Medicare Program Manager III
| Company | Centene |
|---|---|
| Location | Texas, USA, Florida, USA, Arizona, USA, North Carolina, USA, Missouri, USA |
| Salary | $86000 – $154700 |
| Type | Full-Time |
| Degrees | Bachelor’s, Master’s |
| Experience Level | Senior |
Requirements
- Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience
- 5+ years project implementation, product or program management experience
- Managed care or prescription benefit management experience preferred
- Experience with bid filing strongly preferred
Responsibilities
- Promote increased Medicare Supplemental Benefit efficiency, service levels, and value
- Own Product Development for multiple Medicare Supplemental Benefits
- Develop and lead strategies, including financial strategies, member materials, benefit filing and contracting
- Identify opportunities to increase efficiency, improve service levels and ensure regulatory compliance through enhanced operations
- Develop strategies to realize improvement opportunities and ensure organizational prioritization and resource alignment
- Manage multiple benefit packages through full product life cycle process including requirements gathering, creation of RFIs, RFPs, vendor assessments, benefit analysis, plans and schedules, obtaining and managing resources, managing budget, and facilitating project strategy execution, deployment and closure
- Utilize corporate and industry standard project management tools and techniques to effectively manage benefit packages
- Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
- Provide leadership and effectively communicate status and proposals to all stakeholders, including executive summaries and presentations
- Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks
- Lead meetings with various functional areas and vendors to meet overall stakeholder expectations and company’s objectives
- Provide functional and technical knowledge regarding overall program requirements and operations
Preferred Qualifications
- Master’s degree preferred
- Managed care or prescription benefit management experience preferred
- Experience with bid filing strongly preferred