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 to improve quality for Nevada Medicaid by utilizing cross functional teams, including external provider partners, to deliver defined requirements and meet business needs and strategic objectives for Silver Summit Health Plan.
*** The Program Manager II is primarily remote with 25% travel expectation. Candidates must reside within the state of Nevada, preferably Las Vegas, and hold a valid driver's license to be considered for the position. ***
Responsibilities:
Support quality improvement department initiatives that promote quality, safety, and cost of care opportunity.
Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitating 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.
Perform other duties as assigned.
Comply 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, specifically with value-based, quality, risk adjustment highly preferred.
Pay Range: $70, $126,200.00 per yearCentene 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
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