Remote Program Manager – Provider Network Analytics

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

Benefits offered by this job

Remote work

Health insurance

401K

Stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation in Oregon is seeking a provider network analysis lead to monitor adequacy across Medicaid and Medicare lines, reporting to senior leadership. This fully remote role requires strong analytics, data interpretation, and cross-functional collaboration to drive network improvements.

The ideal candidate has 3+ years in quality improvement or program management within healthcare, advanced Excel and Power BI skills, and excellent communication to present findings to stakeholders.

Qualifications

• Bachelor's Degree in related field or equivalent experience.
• 3+ years of quality improvement, program management or project management experience required.
• Health care experience preferred.

Responsibilities

• Conduct routine and ad hoc provider network analysis by geography, specialty, and line of business.
• Monitor network adequacy performance and identify gaps and access issues.
• Lead NAC meetings and develop reporting materials.
• Manage network gap remediation with cross-functional teams.
• Prepare network adequacy reporting for leadership and regulatory needs.
• Support Medicaid/Medicare network adequacy exception requests.
• Perform provider network impact analyses related to contracts and terminations.
• Develop and improve reporting tools, dashboards, trackers and workflows.
• Coordinate cross-functional workgroups and ensure action items are tracked to completion.
• Serve as SME for provider network composition, access and adequacy.

Skills

Healthcare analytics

Advanced Excel

Power BI

Project management

Cross-functional collaboration

Communication skills

Education

Bachelor's Degree

Tools

Excel

Reporting automation

Job description

Centene Corporation in Oregon is seeking a provider network analysis lead to monitor adequacy across Medicaid and Medicare lines, reporting to senior leadership. This fully remote role requires strong analytics, data interpretation, and cross-functional collaboration to drive network improvements.

The ideal candidate has 3+ years in quality improvement or program management within healthcare, advanced Excel and Power BI skills, and excellent communication to present findings to stakeholders.