Medicare Program Manager III

Centene; United States; Remote; USD 86,000 - 155,000; Full time

Job summary

A leading healthcare organization is seeking a professional to enhance Medicare Supplemental Benefits. This role involves managing product development, leading strategic initiatives, and ensuring compliance while delivering results through cross-functional teams. Candidates should possess a Bachelor's degree and significant experience in project management and healthcare.

Benefits

Competitive benefits

Workplace flexibility

Qualifications

• 5+ years of project implementation or product management experience.
• Managed care or prescription benefit management experience preferred.
• Experience with bid filing strongly preferred.

Responsibilities

• Own Product Development for multiple Medicare Supplemental Benefits.
• Manage multiple benefit packages through full product lifecycle.
• Develop strategies to realize improvement opportunities.

Skills

Project Management

Strategic Planning

Negotiation

Regulatory Compliance

Leadership

Education

Bachelor’s degree in Business Administration or Healthcare Administration

Master’s degree (preferred)

Tools

Project Management Tools

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Promote increased Medicare Supplemental Benefit efficiency, service levels, and value by capturing, developing, monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Develop, plan, lead, monitor, and own multiple, concurrent Medicare Supplemental Benefits utilizing cross-functional teams to deliver defined results and meet company strategic objectives.

• Own Product Development for multiple Medicare Supplemental Benefits
• Develop and lead strategies, including financial strategies, member materials, benefit filing, and contracting
• Identify opportunities to increase efficiency, improve service levels, and ensure regulatory compliance through enhanced operations
• Develop strategies to realize improvement opportunities, ensuring organizational prioritization and resource alignment
• Manage multiple benefit packages through full product lifecycle, including requirements gathering, RFIs, RFPs, vendor assessments, benefit analysis, planning, resource management, budgeting, and project execution
• Utilize project management tools and techniques to effectively manage benefit packages
• Maintain detailed project documentation, including action items, issues, and risk mitigation plans
• Provide leadership and communicate status and proposals to stakeholders, including executive summaries and presentations
• Negotiate with stakeholders to secure resources, resolve issues, and mitigate risks
• Lead meetings with functional areas and vendors to meet stakeholder expectations and company objectives
• Provide technical and functional knowledge regarding program requirements and operations

Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, or related field; Master’s preferred. 5+ years of project implementation, product, or program management experience. Managed care or prescription benefit management experience preferred. Experience with bid filing strongly preferred.

Pay Range: $86,000.00 - $154,700.00 per year