Program Manager III

Centene Corporation

. Drive strategic healthcare transformation initiatives across health plan operations .

Posted 9/15/2026full-timeRemote • New York • United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in driving healthcare transformation initiatives, focusing on clinical and operational performance, regulatory compliance, and cost-saving strategies. Proficient in project management, stakeholder engagement, and translating healthcare data into actionable strategies.

Highest-signal resume keywords

Healthcare Transformation InitiativesProject ManagementRegulatory ComplianceCross-Functional CollaborationHealthcare Payer Operations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ImplementationBusiness Case DevelopmentHealthcare AnalyticsPerformance MeasurementCost-Saving StrategiesUtilization ManagementCare ManagementBehavioral HealthClinical OperationsData Analysis

Soft Skills

Executive CommunicationFacilitationCritical ThinkingProblem-Solving

Certifications & Qualifications

Project Management CertificationPMPPgMP

Industry Keywords

Healthcare PayerManaged CareMedicaidGovernment-Sponsored Health ProgramsClinical OperationsMedical EconomicsHealthcare Trends

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Drive strategic healthcare transformation initiatives across health plan operations
Identify opportunities to improve clinical and operational performance, member outcomes and experience, healthcare costs, and regulatory and contractual compliance
Lead concurrent initiatives from opportunity identification and business case development through implementation and performance measurement
Partner with clinical operations, Medical Economics, Finance, IT, Product, Provider/Network teams, Payment Integrity, and other cross-functional stakeholders
Evaluate healthcare quality, clinical and operational efficiency, member outcomes, service levels, regulatory compliance, and medical cost performance
Lead initiatives across Utilization Management, Care Management, Behavioral Health, LTSS, Clinical Operations, and other payer operations
Analyze healthcare utilization and cost trends, identify drivers and opportunities, develop business cases, and establish performance measures
Translate healthcare data and operational findings into strategies, project plans, and measurable interventions
Develop cost-saving strategies and facilitate prioritization, leadership alignment, and resource allocation
Manage projects through discovery, requirements gathering, planning, implementation, measurement, and transition to operational ownership
Establish objectives, milestones, deliverables, dependencies, risks, decision points, performance measures, governance, and documentation
Lead cross-functional workgroups and drive decisions and defined outcomes
Translate business and clinical requirements into technology-enabled solutions and ensure implementation and adoption
Monitor post-implementation performance, validate realized impact, and identify continued improvement opportunities
Communicate project status, risks, financial opportunities, decisions, and performance to senior and executive leadership
Negotiate with stakeholders to secure resources, resolve issues, mitigate risks, and maintain progress
Maintain knowledge of managed care operations, healthcare trends, regulatory requirements, and Medicaid considerations

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Business Administration, or related field, or equivalent relevant experience
5+ years project implementation, product or program management experience
Experience within a healthcare payer or managed care organization strongly preferred
Knowledge of Medicaid and/or other government-sponsored health programs preferred
Understanding of healthcare payer operations and the relationship between clinical operations, healthcare utilization, medical cost, quality, regulatory requirements, and financial performance preferred
Experience partnering with Medical Economics, healthcare analytics, Finance, or similar functions preferred
Experience leading complex, cross-functional healthcare initiatives preferred
Strong executive communication, facilitation, critical thinking, and problem-solving skills preferred
Project management certification (PMP, PgMP) and/or healthcare-related credentials preferred but not required
Must be authorized to work in the U.S. without employment-based visa sponsorship now or in the future

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
Diversity-focused equal opportunity workplace