20 open positions available
Lead transformation initiatives with business and IT teams, analyze processes and customer journeys, facilitate workshops, develop roadmaps and executive recommendations, and coach associates. | Requires a bachelor’s degree or equivalent and at least five years across two or more relevant areas; healthcare or Medicaid knowledge and relevant certifications are preferred. | Position Purpose: Through collaboration with the business and IT, lead programmatic efforts to drive operational efficiency. Results achieved through assessment benchmarking, customer journey mapping, current and future state process flows and gap analytics, strategic recommendations, financial optimization, organizational change management, governance, and implementation. Additionally responsible for coaching and mentoring associates. 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. Experience in Medicaid preferred. Establish as a strategic partner through gaining knowledge of the business / technology, building trust, and demonstrating value. Provide guidance and leadership and encourage collaboration to diverse, cross-functional stakeholders. Make independently ideated, informed business recommendations. Leads jumbo initiatives (defined as impacted 1k+ people, 3-5 business functions, or 75%+ reengineering of an existing process). May act in a support role for enterprise transformation initiatives (defined as impacting 5k+ people, 5+ business functions, or creating / full replacement of an enterprise process). Lead large scale workshops including all levels (i.e., individual contributor to Executive leadership) of employees through strategic, organization design, technology prioritization decisions, root cause analysis, and process mapping. Execute external research and the Capability Maturity Model to develop and execute an initiative scope specific diagnostic tool. Lead validation and results consolidation into a high quality, executive deliverable, which includes findings and multi-year strategic roadmap to address identified opportunities. Independently identify, establish, and quantify measurable business benefits (financial/non-financial) achieved as a result of services provided including: business/technical transformation, customer centricity, operational excellence, organizational change management, and strategic planning. Assist / coach associates as needed. Demonstrate thought leadership through out of the box thinking and leveraging Healthcare Industry knowledge. Demonstrate leadership qualities of mentoring, purpose driven thinking, principled agility and being focused driven through results oriented actions. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in related field or equivalent years of experience. 5+ years of experience in at least two of the following: process improvement/transformation, business/financial analysis, external consulting/auditing/risk analysis, customer journey/experience, organizational change management, IT solution/architecture, project management. License/Certification: Organizational Change Management (PROSCI, Six Sigma CAP, Kotter, Bridge’s Rogers Kubler), CEX, CMMI, Six Sigma, PMP preferred. Pay Range: $107,700.00 - $199,300.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would lead large-scale business transformation initiatives, assess processes and capabilities, develop strategic recommendations and roadmaps, quantify benefits, and coach associates. | The role requires a bachelor’s degree or equivalent and at least five years of experience in two or more specified areas such as transformation, customer experience, change management, analysis, or project management; healthcare experience is preferred. | Position Purpose Through collaboration with the business and IT, lead programmatic efforts to drive operational efficiency. Results achieved through assessment benchmarking, customer journey mapping, current and future state process flows and gap analytics, strategic recommendations, financial optimization, organizational change management, governance, and implementation. Additionally responsible for coaching and mentoring associates. 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. Experience in Medicare and Duals preferred. • Establish as a strategic partner through gaining knowledge of the business / technology, building trust, and demonstrating value. • Provide guidance and leadership and encourage collaboration to diverse, cross-functional stakeholders. • Make independently ideated, informed business recommendations. • Leads jumbo initiatives (defined as impacted 1k+ people, 3-5 business functions, or 75%+ reengineering of an existing process). May act in a support role for enterprise transformation initiatives (defined as impacting 5k+ people, 5+ business functions, or creating / full replacement of an enterprise process). • Lead large scale workshops including all levels (i.e., individual contributor to Executive leadership) of employees through strategic, organization design, technology prioritization decisions, root cause analysis, and process mapping. • Execute external research and the Capability Maturity Model to develop and execute an initiative scope specific diagnostic tool. • Lead validation and results consolidation into a high quality, executive deliverable, which includes findings and multi-year strategic roadmap to address identified opportunities. • Independently identify, establish, and quantify measurable business benefits (financial/non-financial) achieved as a result of services provided including: business/technical transformation, customer centricity, operational excellence, organizational change management, and strategic planning. • Assist / coach associates as needed. • Demonstrate thought leadership through out of the box thinking and leveraging Healthcare Industry knowledge. • Demonstrate leadership qualities of mentoring, purpose driven thinking, principled agility and being focused driven through results oriented actions. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience Bachelor’s degree in related field or equivalent years of experience. 5+ years of experience in at least two of the following: process improvement/transformation, business/financial analysis, external consulting/auditing/risk analysis, customer journey/experience, organizational change management, IT solution/architecture, project management. License/Certification: Organizational Change Management (PROSCI, Six Sigma CAP, Kotter, Bridge’s Rogers Kubler), CEX, CMMI, Six Sigma, PMP preferred. Pay Range: $107,700.00 - $199,300.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would lead enterprise change enablement operations, oversee complex change reviews and service levels, coach team members, and coordinate implementation readiness and risk mitigation. | The role requires a bachelor’s degree, 5–7 years of related experience, ITIL 4 Foundation certification, extensive IT service management experience, and ServiceNow proficiency. | Position Purpose: The Change Enablement Lead is a senior individual contributor responsible for supporting the daily execution, consistency, and quality of the enterprise Change Enablement process. The Lead provides operational direction to Change Managers, oversees assigned work and service levels, performs complex change reviews, and serves as an escalation point for questions involving policy, risk, implementation readiness, and governance requirements. This role requires strong knowledge of Change Enablement practices and ServiceNow. The Lead helps translate leadership direction into consistent daily execution, strengthens team capability through coaching and knowledge sharing, and provides management with visibility into workload, quality, risks, and operational concerns. Provide daily operational leadership for Change Enablement review queues, coordinating work assignments and adjusting priorities based on operational needs and leadership direction. Monitor workload, aging, service levels, deadlines, and coverage using ServiceNow data, and provide continuity during periods of increased workload or team-member absence. Review and assess complex or escalated production changes for completeness, risk, business and service impact, implementation readiness, scheduling conflicts, dependencies, validation, and recovery planning. Verify that change records comply with Change Enablement policies, controls, and governance requirements for Normal, Standard, Expedited, and Emergency Changes, including maintenance windows, change freezes, heightened-awareness periods, and lead times. Work with change owners and technical teams to resolve incomplete or inconsistent information, and confirm that implementation, testing, validation, communication, and recovery plans are documented before implementation. Serve as an escalation point for Change Managers on complex reviews, policy interpretation, and stakeholder questions, providing accurate and consistent process guidance. Escalate situations requiring a policy decision or exception, and unresolved readiness, compliance, stakeholder, or operational concerns, to management. Provide day-to-day coaching, training, and knowledge support to Change Managers, and support onboarding, development, and cross-training. Perform quality reviews of completed work to identify errors, inconsistencies, coaching needs, and opportunities to improve review accuracy. Develop and maintain job aids, operating procedures, training materials, and knowledge resources. Coordinate post-implementation reviews for failed, backed-out, unauthorized, and incident-causing changes, and track corrective actions to closure. Partner with Major Incident and Problem Management to identify changes linked to incidents and support root cause analysis. Provide management with regular updates on completed work, outstanding items, risks, escalations, capacity concerns, and emerging trends. Maintain review documentation and governance evidence to support reporting, audit, risk, and compliance requirements. Lead or support assigned Change Enablement initiatives and process improvements. Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Required Technical Skills: ITIL 4 Foundation certification 6+ years of IT Service Management experience 3+ years performing change management reviews in a large enterprise environment Expereince with Change Enablement practices (risk assessment, implementation readiness, scheduling & change types) ServiceNow Change Management experience (reviewing change records & using reports or dashboards to monitor work) Experience with Incident and Problem Management (identifying change-related incidents) Experience coaching, training, or providing day-to-day direction to peers or team members Preferred Skills: ITIL 4 Specialist certification or equivalent advanced ITSM credential Familiarity with DevOps or CI/CD practices and automated change approval Prior experience as a team lead, senior change analyst, or senior change manager Experience supporting audit, risk, or compliance requirements in a regulated industry Experience developing job aids, procedures, or training materials Pay Range: $102,900.00 - $190,500.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead analysts producing regulated outbound communications while improving processes, analyzing operational data, and tracking strategic initiatives. | Requires a bachelor's degree and at least four years in operational business processes or data analysis, preferably in managed care or insurance, with technical acumen and willingness to travel up to 25%. | Position Purpose: Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives. 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. This is a remote position and involves leading a team of Business Technical Analysts and Business Analysts in the development of regulated outbound communication. Strong business and technical acumen and familiarity with composition platforms including Smart Communications, OpenText Exstream, Papyrus, Inspire, Adobe AEM, or similar tools preferred. Develop and manage methodologies for tracking, identifying and problem-solving issues, interpreting and presenting program results and insights, and developing data-driven analysis approach for clients. Perform data analysis from a variety of data sources to evolve the metrics used to measure effectiveness and return on investment of all current and new product activity. Collaborate with staff to identify internal and external customers and their expectations, initiate process changes to increase quality, decrease costs and improve staff, provider and member satisfaction. Facilitate and support operations staff in the planning, achievement, and tracking of the organizations key strategic initiatives to create a positive impact on organizational scorecard. Serve as an internal resource and advisor on improvement activities. Explore new approaches to work processes by utilizing quality improvement techniques to eliminate waste and re-work. Able to travel up to 25%. Education/Experience: Bachelor’s degree Business Administration, related field, or equivalent experience. 4+ years experience in operational business processes or data analysis, preferably in the managed care or insurance industry. Practical experience implementing continuous improvement via Six Sigma or Total Quality Management (TQM) is desirable. Experience working within a matrix environment preferred. Pay Range: $87,700.00 - $157,800.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Design and maintain security automation playbooks and integrate security tools to improve incident response workflows. | Requires a bachelor's degree, 4–6 years of relevant experience, strong Python, JSON, and REST API skills, and enterprise SOAR platform experience. | Position Purpose: The Senior SOAR Engineer/Developer designs, develops, and maintains security orchestration and automation solutions that improve cybersecurity operations. The role develops SOAR playbooks, Python-based automations, API integrations, and workflows that connect security technologies and automate repetitive operational and incident-response processes. The developer partners with cybersecurity teams to gather requirements, identify automation opportunities, troubleshoot complex integrations, and continuously improve existing workflows. Ideal candidates have experience with Python, JSON, REST APIs, security operations, and enterprise SOAR platforms. 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. Design, develop, test, deploy, and maintain SOAR playbooks and automation workflows. Develop integrations between the SOAR platform and security technologies using REST APIs, Python, JSON, and other integration methods. Automate repetitive security operations and incident-response activities to reduce manual effort and improve consistency. Develop workflows that enrich security alerts with contextual information and orchestrate actions across multiple security platforms. Partner directly with cybersecurity teams to understand existing processes, identify automation opportunities, and translate requirements into technical solutions. Develop custom automation and integrations when pre-built SOAR capabilities do not meet business or technical requirements. Optimize existing playbooks, scripts, and integrations for reliability, maintainability, performance, and operational efficiency. Troubleshoot complex automation, API, integration, and workflow issues. Maintain technical documentation for playbooks, scripts, integrations, data mappings, and automation workflows. Participate in peer reviews, testing, and quality-control processes before automation is promoted into production. Follow secure development practices and organizational security standards throughout the development lifecycle. Continuously evaluate existing automations and identify opportunities to improve or simplify security processes. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Experience developing security automation or orchestration solutions. Strong Python scripting and development skills. Experience working with JSON and REST APIs. Experience integrating applications and security technologies. Understanding of security operations, incident response, and security alert workflows. Experience troubleshooting API, scripting, authentication, and integration issues. Familiarity with Git and modern software development practices. Ability to translate manual or semi-manual processes into reliable automated workflows. Strong analytical and problem-solving skills. Ability to collaborate with both technical and non-technical stakeholders. Preferred Qualifications: Hands-on experience with enterprise SOAR platforms. Experience with Tines. Familiarity with SIEM, EDR, threat intelligence, vulnerability management, IAM, ticketing, and other enterprise security platforms. Experience developing custom integrations and reusable automation components. Familiarity with CI/CD pipelines, automated code scanning, and secure development practices. Knowledge of common cybersecurity frameworks, security operations processes, and incident-response methodologies. Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty. Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions. Intermediate - Ability to work independently. Intermediate - Demonstrated analytical skills. Intermediate - Demonstrated project management skills. Intermediate - Demonstrates a high level of accuracy, even under pressure. Intermediate - Demonstrates excellent judgment and decision making skills. Pay Range: $87,000.00 - $161,300.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would lead risk-adjustment performance across markets, setting governance and targets while improving coding and documentation quality across lines of business. | The role requires a bachelor's degree, at least 8 years in healthcare operations, risk adjustment, or managed care, and 3 years managing cross-functional initiatives; a master's degree and relevant certifications are preferred. | Position Purpose: Provides executive leadership for risk adjustment performance across markets and lines of business, serving as the key link between Enterprise Risk Adjustment and market leadership to translate strategic priorities into operational execution and measurable results. Leads cross-functional initiatives to improve coding accuracy, documentation quality, chart retrieval, provider performance, and risk score outcomes, while establishing governance, accountability, and sustainable processes that drive consistent performance. Acts as a trusted advisor to enterprise and market leaders, ensuring alignment across stakeholders and supporting scalable risk adjustment models across Medicaid, Medicare, Marketplace, and emerging lines of business. 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. Serve as the primary liaison between Enterprise Risk Adjustment and market leadership, driving alignment, accountability, and execution of strategic priorities. Lead market risk adjustment strategies and initiatives to achieve enterprise performance objectives across lines of business. Establish and monitor performance targets related to risk score capture, coding accuracy, documentation quality, chart retrieval, and provider performance. Identify and prioritize high-impact provider organizations and strategic partners to maximize risk adjustment outcomes. Build and maintain executive-level relationships with provider organizations while integrating risk adjustment priorities into value-based care and population health strategies. Direct cross-functional collaboration across risk adjustment, provider engagement, quality, network management, actuarial, clinical operations, analytics, and external partners. Establish governance, accountability frameworks, and performance review processes to ensure successful execution of improvement opportunities. Develop executive reporting, dashboards, and action plans to measure results, address performance gaps, and drive continuous improvement. Conduct risk assessments, root-cause analyses, and targeted interventions to improve outcomes and mitigate performance risks. Advise enterprise and market leadership on provider investments, resource allocation, operating model enhancements, and best practices to strengthen performance across markets and lines of business. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Business Administration, Healthcare Administration, Finance, Analytics, Public Health, or related field, or equivalent experience required. Master's Degree Business Administration, Healthcare Administration, Public Health, Finance, or related field preferred. 8+ years experience in healthcare operations, risk adjustment, managed care, provider performance, value-based care, analytics, clinical operations, or related healthcare field required. 3+ years management experience managing complex cross-functional initiatives and driving organizational performance required. 5+ years experience presenting operational performance, business results, and strategic recommendations to executive leadership required. Demonstrated expertise in risk adjustment operations, provider performance improvement, coding and documentation programs, healthcare analytics, and managed care required. Experience supporting multiple lines of business, including Medicaid, Medicare, Marketplace, and Commercial preferred. Experience developing governance frameworks, executive reporting, accountability models, and performance improvement strategies preferred. Knowledge of provider engagement, value-based care, population health, and healthcare reimbursement methodologies preferred. Proven ability to influence across matrixed organizations and lead enterprise-to-market performance initiatives that drive measurable results preferred. Licenses/Certifications: Project Management Professional (PMP) preferred or PMP, Lean Six Sigma, CPHQ, or related healthcare operations, performance improvement, or project management certification preferred. Pay Range: $134,600.00 - $249,000.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Oversee network performance analytics and provider profiling, monitor unit cost trends, and coordinate reporting support across departments. | Requires a relevant bachelor's degree, at least five years of healthcare contracting, reimbursement, or quality measurement experience, technical proficiency with SQL and SAS, and leadership experience. | Position Purpose: Manage and support the development of network performance analytics. Design and build solutions that create, maintain, interface, or transform data in order to support a complete business need around contracting analytics and modeling applications. Key Details: This field-based opportunity offers the chance to work directly with providers and communities across Georgia. Due to the travel requirements of the role, candidates should reside within the state of Georgia. Oversee the development of project applications and determine the financial impact of contract negotiations and statewide rate changes Collaborate interdepartmentally to determine analytic reporting needs and provide training and support on network performance applications and reporting tools Lead provider profiling and network performance analytic support functions and provide support to health plans and other stakeholders Oversee, monitor and measure unit cost trends and network improvement opportunities Support existing application solutions, identify and develop technical enhancements to improve outcomes Plan, manage, analyze, design and implement projects, including scheduling deliverables, goals, and milestones Education/Experience: Bachelor's’ degree in Business, Economics, Finance, Healthcare or related field or equivalent experience. 5+ years of contracting, health care reimbursement, provider contract modeling or quality measurement experience. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Knowledge of Health Care Delivery Systems and familiarity with programs such as SQL, SAS/SPSS, Office Suite, and Visio preferred. Pay Range: $87,700.00 - $157,800.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would lead large-scale healthcare migrations and enterprise programs, managing scope, schedules, budgets, risks, and executive communications. | The role requires a bachelor's degree and substantial program or project management experience, with healthcare technology, migration, and interoperability expertise emphasized. | Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet company strategic objectives. This role provides leadership, direction, and hands-on support to matrixed teams to ensure the successful completion of complex integration initiatives. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion. Key Details: This is a remote position within the United States. Candidates 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. Lead large scale, cross functional healthcare migrations for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards. Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project. Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation. Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials. Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level. Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed. Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions. Education/Experience: Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred. License/Certification: Project Management Professional (PMP) or Program Management Professional (PgMP) preferred Preferred Qualifications: Clinical Platform Migration Leadership: Leads large-scale healthcare migrations, including data migration, cutover, go-live, and stabilization. Healthcare Integration Expertise: Deep experience in clinical systems, interoperability, and vendor coordination (HL7, FHIR, APIs). Enterprise Transformation Leadership: Drives cross-functional programs, influences executive stakeholders, and leads change for complex business and technology initiatives. Pay Range: $87,700.00 - $157,800.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would build and operate AWS data pipelines for ingestion, transformation, and validation, and design data structures for business intelligence and real-time applications. | The role requires a bachelor's degree in a quantitative or business field, 4 to 6 years of relevant experience, and proficiency in Python, SQL, and cloud data infrastructure. | Position Purpose: Develops and operationalizes data pipelines to make data available for consumption (reports and advanced analytics), including data ingestion, data transformation, data validation / quality, data pipeline optimization, and orchestration. Engages with the DevSecOps Engineer during continuous integration and continuous deployment. Development and support an existing ETL processes in a cloud environment (AWS) consisting of Snowflake and Teradata. Helps guide the design and implementation of complex data management procedures within around data staging, data ingestion, data preparation, data provisioning, and data destruction (scripts, programs, automation, assisted by automation, etc.) Provides guidance to data engineers in the design, development, implementation, testing, documenting, and operating of large-scale, high-volume, high-performance data structures for business intelligence analytics Designs, develops, and maintains real-time processing applications and real-time data pipelines with Snowflake and Terradata. Ensure quality of technical solutions as data moves across Centene’s AWS cloud environments Provides senior level knowledge and insight into the changing data environment, data processing, data storage, and utilization requirements for the company and drives the team toward viable solutions Develops, constructs, tests, and maintains architectures using advanced programming language and tools Drives ways to improve data reliability, efficiency, and quality and deploys a solution; use data to discover tasks that can be automated Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Control - M Scheduling Experience with diagnosing system issues, engaging in data validation, and providing quality assurance testing Experience with Data Manipulation; Data Mining Experience working in a production cloud (AWS) infrastructure Experience with Python (Programming Language); SQL (Programming Language) Knowledge of Microsoft SQL Servers; SQL (Programming Language) Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Pay Range: $87,000.00 - $161,300.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would develop enterprise software and maintain letter-generation applications, analyze data, manage SSIS ETL workflows, and work with cross-functional teams. | The posting asks for a bachelor's degree in a quantitative or business field, 4–6 years of relevant experience, and proficiency in SQL Server, T-SQL, C#, and SSIS. | Position Purpose: Designs, develops, and implements complex enterprise software solutions. Collaborates closely with technical and non-technical roles such as data modelers, architects, business analysts, data stewards, and subject matter experts (SMEs) to provide design, technical analysis, development/configuration, testing, implementation, and support expertise representing the interest of the business across the enterprise. Create, optimize, and re-engineer Microsoft SQL Server (T-SQL) stored procedures, functions, views, and tables that stage and transform claim, authorization, member, and provider data for correspondence. Own, maintain, and enhance the in-house letter application, which stages data in SQL Server, uses C# to produce Word documents, and uses a third-party component within SSIS to convert Word documents to PDF. Develop and support SSIS packages for ETL, file processing, and document conversion workflows. Schedule, monitor, and troubleshoot jobs using ActiveBatch.· Perform data analysis, testing, and production support; research and resolve data, performance, and letter-generation issues. Create and maintain technical documentation, including designs, data flows, and support procedures. Clearly articulate issues to business and technical stakeholders and design/model solutions. Contribute as needed to data mart development, EDI X12 processes, Enterprise Data Warehouse (EDW) feeds, and report development. Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Requires 4 - 6 years of Microsoft SQL Server development (T-SQL, stored procedures, query optimization, index creation, performance tuning, etc.) Requires 3+ years of C# development Requires 3+ years of SSIS development Experience with EDI preferred Experience with Healthcare/Managed Care Data is preferred License/Certification: Scaled Agile Framework (SAFe) preferred Pay Range: $87,000.00 - $161,300.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You would lead scalable data pipeline and real-time processing development, improve data quality and reliability, and guide data engineers in collaboration with DevSecOps. | The role requires a bachelor’s degree in a quantitative or business field or equivalent experience, 5–7 years of related experience, and advanced SQL, data modeling, analytics, Snowflake, and Databricks skills. | Position Purpose: Uses advanced expertise and knowledge to lead the development and operationalization of data pipelines to make data available for consumption (reports and advanced analytics), including data ingestion, data transformation, data validation / quality, data pipeline optimization, and orchestration. Works closely with the DevSecOps Engineer during continuous integration and continuous deployment. Leads the design and implementation of standardized data management procedures around data staging, data ingestion, data preparation, data provisioning, and data destruction (scripts, programs, automation, assisted by automation, etc.) Leads data engineers and provides advanced experience in the design, development, implementation, testing, documenting, and operating of large-scale, high-volume, high-performance data structures for business intelligence analytics Leads the team using advanced experience and knowledge in the design, development, and maintenance of real-time processing applications and real-time data pipelines Ensure quality of technical solutions as data moves across Centene’s environments Provides advanced knowledge and insight into the changing data environment, data processing, data storage, and utilization requirements for the company and offers suggestions for solutions Develops, constructs, tests, and maintains architectures using advanced programming language and tools Leads and implements ways to improve data reliability, efficiency, and quality; use data to discover tasks that can be automated Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Advanced Data Modeling experience Established experience with Solutions Architecutre Experience with Data Manipulation; Data Mining Demonstrated experience with developing strategy and structure with around Data Analysis Advanced knowledge of SQL (Programming Language) Knowledge of Snowflake Experience with Databricks Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Intermediate - Ability to communicate and make recommendations to upper management Intermediate - Ability to drive multiple projects to successful completion Intermediate - Possesses technical aptitude Pay Range: $102,900.00 - $190,500.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Develop and execute strategic provider partnership initiatives and value-based payment roadmaps while leading cross-functional teams and reporting on network development and risk adjustment. | Requires 10+ years of managed-care experience within a health plan or provider organization and a relevant bachelor's degree; a master's degree and PMP certification are preferred. | Position Purpose: Responsible for identifying, building and implementing business strategies that support provider network and product development initiatives, focusing on building productive strategic provider relationships. Design, implement, and optimize innovative and value based payment contracting strategies to include the development of a broad vision, short and long term objectives and execution of key business initiatives across all products. Key Details: This position is 100% remote within the United States. Up to 10% travel or meetings required. Develop and execute Strategic Payment Innovation/Value-Based Payment (VBP) Roadmap and all approved roadmap initiatives. Drive adoption of VBP programs and lead negotiation support of all VBP programs. Oversee and coordinate administration and reporting of all VBP programs. Direct and supervise staff in the development and implementation of Strategic Provider Partnership Initiatives. Develop, recommend and implement cross-functional plans and activities to achieve strategic initiatives; communicate insights, progress of challenges and presents resolution scenarios. Track and report status on strategic partnerships, risk adjustment, tailored network development and other activities to leadership teams. Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, Public Health Administration, or equivalent fields of study or equivalent experience. Master’s in Business Administration preferred. 10+ years of experience working in managed care for either a health plan or delegated provider organization or Managed Service Organization. License/Certification: PMP certification preferred Pay Range: $134,600.00 - $249,000.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead shared-services operational strategy and process improvement, coordinate stakeholders, monitor performance and risks, and support expansion, integration, and operational readiness. | Requires a bachelor's degree or equivalent, at least six years of Medicare or Duals managed care operations experience, and prefers a related master's degree and healthcare operations or project management experience. | Position Purpose: Lead the development, coordination, and execution of operational strategies and process improvements across shared services to support enterprise and market‑level product growth, implementation, and performance objectives. Translates strategy into operating plans, facilitates cross‑functional alignment, and drives delivery of new operating models, processes, and capabilities that enable compliant, accurate, and scalable product operations. This role will manage day to day issues and be a subject matter expert for the Duals Integration Office interfacing with our Enterprise Business Operation Services. 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. Applicants for this job have the flexibility to work remote from home anywhere in the United States. Experience in operational areas such as Claims, Configuration, Enrollment is highly preferred. Serve as a primary operational liaison between product leadership, shared services, and corporate partners to ensure alignment, timely decision‑making, and issue resolution across enterprise and market operations. Partner with shared services, market leaders, and product teams to define operational strategies, annual objectives, KPIs, and standardized operating procedures that support scalable execution. Support enterprise due diligence, integration planning, and operational readiness activities for product expansions. Monitor enterprise and market operational performance, identifying gaps, risks, and opportunities to optimize operations supporting assigned product. Evaluate operational performance using KPIs and ensure cost effective programs are developed and maintained throughout the business unit. Identify operational efficiencies and develop “best practice” workflows, process improvements, policies and procedures. Provide operational input into the development of new products and markets. Utilize corporate and industry standard management tools and techniques to effectively oversee projects; collaborate with stakeholders to identify resources, resolve issues, and mitigate risks. Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business unit objectives. Provide functional and technical expertise across business units and technical areas. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree in Finance, Accounting or related field or equivalent work experience required. Master's Degree in a related field preferred. 6+ years experience in assigned products (Medicare or Duals) managed care operations with emphasis on optimizing operational effectiveness, government contracting and/or regulatory compliance required. Experience with project management, administration or operations in the Healthcare industry preferred. Pay Range: $134,600.00 - $249,000.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Oversee vendor relationships, monitor compliance with performance and regulatory standards, coordinate internal and vendor communication, and manage improvement plans and audits. | Requires a bachelor's degree and at least seven years of vendor-management experience, with healthcare experience preferred and proficiency in project-management software and MS Office. | Position Purpose: Manage vendor relationships and ensure vendor compliance with established internal and/or regulatory performance metrics. Accumulate, monitor, and report on vendor performance metrics to business unit management Communicate expectations and vendor performance against established performance metrics to vendors, including development, implementation and follow up on annual vendor goals and targets Ensure applicable vendor performance improvement plans and/or corrective action plans are initiated and completed as expected. Ensure vendors sustain required performance improvements/outcomes through verification audits Conduct oversight meetings which include vendors, internal partners, and other stakeholders as appropriate Oversee health plan participation in annual delegation audits Provide follow-through on audit deficiencies to assure corrective actions are implemented Facilitate communication to/from vendors and internal partners Education/Experience: Bachelor's degree in Business or related field. 7+ years of vendor management experience, including government programs health care or related experience in mutiple areas of operations. Proficient with MS-Project or other project management software and MS-Office applications. Project management, administration or operations in the Healthcare industry preferred. Experience in training/education and use of statistical analysis preferred. Pay Range: $134,600.00 - $249,000.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Plans and oversees cross-functional projects through the full project life cycle, managing budgets, resources, documentation, and quality of deliverables. | Requires a bachelor’s degree or equivalent, at least three years of project management experience, proficiency with project-management software and MS Office, and prefers healthcare experience or PMP/CAPM certification. | Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Key Details: Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure. Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures. Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans. Effectively communicate project status to all stakeholders. Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks. Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives. Provide functional and technical knowledge across multiple business and technical areas. Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation. Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics. Education/Experience: Bachelor's degree in related area or equivalent experience. 3+ years of project management experience. Experience working with and leading diverse groups and matrix managed environments. Proficient with project management tools, MS-Project or other project management software, and MS-Office applications. Healthcare experience preferred. License/Certification: PMP or CAPM certification preferred. 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead cross-functional Provider Data Operations transformation initiatives from planning through implementation and transition while managing performance, risks, resources, and operational improvements. | Requires a bachelor’s degree or equivalent and at least five years of project implementation, product, or program management experience; a master’s degree is preferred, with healthcare experience also preferred. | Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Key Details: The Program Manager III leads the planning, execution, governance, and delivery of complex Mission Simplify initiatives supporting Provider Data Operations transformation. Partnering across business, technology, domain, and operational teams, this role drives initiatives from discovery through implementation and operational transition. The ideal candidate is a strategic, influential leader who aligns stakeholders, mitigates risk, and delivers measurable improvements in efficiency, provider data accuracy, and enterprise consistency through process optimization, automation, operating model transformation, and technology enablement. Identify opportunities to increase efficiency, improve service levels, ensure regulatory compliance, and support successful implementation of Mission Simplify initiatives through enhanced operations. Develop strategies to realize improvement opportunities and ensure organizational prioritization, resource alignment, and achievement of strategic business objectives. Manage multiple projects through the full project lifecycle, including discovery, requirements gathering, scope definition, project planning, resource management, budget oversight, implementation, deployment, and transition activities. Utilize corporate and industry-standard project management tools and techniques to develop integrated project plans, milestones, dependencies, RAID logs, and executive status reporting. Maintain detailed project documentation, including action items, issues logs, risk mitigation plans, business requirements, acceptance criteria, and testing readiness documentation. Provide leadership and effectively communicate project status to all stakeholders through executive summaries, dashboards, presentations, and governance updates. Negotiate with project stakeholders to identify and secure resources, resolve issues, mitigate risks, and ensure stakeholder alignment and formal scope sign-off. Lead cross-functional meetings and governance routines with Business Analysts, SMEs, technology teams, operational leaders, and business partners to meet stakeholder expectations and organizational objectives. Provide functional and technical knowledge regarding overall program requirements, operational processes, and business solution implementation. Monitor project health, track key performance indicators, identify risks and issues, and develop mitigation plans to ensure business benefits and value realization objectives are achieved. Support change management, training readiness, stakeholder communications, and operational transition activities to promote successful adoption and implementation. Establish and promote project management standards, tools, templates, and best practices while managing multiple concurrent initiatives with varying levels of complexity and organizational impact. Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred. Preferred Qualifications: Healthcare payer, provider operations, provider data management, network operations, or health plan experience. Proficiency with project management and reporting tools such as Smartsheet, Jira, Power BI, Microsoft Office Suite, and collaboration platforms. PMP, PgMP, Lean Six Sigma, Agile, Scrum, or related certification. Experience leading process improvement, automation, digital transformation, or operating model redesign initiatives. Knowledge of provider credentialing, provider data management, enrollment operations, network management, or healthcare operations. Experience supporting large-scale strategic transformation programs with measurable operational and financial outcomes including presenting to senior leadership and influencing decision-making across multiple business functions. Experience leading enterprise-wide and cross-functional initiatives with multiple stakeholders. Demonstrated experience managing project plans, requirements, risks, dependencies, budgets, and executive communications. Experience facilitating requirements workshops, stakeholder engagement sessions, and governance reviews. Knowledge of project management methodologies and delivery frameworks. Pay Range: $87,700.00 - $157,800.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Plan and build complex business solutions, lead project teams, gather requirements, and mentor peers while ensuring scalable development. | Requires a bachelor's degree in computer science or related field or equivalent training, 8+ years of experience, and proficiency in SQL, Power BI, and relational databases. | Position Purpose: Strategizes, plans, conceptualizes, configures, and builds complex solutions that solve common challenges within the business, by using technological tools or programs. Conducts extensive research and gathers requirements to determine customer needs and lead and provide oversight of the development process from an operational perspective. Acts as a subject matter expert providing advice, support and guidance as needed and serves as a mentor to colleagues. Must have the ability to be self-sufficient. Manages the entire implementation process and drives definition of business needs by leading a project team, conduct requirements gathering; maintain communication with stakeholders during solution development. Performs complex research and advanced analysis with SQL and Power BI (DAX); find/create best solutions to stakeholder requests or problems; identify the best method or tool to develop solutions. Collaborates with and mentor peers on development and solution strategy; regular code reviews and pull requests; team partnership to identify efficient and effective scalable product solutions. Refers solutions for implementation. Writes code (SQL, Power BI, Snowflake) for software programs and applications, working with classes, using inheritance and virtualization, and following best programming practices. Education/Experience: Bachelor's degree in Computer Science, MIS, related field, or equivalent experience. 8+ years of experience in the field or in a related area. Completion of a technical training program (e.g., LaunchCode, FDM, etc.) may be considered in lieu of a bachelor’s degree. Healthcare experience a plus. Applies basic understanding of Agile and Scrum methodologies. Technical Skills Desired: Advanced knowledge and experience with SQL Intermediate knowledge and experience with Power BI and DAX Intermediate knowledge of OLAP DBs (Snowflake, Teradata, etc) Intermediate knowledge of Relational Databases Pay Range: $107,700.00 - $199,300.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Leads cross-functional initiatives, develops business cases, and drives consensus to improve performance and maintain process integrity across project lifecycles. | Requires a bachelor's degree and at least six years of project management experience; PMP certification and healthcare or insurance experience are preferred. | Position Purpose: The Senior Business Process Consultant leads business case development for proposed initiatives, supports the strategic planning process, and leads larger scale, cross-functional initiatives. Key Details: This position is 100% remote with preference to candidates within CST/ EST time zones. Up to 10% travel for onsite meetings required. Leads business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment. Provides input and supports planning and prioritization of initiatives as part of the strategic and business planning process. Ensures that initiatives support the strategic business plan, meet key business objectives and are executed well tactically. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative). Leads larger scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance. Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results. Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight. Performs detailed analysis of data, workflows, policies, procedures, organization of staff, and skills in order to execute initiatives. Supports the project work by utilizing project management software such as, but not limited to, Excel, PowerPoint, Visio, and Microsoft Project. Leads all levels of staff who are responsible for initiatives included in the companies operating plan in order to support their success, development and effective completion and communication of their initiative. Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc. Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives. Provides other related support as needed to improve the performance of the business Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in a related field or equivalent experience required Master's Degree in a related field preferred 6+ years managing projects required Experience in health care and/or insurance preferred Licenses/Certifications: Certified Project Management Professional (PMP)-PMI preferred Process quality certification preferred Pay Range: $87,700.00 - $157,800.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead workforce management strategy, capacity planning, staffing models, and operational initiatives for a large claims contact center. | Requires a bachelor's degree, 10+ years of related experience, and management experience; claims-operation workforce planning is highly preferred. | Position Purpose: Defines the strategy for the building and automation of recurring capacity and scenario planning models to support service, quality, and efficiency standards. Influences senior leadership on strategic plans to meet short-term and long-term business objectives. This is a strategic workforce management leadership role supporting a large-scale claims operation. 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. Applicants for this job have the flexibility to work remote from home anywhere in the United States. Experience developing workforce capacity and staffing plans within a claims operation is highly preferred. • Plans and directs workforce management policies, objectives, operations, and initiatives • Defines the overall vision for workforce management within the contact center to ensure achievable goals and milestones are set • Prioritizes initiatives and opportunities consistent with mission and strategic direction of the organization to lead the workforce management team • Analyzes operations and influences key performance criteria to influence staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for contact center • Develops and directs the inter-departmental partnerships to collaborate and maintain effective operations within the workforce management department of the contact center • Oversees efforts in development of workforce management budget and hiring strategies with business stakeholders to ensure they are in line with the operational and business goals • Establishes operational targets, best practices, and training programs to support the contact center and drive quality and efficiency standards • Oversees the strategic initiatives related to onboarding, hiring, recent promotes, transfers and performance and/or reward decisions within workforce management function to support future growth and strategy • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 10+ years of related experience, including prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 5+ years management experience preferred. Pay Range: $146,000.00 - $269,600.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead workforce capacity planning and staffing forecasts, translating operational data into staffing and financial recommendations for business leaders. | Requires a bachelor's degree and at least four years of business, analytics, or IT experience; Excel, SQL, and Power BI proficiency are preferred. | Position Purpose: The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas. 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. Highly Preferred Skills and Experiences: Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred. Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable. Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations. Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions. Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners. Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives. Facilitate cross-team project collaboration between state-based health plans and business units. Research key business problems and proactively identify potential enterprise solutions. Provide product ownership support for deployment and adoption of analytic tools and technology. Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators. Education/Experience: Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field. 4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred. Experience in technology product ownership, development, deployment, and user adoption preferred. Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred. Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred. Experience in communication and change management, learning and development, or human resources preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Pay Range: $87,700.00 - $157,800.00 per year 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. Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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