Program Manager – PA Governance, Optimization

Centene Corporation

Program Manager leading enterprise-wide Prior Authorization (PA) governance and optimization efforts at Centene. Collaborating with leaders to drive alignment and measurable outcomes.

Posted 6/25/2026full-timeRemote • Montana • 🇺🇸 United StatesSeniorLead💰 $87,700 - $157,800 per yearWebsite

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Responsible for leading enterprise‑wide Prior Authorization (PA) governance and optimization efforts
Lead large‑scale, cross‑functional PA governance initiatives
Oversee all aspects of PA program planning, management, and execution
Drive the enterprise‑wide PA optimization cycle to plan
Ensure ad‑hoc PA requests are appropriately triaged, prioritized, and executed
Drive large‑scale initiatives by coordinating the work of project managers and business analysts
Create and maintain comprehensive timelines, workplans, and deliverables
Identify implementation risks early and partner with functional leaders to develop mitigation plans
Develop and maintain executive‑level dashboards and reporting
Prepare concise, decision‑ready materials for Program Steering Committees and Executive Leadership
Partner with PHCO Analytics to monitor post‑implementation impact
Track utilization or spend anomalies following go live
Proactively manage program‑level risks, dependencies, forecasts, and interdependencies
Serve as the first point of escalation for PA program issues and risks
Align stakeholders around data‑based prioritization, PA governance standards, and enterprise decision frameworks
Create and deliver best‑practice guidance and training

Requirements

What you’ll need

Bachelor’s degree in related field or equivalent experience required
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
Project Management Professional (PMP) or Program Management Professional (PgMP) preferred

Benefits

Comp & perks

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

ATS Keywords

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Hard Skills & Tools

program managementproject managementrisk managementdata analysisdashboard developmenttimeline creationworkplan managementutilization trackingperformance managementgovernance optimization

Soft Skills

leadershipcommunicationstakeholder alignmentproblem-solvingtrainingcollaborationdecision-makingprioritizationstrategic planningcross-functional coordination

Certifications

Project Management Professional (PMP)Program Management Professional (PgMP)