Program Manager III – Provider Data Operations

Centene Corporation

. Promote increased program efficiency, service levels, and value by capturing and monitoring performance and identifying improvement opportunities .

Posted 9/16/2026full-timeRemote • California • United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in project management, including planning, execution, and governance of complex initiatives within healthcare operations. Proficient in leading cross-functional teams to drive process improvements and ensure regulatory compliance while achieving strategic business objectives.

Highest-signal resume keywords

Project ManagementHealthcare OperationsProcess ImprovementStakeholder EngagementRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ImplementationRequirements GatheringRisk MitigationBudget OversightPerformance Monitoring

Soft Skills

CommunicationNegotiationLeadershipCollaborationProblem-Solving

Tools & Technologies

SmartsheetJiraPower BIMicrosoft Office SuiteCollaboration Platforms

Certifications & Qualifications

PMPPgMPLean Six SigmaAgileScrum

Industry Keywords

Managed CareProvider Data ManagementNetwork OperationsHealthcare PayerPrescription Benefit Management

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Promote increased program efficiency, service levels, and value by capturing and monitoring performance and identifying improvement opportunities
Plan, organize, monitor, oversee, and lead multiple concurrent projects using cross-functional teams
Lead planning, execution, governance, and delivery of complex Mission Simplify initiatives supporting Provider Data Operations transformation
Drive initiatives from discovery through implementation and operational transition
Identify opportunities to increase efficiency, improve service levels, ensure regulatory compliance, and enhance operations
Develop strategies for improvement opportunities, organizational prioritization, resource alignment, and strategic business objectives
Manage projects through discovery, requirements gathering, scope definition, planning, resource management, budget oversight, implementation, deployment, and transition
Develop integrated project plans, milestones, dependencies, RAID logs, and executive status reporting
Maintain project documentation, including action items, issue logs, risk mitigation plans, business requirements, acceptance criteria, and testing readiness documentation
Communicate project status through executive summaries, dashboards, presentations, and governance updates
Negotiate for resources, resolve issues, mitigate risks, and secure stakeholder alignment and formal scope sign-off
Lead cross-functional meetings and governance routines with Business Analysts, SMEs, technology teams, operational leaders, and business partners
Provide functional and technical knowledge regarding program requirements, operational processes, and business solution implementation
Monitor project health and KPIs, identify risks and issues, and develop mitigation plans
Support change management, training readiness, stakeholder communications, and operational transition activities
Establish and promote project management standards, tools, templates, and best practices

Requirements

What you’ll need

Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience
Master’s degree preferred
5+ years project implementation, product or program management experience
Managed care or prescription benefit management experience preferred
Healthcare payer, provider operations, provider data management, network operations, or health plan experience
Proficiency with Smartsheet, Jira, Power BI, Microsoft Office Suite, and collaboration platforms
PMP, PgMP, Lean Six Sigma, Agile, Scrum, or related certification
Experience leading process improvement, automation, digital transformation, or operating model redesign initiatives
Knowledge of provider credentialing, provider data management, enrollment operations, network management, or healthcare operations
Experience supporting large-scale strategic transformation programs with measurable operational and financial outcomes, including presenting to senior leadership and influencing decision-making across multiple business functions
Experience leading enterprise-wide and cross-functional initiatives with multiple stakeholders
Demonstrated experience managing project plans, requirements, risks, dependencies, budgets, and executive communications
Experience facilitating requirements workshops, stakeholder engagement sessions, and governance reviews
Knowledge of project management methodologies and delivery frameworks

Benefits

Comp & perks

Competitive pay
Health insurance
401K plan
Stock purchase plan
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