Program Manager II - MCO Quality Accreditation - PA Health & Wellness : Job Details

Program Manager II - MCO Quality Accreditation

Join to apply for the Program Manager II - MCO Quality Accreditation role at PA Health & Wellness

Continue with Google Continue with Google

Program Manager II - MCO Quality Accreditation

1 day ago Be among the first 25 applicants

Join to apply for the Program Manager II - MCO Quality Accreditation role at PA Health & Wellness

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 Plan, organize, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives.

• 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.
• Previous experience with Managed Care Quality strongly preferred.
• NCQA Accreditation knowledge and experience for Quality strongly preferred.
• Previous experience writing trilogy documents, program descriptions and/or work plans strongly preferred.
• Proven experience collaborating with state regulators strongly preferred.
• Experience with accreditation strongly preferred.

Pay Range $68,700.00 - $123,700.00 per yearCentene 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

Seniority level

• Seniority levelNot Applicable

Employment type

• Employment typeFull-time

Job function

• Job functionProject Management and Strategy/Planning
• IndustriesHospitals and Health Care and Insurance

Referrals increase your chances of interviewing at PA Health & Wellness by 2x

Continue with Google Continue with Google

Corporate Governance Project Coordinator

Pittsburgh, PA$76,512.00-$127,520.001 week ago

People Planning & Initiatives Program Manager

Pennsylvania, United States$78,900.00-$147,500.002 days ago

Manager Strategic Program Delivery and Operations

Pennsylvania, United States$108,000.00-$201,800.002 days ago

Senior Technical Program Manager - Workday Financial Management (REMOTE)

Philadelphia, PA$130,000.00-$260,000.003 days ago

Senior Project Manager- Class Action Settlement Services

Philadelphia, PA$95,000.00-$120,000.0014 hours ago

Senior Technical Program Manager - Workday Financial Management (REMOTE)

Pittsburgh, PA$130,000.00-$260,000.003 days ago

Philadelphia, PA$95,000.00-$110,000.003 hours ago

Project Director - Diablo Canyon Power Plant Feedwater Heater (FWH) Program

Philadelphia, PA$100,000.00-$200,000.002 weeks ago

Philadelphia, PA$100,000.00-$200,000.001 week ago

Sr. Program Manager – E2E Enterprise PlanningSenior Project Manager, Market Research - Quantitative

Pittsburgh, PA$80,000.00-$100,000.003 weeks ago

West Mifflin, PA $70,000 - $80,000 1 week ago

Fractional ERP Implementation Leader (Senior Manager / Principal) - NO C2C

Pennsylvania, United States $140,000 - $180,000 1 week ago

Philadelphia, PA $54,450 - $110,330 2 days ago

We're unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.

#J-18808-Ljbffr