the regions will also be managed by this role for implementation.

• Identify opportunities to increase efficiency, improve service levels and to ensure regulatory compliance through enhanced operations
• Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment
• Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure
• Utilize corporate and industry standard project management tools and techniques to effectively manage projects
• Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
• Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations
• Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks
• Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives
• Provide functional and technical knowledge regarding overall program requirements and operations

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 Skills:

Understand the end to end Utilization Management process with an emphasis on Medical Affair’s role and upstream/downstream components.

Translate strategic goals into measurable KPIs that reflect the true operations within the department and use those insights to communicate and influence our regional leaders.

Key skills include: excelling in communication, moderate technical skills for data manipulation and presentation, tight organizational skills to maintain ongoing support for 4 regional units.

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, 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