Program Manager III – Utilization Management

Centene Corporation

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

Posted 10/8/2026full-timeRemote • 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 end-to-end implementation of technology solutions and managing cross-functional teams. Proficient in translating business and clinical requirements into effective system deployments while ensuring regulatory compliance and operational efficiency.

Highest-signal resume keywords

Project ManagementImplementation ExperienceAnalytical SkillsHealthcare AdministrationManaged Care Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ImplementationRequirements GatheringSolution DesignUser Acceptance TestingSystem ConfigurationBudget ManagementPerformance MonitoringGovernance EstablishmentSuccess Metrics TrackingWorkflow Transformation

Soft Skills

Attention to DetailCommunication SkillsNegotiation SkillsProblem-SolvingLeadership

Tools & Technologies

Project Management ToolsDashboardsReportsPresentations

Industry Keywords

Utilization ManagementRegulatory ComplianceEnterprise-Level DeliveriesClinical RequirementsOperational Efficiency

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 end-to-end implementation of technology solutions supporting Utilization Management
Translate business and clinical requirements into scalable, well-governed system deployments
Drive delivery from design through go-live and post-launch stabilization
Partner with clinical, operational, and IT teams to configure, test, and adopt new capabilities
Identify opportunities to improve efficiency, service levels, regulatory compliance, and technology-enabled processes
Develop strategies, prioritize improvements, align resources, and support workflow transformation initiatives
Manage requirements gathering, solution design, project plans, schedules, resources, budgets, system configuration, user acceptance testing, deployment, and go-live activities
Use project management tools and techniques to establish governance and controlled implementation approaches
Maintain project documentation including action items, issues, risks, success metrics, testing documentation, and readiness materials
Communicate project status through executive summaries, presentations, dashboards, and reports
Negotiate resources, resolve issues, mitigate risks, and align business, technology, operational, and vendor teams
Lead solution design sessions, governance reviews, testing activities, and implementation readiness discussions
Translate complex technical concepts, risks, and recommendations for diverse stakeholders
Define and track success metrics, implementation outcomes, and business value realization

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
Strong project management and analytical skills
High attention to detail
Proven track record of successful project deliveries at the enterprise level
Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Sponsorship and future sponsorship are not available, including H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT

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