Program Manager II-Recovery Operations

Centene Corp.; Northern (KY); Hybrid; USD 70,000 - 126,000; Full time

Job summary

Centene Corp. is seeking a Program Manager II for Recovery Operations to plan, coordinate, and monitor cross-functional programs across operational, business, and technology teams.

You will facilitate stakeholder meetings, manage issues, and ensure timely delivery of strategic priorities within healthcare recovery operations. The role emphasizes collaboration with BTS/IT, external partners, and clinical/revenue teams, with a focus on inventory management, performance reporting, and process

Qualifications

• Bachelor's Degree in related field or equivalent experience required.
• 3+ years of quality improvement, program management or project management experience required.
• Healthcare experience preferred, especially in recovery operations, payment integrity, claims, or revenue cycle.

Responsibilities

• Plan, organize, monitor, and oversee programs using cross-functional teams to deliver defined requirements and meet business needs.
• Serve as primary coordinator for Recovery Operations and Recovery Platform initiatives across operational, business, and technology teams.
• Coordinate meetings with internal stakeholders and external partners; track issues and ensure timely delivery of priorities.
• Provide executive-level reporting on program status, risks, and key performance metrics.
• Identify resources, mitigate risks, and facilitate project execution through full lifecycle.

Skills

Program management

Cross-functional teams

Stakeholder management

JIRA

ServiceNow

Agile methodologies

SAFe

Data analytics

Performance reporting

Education

Bachelor's degree or equivalent experience

Tools

JIRA

ServiceNow

Job description

## Program Manager II-Recovery OperationsApply: Remote-MO: Remote-GA: Remote-NC: Remote-TX: Remote-IL: Full time: Posted Today: 1663154**Position Purpose:** Plan, organizes, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives.* Serve as the primary coordinator for Recovery Operations and Recovery Platform initiatives by organizing work across operational, business, and technology teams, facilitating meetings with internal stakeholders and external partners, managing issue resolution, and ensuring timely delivery of strategic priorities.* Monitor recovery inventory, operational performance, and platform-related initiatives; identify risks and bottlenecks, coordinate remediation efforts with BTS and business teams, and provide executive-level reporting on program status, issues, and key performance metrics.* Support business department initiatives that promote, quality, safety and cost of care opportunity.* Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment.* Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures.* 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.* Communicate program status to management and key stakeholders.* Identify resources, resolve issues, and mitigate risks.* Identify requirements, procedures and problems to improve existing processes.* Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives.* Manage projects through the full project life cycle.* Provide leadership and effectively communicate project status to all stakeholders.* Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks.* Performs other duties as assigned.* Complies with all policies and standards.**Education/Experience:** Bachelor's Degree in related field or equivalent experience required. 3+ years of quality improvement, program management or project management experience required. Health care experience preferred. Preferred experience supporting healthcare recovery operations, payment integrity, claims operations, revenue cycle, or related healthcare business functions. Preferred knowledge of recovery inventory management, operational reporting, workflow optimization, and process improvement methodologies. Preferred experience partnering with business stakeholders, technology teams (BTS/IT), and external vendors to deliver system enhancements and operational initiatives with JIRA, ServiceNow, etc. Preferred familiarity with claims processing systems, recovery platforms, workflow management tools, data analytics, and performance reporting. Preferred experience leading cross-functional projects involving technology implementations, system integrations, or operational transformation initiatives. Preferred lean Six Sigma Green Belt, Agile, Scrum, SAFe, or other process improvement/project management certification preferred.Pay Range: $70,100.00 - $126,200.00 per year