Program Manager – PA Governance

Centene Corporation

Program Manager overseeing Prior Authorization governance at Centene. Leading projects and initiatives to enhance compliance and improve operational efficiency.

Posted 5/27/2026full-timeRemote • Montana • 🇺🇸 United StatesMid-LevelSenior💰 $87,700 - $157,800 per yearWebsite

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Hard Skills

project managementprogram managementdata analysisregulatory compliancegovernance practicesprocess improvementdocumentation managementstakeholder negotiationresource alignmentfinancial claims analysis

Soft Skills

leadershipcommunicationcollaborationorganizational skillsdecision-makingproblem-solvingprioritizationnegotiationcross-functional teamworkstrategic thinking

Tools & Technologies

project management toolsgovernance toolsanalytics softwaredocumentation repository systemscentralized documentation systems

Industry Keywords

managed careprescription benefit managementhealthcare administrationbusiness administrationPA governanceenterprise-level prioritizationclinical inputsSME inputsPA program documentationPA initiatives

About the role

Key responsibilities & impact

Identify opportunities to increase efficiency, improve service levels, and ensure regulatory and PA compliance through enhanced, standardized operations and governance practices
Develop and execute strategies to realize PA improvement opportunities, ensuring enterprise‑level prioritization, clear decision rights, and appropriate resource alignment
Manage multiple PA initiatives through the full project lifecycle
Support structured PA governance cycles by ensuring initiatives are evaluated, prioritized, approved, and sequenced
Utilize corporate and industry‑standard project management and governance tools to manage PA initiatives effectively
Maintain detailed and accurate PA program documentation
Compile, format, and validate review packets and governance decision materials for leadership review
Coordinate and validate market, clinical, and SME inputs for PA governance materials
Partner with analytics, medical economics, and operations teams to review financial and operational claims data
Ensure ad‑hoc PA requests are logged, tracked, prioritized, and either executed or formally deferred
Maintain a centralized PA documentation repository as the single source of truth for governance artifacts
Provide strong leadership and communicate PA program and governance status to stakeholders
Lead cross‑functional governance and working sessions to meet enterprise objectives and stakeholder expectations
Negotiate with stakeholders to secure resources, resolve cross‑functional dependencies, and mitigate risks

Requirements

What you’ll need

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

Benefits

Comp & perks

competitive pay
health insurance
401K and stock purchase plans
tuition reimbursement
paid time off plus holidays
flexible approach to work with remote, hybrid, field or office work schedules