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Program Manager III – SSBCI
Centene Corporation. Promote increased program efficiency, service levels, and value by monitoring performance and identifying improvement opportunities .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in project management, including planning, execution, and closure, while ensuring regulatory compliance and operational efficiency. Proficient in leading cross-functional teams and managing complex programs within healthcare operations.
Highest-signal resume keywords
Project ManagementRegulatory ComplianceCross-Functional Team LeadershipHealthcare OperationsPMP or PgMP Certification
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 ImplementationRequirements GatheringBudgetingData ReportingOperational ControlsRisk MitigationRoot-Cause AnalysisTesting and ValidationProgram ManagementMember Experience Operations
Soft Skills
CommunicationNegotiationStakeholder ManagementProblem-SolvingOrganizational Skills
Tools & Technologies
Project Management ToolsData Flow ManagementSystem InterfacesFile Ingestion TechniquesOperational Reporting
Certifications & Qualifications
PMPPgMP
Industry Keywords
Managed CarePrescription Benefit ManagementMedicare AdvantageD-SNPSSBCI
Tech Stack
Tools & technologiesPMP
About the role
Key responsibilities & impact- Promote increased program efficiency, service levels, and value by monitoring performance and identifying improvement opportunities
- Plan, organize, monitor, oversee, and lead multiple concurrent projects using cross-functional teams
- Lead the end-to-end SSBCI program across business operations, data, technology, vendors, compliance, customer service, enrollment, and member experience
- Create structure, manage dependencies, clarify requirements, owners, dates, decisions, and next steps
- Identify gaps and risks, separate immediate safeguards from long-term solutions, drive issues to closure, and provide updates on progress, risks, decisions, and member impact
- Identify opportunities to increase efficiency, improve service levels, and ensure regulatory compliance through enhanced operations
- Develop improvement strategies and ensure organizational prioritization and resource alignment
- Manage projects through the full project life cycle, including requirements gathering, project planning, scheduling, resource management, budgeting, execution, deployment, and closure
- Use corporate and industry-standard project management tools and techniques
- Maintain project documentation, action items, issue lists, and risk mitigation plans
- Communicate project status to stakeholders through executive summaries and presentations
- Negotiate with stakeholders to secure resources, resolve issues, and mitigate risks
- Lead cross-functional meetings to meet stakeholder expectations and company objectives
- Provide functional and technical knowledge regarding program requirements and operations
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
- Experience with Medicare Advantage, D-SNP, SSBCI, or healthcare operations preferred
- Experience with complex program management in a matrixed organization preferred
- Experience with cross-functional business and technology initiatives preferred
- Experience with data reporting, operational controls, testing, or readiness preferred
- Experience with vendor, customer service, or member-experience operations preferred
- Comfort with eligibility logic, data flows, file ingestion, system interfaces, crosswalks, member indicators, reporting, reconciliation, testing, validation, controls, root-cause analysis, and downstream operational impact
- PMP or PgMP
- 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 and 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