Centene Corporation

Program Manager II – Vendor Management

Centene Corporation

full-time

Posted on:

Origin:  • 🇺🇸 United States • Florida, Missouri

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Salary

💰 $68,700 - $123,700 per year

Job Level

Mid-LevelSenior

About the role

  • Partner with Vendor Implementation Group, Quality Improvement Strategy, Market Performance and Business leadership to design and launch tailored Vendor Solutions for HEDIS Improvement across Medicare, Medicaid and Marketplace
  • Work with Quality leadership and external Vendors to strategize, plan, design and execute multiple Enterprise Quality Campaigns on time and within budget
  • Develop and maintain project plans inclusive of project tasks, resource allocation, costs, dependencies and risk analysis & mitigation using Workfront/Smartsheet/MS Excel
  • Gather requirements on program design, process workflows, reporting features and timelines from Corporate and Health Plan Leaders
  • Onboard external Vendors with Implementation, IT Operations and IT Security prior to project launch
  • Revise, edit and proof campaign materials with Implementation and Communications Teams prior to Program Launch
  • Standardize Vendor eligibility files, response data, result information, supplemental data and claims with Implementation and Quality IT Teams
  • Track and report on KPIs by working with external Vendors, Internal Data Analytics and Supplemental Data Processing Teams
  • Create and maintain custom reports for Health Plans and Business Leadership on program utilization, costs and effectiveness
  • Submit weekly status reports on project deliverables, timelines, risks/issues and remediation plans
  • Perform data analysis on Vendor service area coverage, service/product cost, SLAs, customer service and invoices & payments using MS Excel or Power BI
  • Perform regular Audits on Vendor Operations including validating Member Communications, Product Shipment proof, Service Completions/Results and Customer Service
  • Partner with Health Plans launching new campaigns, advising on Vendor product/service offerings and outlining Implementation Plans

Requirements

  • Bachelor’s degree in related field or equivalent experience
  • 3+ years of project management
  • Health care experience preferred
  • Vendor Management
  • MS Excel
  • Power Query/Power BI
  • MS Power Point
  • Data Analysis and Reporting
  • Ability to work CST zone hours
  • Remote position limited to anywhere in the United States
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