Program Manager II

Program Manager

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 : The Program Manager responsible for planning, organizing, monitoring, and overseeing projects that leverage cross-functional teams to deliver defined requirements aligned with business needs and strategic objectives. This role ensures successful execution of initiatives related to appeals by coordinating resources, managing timelines, and driving accountability across teams. The Program Manager will work closely with internal stakeholders to brainstorm, develop, and implement innovative solutions that enhance operational efficiency and compliance.

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.

Support business department initiatives that promote quality, safety, and cost of care opportunity. Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment. 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. Identify resources, resolve issues, and mitigate risks. Identify requirements, procedures, and problems to improve existing processes. 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. Approximately 10% travel.

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. Candidates with clinical licenses or certifications are highly preferred (e.g., RN, LPN, LVN, LCSW, LCPC, LICSW, LMHC). Strong knowledge of operational, regulatory, clinical, and appeals processes within managed care highly preferred.

Pay Range : $68,700.00 - $123,700.00 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.