Provider Data Process Owner

Centene; United States; Remoto; USD 120.000 - 160.000; Tempo pieno

Descrizione del lavoro

Centene is seeking a highly capable Program Manager to lead and drive complex, large-scale initiatives across healthcare and insurance domains. You will analyze and improve business processes, manage cross-functional teams, vendors, and budgets while ensuring compliance and measurable outcomes.

Responsibilities include strategy support for transformational priorities, rigorous data analysis, end-to-end project execution, and executive communications.

Competenze

• Diploma or related field or equivalent experience required.
• Up to 5+ years of health care or insurance industry experience having led or been a key contributor on large scale initiatives required.
• Operations experience preferred.
• PMP - PMI certification preferred.
• IAPM - Certified Project Manager preferred.
• CSSBB - Six Sigma Black Belt preferred.

Mansioni

• Support strategy for complex business transformational priority.
• Actively participate in the execution of complex business cases to assess feasibility, opportunities, risks and ROI.
• Aid in activation of strategic and policy guidance for effective implementation and results.
• Perform detailed analysis of data, workflows, policies, procedures, organization of staff, and skills to execute initiatives.
• Collect and analyze process data to initiate, develop and recommend business practices focusing on effectiveness and cost containment.
• Collaborate with stakeholder SMEs for knowledge transfer, training and implementation.
• Confirm end to end integrity to accomplish project work up to final recommendations and implementation.
• Create timely communication to stakeholders and contribute to executive-level presentations.
• Performs other duties as assigned, and complies with policies and standards.

Conoscenze

Project management

Data analysis

Stakeholder management

Cross-functional collaboration

Formazione

Diploma or related field

PMP - PMI certification

IAPM Certified Project Manager

CSSBB - Six Sigma Black Belt

Descrizione del lavoro

Remote

Position Purpose

Utilizes business expertise to facilitate, lead and drive complex large scale work efforts across domains and/or large scale cross functional initiatives with matrixed team support. Analyzes and measures the effectiveness of existing business processes and develop sustainable, scalable and quantifiable business process improvements. Researches industry best practices to ensure alignment of strategic planning, collaboration with key stakeholders, communication delivery, operational execution/implementation, and compliance and budget adherence. Delivers expertise in areas such as process improvement (end to end), vendor management, technology and scalability.

Key Details

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.

Responsibilities

• Support strategy for complex business transformational priority
• Actively participate in the execution of complex business cases for proposed initiatives to ensure adequate assessment of feasibility, opportunities, risks and return on investment to meet key business objectives
• Aid in the activation of strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results
• Perform detailed analysis of data, workflows, policies, procedures, organization of staff, and skills to execute initiatives
• Collect and analyze process data to initiate, develop and recommend business practices and procedures that focus on enhanced effectiveness and increased productivity with a consideration for cost containment
• Collaborate directly with stakeholder SME’s for knowledge transfer, training and implementation
• Confirm end to end integrity to accomplish project work up to and including final recommendations and implementation
• Partner on creation of timely communication to all key stakeholders and contribute to executive level presentations for support, awareness, and effectiveness of all deliverables
• Performs other duties as assigned
• Complies with all policies and standards

Education / Experience

• Diploma or related field or equivalent experience required.
• Up to 5+ years of health care or insurance industry experience having led or been a key contributor on large scale initiatives required.
• Operations experience preferred.
• Certified Project Management Professional (PMP)-PMI preferred.
• Certified Project Manager (IAPM) preferred.
• CSSBB - Six Sigma Black Belt preferred.

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.