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Program Manager II – Recovery Operations
Centene Corporation. Plan, organize, monitor, and oversee programs using cross-functional teams to deliver defined requirements and meet business needs and strategic objectives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in program management and quality improvement within healthcare operations, focusing on cross-functional collaboration, risk management, and performance reporting. Proficient in utilizing industry-standard tools and methodologies to enhance operational efficiency and meet strategic objectives.
Highest-signal resume keywords
Program ManagementQuality ImprovementHealthcare OperationsCross-Functional CollaborationRisk Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Project ManagementOperational ReportingWorkflow OptimizationProcess ImprovementData AnalyticsPerformance ReportingRequirements GatheringResource ManagementIssue ResolutionStrategic Planning
Soft Skills
CommunicationLeadershipNegotiationFacilitationStakeholder Management
Tools & Technologies
JIRAServiceNowClaims Processing SystemsRecovery PlatformsWorkflow Management Tools
Certifications & Qualifications
Lean Six Sigma Green BeltAgileScrumSAFe
Industry Keywords
HealthcareRecovery OperationsPayment IntegrityClaims OperationsRevenue Cycle
Tech Stack
Tools & technologiesServiceNow
About the role
Key responsibilities & impact- Plan, organize, monitor, and oversee programs using cross-functional teams to deliver defined requirements and meet business needs and strategic objectives
- Serve as the primary coordinator for Recovery Operations and Recovery Platform initiatives
- Organize work across operational, business, and technology teams
- Facilitate meetings with internal stakeholders and external partners
- Manage issue resolution and ensure timely delivery of strategic priorities
- Monitor recovery inventory, operational performance, and platform-related initiatives
- Identify risks and bottlenecks and coordinate remediation efforts with BTS and business teams
- Provide executive-level reporting on program status, issues, and key performance metrics
- Support business department initiatives that promote quality, safety, and cost-of-care opportunities
- Gather requirements, create plans and schedules, manage resources, and facilitate project execution and deployment
- Use corporate and industry-standard tools and techniques to oversee programs
- Maintain business process documentation, including meeting minutes, action items, issue lists, and risk management plans
- Create and monitor department deliverables to ensure adherence to quality standards
- 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 to meet stakeholder expectations and business objectives
- Manage projects through the full project life cycle
- Provide leadership and communicate project status to stakeholders
- Negotiate with stakeholders to secure resources, resolve issues, and mitigate risks
- Perform other duties as assigned
- Comply with all policies and standards
Requirements
What you’ll need- 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
- Preferred experience supporting healthcare recovery operations, payment integrity, claims operations, revenue cycle, or related healthcare business functions
- Preferred knowledge of recovery inventory management, operational reporting, workflow optimization, and process improvement methodologies
- Preferred experience partnering with business stakeholders, technology teams (BTS/IT), and external vendors to deliver system enhancements and operational initiatives with JIRA, ServiceNow, etc.
- Preferred familiarity with claims processing systems, recovery platforms, workflow management tools, data analytics, and performance reporting
- Preferred experience leading cross-functional projects involving technology implementations, system integrations, or operational transformation initiatives
- Preferred Lean Six Sigma Green Belt, Agile, Scrum, SAFe, or other process improvement/project management certification
Benefits
Comp & perks- Competitive pay
- Health insurance
- 401K
- 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