HEDIS Program Manager II

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

Position Purpose: This role will be part of PA Health & Wellness, a subsidiary of Centene Corporation and will oversee program initiatives for the Medicaid product line of business encompassing HEDIS, and CAHPS by utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members.

*Note: Qualified candidates residing in the greater PA area preferred due to some travel.

• Support business department initiatives that promote, quality, safety and cost of care opportunity.

• Responsible for gathering requirements, creating plans and schedules, managing resources, and facilitate project execution and deployment.

• Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures.

• Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable.

• Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation.

• Communicate program status to management and key stakeholders.

• Identify resources, resolve issues, and mitigate risks.

• Identify requirements, procedures and problems to improve existing processes.

• Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives.

• Manage projects through the full project life cycle.

• Provide leadership and effectively communicate project status to all stakeholders.

• Negotiate with project stakeholders to identify and secure resources, resolve issues and mitigate risks.

• Performs other duties as assigned.

• Complies with all policies and standards.

Education/Experience:

• Bachelor’s degree in related field or equivalent experience.

• 3+ years of project management.

• Health care experience preferred.

• Experience with HEDIS, CAHPS, Quality Improvement projects, programs highly preferred.

• Knowledge of Medicaid, Medicare government programs preferred.

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