Project Manager II - Risk Adjustment

Centene Management Company LLC; North Carolina; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

competitive pay

health insurance

401K and stock purchase plans

tuition reimbursement

paid time off plus holidays

flexible work schedules (remote, any)

Job summary

Centene Management Company LLC, working with the Carolina Complete Health Plan Risk Adjustment team, seeks a Project Manager to plan, organize, monitor, and oversee risk adjustment projects, track monthly goals, assign tasks, and engage providers for issues. The role emphasizes remote work and collaboration with executives.

The position requires Power BI, CoPilot AI, Excel Analytics, MS365, dashboard reporting, and strong project governance.

Qualifications

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

Responsibilities

• Manage full project life cycle from requirements to closure.
• Use PM tools to plan, track, and report progress.
• Establish and maintain project management procedures.
• Maintain detailed project documentation and risk plans.
• Communicate status to stakeholders and negotiate resources.
• Coordinate cross-functional meetings to align objectives.
• Provide knowledge across business and technical areas.
• Ensure deliverables meet quality standards and docs.
• Create milestone docs, dashboards, ROI tables, and metrics.

Skills

Project management

Communication

Cross-functional collaboration

Education

Bachelor's degree or equivalent experience

Tools

Power BI

CoPilot AI

MS-Project

Excel

MS365

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

Responsibilities

• 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

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

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 & Diversity

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.