Program Manager I

Meridian of Illinois; Illinois; On-site; USD 37,000 - 68,000; Full time

Benefits offered by this job

Health insurance

401K matching

Tuition reimbursement

Paid time off

Job summary

Centene is seeking a Program Manager to oversee HealthWorks agency performance and ensure DCFS/YouthCare compliance across Illinois. The role focuses on managing provider relationships, leading audits, and supporting statewide program operations with in-person meetings in Illinois.

The position requires a Bachelor’s degree and 1+ year of project management or related experience, with a strong emphasis on quality and cost of care improvements.

Qualifications

• Bachelor's Degree in a related field or equivalent experience.
• 1+ years of project management or business process experience preferred.
• Preferred experience in program management, healthcare operations, audits, and relationship management.

Responsibilities

• Oversee HealthWorks agency performance and DCFS/YouthCare requirements.
• Manage provider relationships and lead audits.
• Support statewide program operations across Illinois.
• Review monthly and quarterly performance reports.
• Coordinate cross-functional meetings and stakeholder communications.
• Develop training and technical assistance for agencies.
• Identify opportunities to improve outcomes and compliance.

Skills

Program management

Audit management

Relationship management

Education

Bachelor's degree in related field

Job description

Position Purpose

As part of Meridian Health Plan, the Program Manager is responsible for overseeing HealthWorks agency performance, ensuring compliance with DCFS and YouthCare requirements, managing provider relationships, leading audits, and supporting statewide program operations across Illinois.

Key Details

This is an hourly role. Applicants residing in Illinois (greater Chicago area) highly preferred due to business need and in-person department meetings. 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 for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

Program Oversight & Compliance

• Ensure compliance with HealthWorks Program Manual requirements, contract obligations, and DCFS standards.
• Support business department initiatives that promote, quality, safety and cost of care opportunity including requirements gathering, creation of plans and schedules, obtaining and managing resources, and facilitating program execution and deployment.

Audit and Quality Management

• Conduct quarterly desk reviews and audits of the agencies.
• Analyze audit results and provide coaching, training, and technical assistance.
• Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures.

Agency and Stakeholder Management

• Serve as the primary liaison between YouthCare, DCFS, and HealthWorks agencies.
• Facilitate quarterly agency meetings and operational discussions.
• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives.

Performance Monitoring & Reporting

• Review monthly and quarterly performance reports.
• Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable.
• Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation.

Training & Technical Assistance

• Develop and deliver training for HealthWorks agencies.
• Communicate program status to management and key stakeholders.

Operational Improvement

• Identify trends and opportunities to improve outcomes and compliance.
• Identify resources, resolve issues, and mitigate risks.
• Identify requirements, procedures and problems to improve existing processes.

Education/Experience

Bachelor's Degree Bachelor’s degree in related field or equivalent experience required. 1+ years of project management or business process experience preferred.

Preferred Experience

Program Management, Healthcare Operations, Audit Management, Relationship Management.

Pay Range

$27.02 - $48.55 per hour

About Centene

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Benefits

• competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.
• Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.
• Total compensation may also include additional forms of incentives.
• Benefits may be subject to program eligibility.

Equal Opportunity Statement

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Notice Regarding Criminal Records

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act