Project Manager II - Risk Adjustment

Centene Corporation; North Carolina; Hybrid; USD 70,000 - 126,000; Full time

Job summary

Centene Corp. is seeking a Senior Project Manager to drive Risk Adjustment initiatives for the Carolina Complete Health Plan.

This fully remote role requires coordinating cross-functional teams, managing budgets, and delivering on annual goals with executive visibility. You will lead requirements gathering, create schedules, monitor progress, and communicate status to stakeholders while leveraging Power BI, MS-Project, and MS-Office tools to optimize outcomes in healthcare risk adjustment

Qualifications

• Bachelor's degree required or equivalent experience.
• 3+ years of project management experience.
• Experience leading diverse groups in a matrix environment.
• Proficient with project management tools (MS-Project) and MS-Office.

Responsibilities

• Plan, organize, monitor and oversee risk adjustment projects.
• Track monthly goals and assign tasks to coordinators.
• Outreach to providers for project issues and escalations.
• Meet or exceed annual risk adjustment goals and manage budget.
• Maintain project plans, schedules, and documentation.
• Communicate project status to stakeholders clearly.

Skills

Power BI

CoPilot AI

Risk Adjustment

Excel Analytics

Dashboard reporting

MS365

Education

Bachelor's degree in related area

Tools

MS-Project

MS-Office

Job description

Position Purpose:

With the Carolina Complete Health Plan Risk Adjustment team, you will plan, organize, monitor, and oversee risk adjustment projects along with tracking monthly goals, assigning project tasks to Risk Adjustment Coordinators, outreach to Providers for project related issues, meet or exceed Annual Risk Adjustment Goals, Vendor Management, collaborate with Corporate Shared Services, Strategize and process improvement

Key Details:

Fully remote role. The preferred skills for the role are Power BI, CoPilot AI, knowledge of Risk Adjustment, Excel Analytics, MS365, dashboard reporting, reporting of projects to Executive Leadership

• Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure.
• Utilize corporate and industry standard project management tools and techniques to effectively manage projects.
• Assist with establishment and maintenance of corporate project management methodology and other department procedures.
• Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans.
• Effectively communicate project status to all stakeholders.
• Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.
• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives.
• Provide functional and technical knowledge across multiple business and technical areas.
• Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.
• Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics.

Required Education/Experience:

Bachelor's degree in related area or equivalent experience. 3+ years of project management experience. Experience working with and leading diverse groups and matrix managed environments. Proficient with project management tools, MS-Project or other project management software, and MS-Office applications. Healthcare experience preferred.

License/Certification:

PMP or CAPM certification preferred.

Pay Range: $70,100.00 - $126,200.00 per year

At Centene, we connect people to the care they need to load 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. Its work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

Centene offers a comprehensive benefits package including: 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 facts 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.

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.

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