[Remote] Program Manager II-COB, TPL, Subrogation

Note: The job is a remote job and is open to candidates in USA. Centene Corporation is a healthcare company focused on connecting people to the care they need and improving healthcare accessibility and effectiveness. The Program Manager II will lead COB, TPL, and Subrogation initiatives, coordinating cross-functional teams and vendors, managing project execution, and supporting regulatory readiness and recovery optimization across health plans and lines of business.

Responsibilities

• Lead cross-functional COB, TPL, and Subrogation initiatives including vendor implementations, operational enhancements, regulatory readiness efforts, and recovery optimization projects across multiple health plans and lines of business
• Serve as the primary coordinator for COB, TPL, and Subrogation initiatives by organizing work across operational teams, facilitating meetings with internal stakeholders and external vendors, tracking deliverables, managing issue resolution, and ensuring timely execution of strategic priorities
• Support business department initiatives that promote, quality, safety and cost of care opportunity
• Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment
• Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures. Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable
• Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation
• Communicate program status to management and key stakeholders
• Identify resources, resolve issues, and mitigate risks
• Identify requirements, procedures and problems to improve existing processes
• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives
• Manage projects through the full project life cycle
• Provide leadership and effectively communicate project status to all stakeholders
• Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks
• Performs other duties as assigned
• Complies with all policies and standards

Skills

• Bachelor's Degree in related field or equivalent experience
• 3+ years of quality improvement, program management or project management experience
• Health care experience
• Healthcare experience with COB, TPL, Subrogation, Recovery Operations, Payment Integrity, or Claims Operations
• Preferred experience leading cross-functional initiatives involving vendors, technology teams, and business stakeholders
• Preferred knowledge of Medicare, Medicaid, and Commercial healthcare reimbursement and recovery processes

Benefits

• Health insurance
• 401K and stock purchase plans
• Tuition reimbursement
• Paid time off plus holidays
• Flexible approach to work with remote, hybrid, field or office work schedules

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