Program Manager II – Provider Network

Centene Corporation

. Conduct routine and ad hoc provider network analysis by geography, specialty, and line of business .

Posted 9/17/2026full-timeRemote • Oregon • United StatesMid-LevelSenior💰 $70,100 - $126,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider network analysis, network adequacy performance monitoring, and regulatory reporting within healthcare settings. Proficient in advanced data analysis, project management, and cross-functional collaboration to drive network improvement initiatives.

Highest-signal resume keywords

Provider Network AnalysisNetwork Adequacy MonitoringAdvanced Excel SkillsPower BI ExperienceProject Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisReporting AutomationProvider Data ManagementQuality ImprovementProgram ManagementHealthcare Network OperationsNetwork Strategy InitiativesContract NegotiationsRegulatory ReportingAccess Analysis

Soft Skills

Analytical SkillsProblem-Solving SkillsOrganizational SkillsCommunication SkillsFacilitation Skills

Tools & Technologies

Power BIReporting ToolsBusiness Intelligence PlatformsExcel Pivot TablesData Validation

Industry Keywords

MedicaidMedicare AdvantageCommercial Network RequirementsHealthcare Regulatory StandardsManaged Care Organizations

About the role

Key responsibilities & impact

Conduct routine and ad hoc provider network analysis by geography, specialty, and line of business
Monitor network adequacy performance and identify potential gaps and access issues
Lead monthly and quarterly Network Adequacy Committee meetings and develop supporting reporting materials
Manage network gap remediation efforts through collaboration with Contracting, Provider Data Operations, Provider Engagement, Credentialing, Compliance, and Network Operations teams
Prepare network adequacy reporting for internal leadership and regulatory requirements
Support annual Medicaid and Medicare network adequacy exception request processes when applicable
Perform provider network impact analyses related to contract negotiations, terminations, and network strategy initiatives
Develop, maintain, and improve reporting tools, dashboards, trackers, business documentation, and process workflows
Coordinate cross-functional workgroups and ensure action items are tracked through completion
Serve as a subject matter resource for provider network composition, access, adequacy, and reporting
Perform other duties as assigned
Comply with all policies and standards

Requirements

What you’ll need

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Bachelor's Degree in related field or equivalent experience required
3+ years of quality improvement, program management or project management experience required
Experience with healthcare network operations, provider contracting, network adequacy, provider data management, or managed care organizations
Strong analytical and problem-solving skills with experience interpreting large data sets and transforming findings into actionable recommendations
Advanced Excel and reporting capabilities, including pivot tables, lookups, data validation, and reporting automation
Experience working with Power BI, reporting tools, or business intelligence platforms
Strong project management and organizational skills with the ability to manage multiple priorities simultaneously
Experience facilitating meetings and leading cross-functional workgroups
Excellent written and verbal communication skills
Ability to present data and recommendations to leaders and business stakeholders
Knowledge of Medicaid, Medicare Advantage, and Commercial network requirements is highly preferred
Experience with healthcare regulatory reporting, network adequacy standards, or provider network access analysis is strongly preferred
Health care experience preferred

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field or office work schedules
Additional forms of incentives may be included in total compensation
Equal opportunity employer committed to diversity