Remote Healthcare Quality & Program Development Lead

Centene Corporation; United States; Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Health insurance

401(k) and stock purchase plans

Tuition reimbursement

Paid time off plus holidays

Flexible work schedules

Job summary

Centene Corporation in the United States is seeking a Program Development Manager who collaborates with Quality, Health Services and Operations to design and implement standards, policies, workflows, and decision-support systems that improve clinical and administrative operations.

The role leads state-required Performance Improvement Projects, partners with analytics teams, and guides cross-functional teams through root-cause analysis and program rollout to elevate patient quality of care.

Qualifications

• Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment
• Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH
• Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across settings

Responsibilities

• Oversees the creation and implementation of programs relevant to the organization’s strategic initiatives involving Health Services, clinical and operational quality administration
• Designs and facilitates the development of various programs/systems, workflows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements
• Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission
• Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner
• Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary
• Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care
• Conducts other responsibilities as needed.

Skills

Program development

Program management

Project management

Managed care

Education

Bachelor’s Degree in a related field

Master’s Degree in a related field (MBA, MHA, MPH, MSN)

Job description

Centene Corporation in the United States is seeking a Program Development Manager who collaborates with Quality, Health Services and Operations to design and implement standards, policies, workflows, and decision-support systems that improve clinical and administrative operations.

The role leads state-required Performance Improvement Projects, partners with analytics teams, and guides cross-functional teams through root-cause analysis and program rollout to elevate patient quality of care.