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Medicare Program Manager III

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Medicare Program Manager III

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Description

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: Promote increased program efficiency, service levels, and value by leading the dental, vision and hearing Medicare Product development through strategy development, identify opportunities, plan, organize, monitor and lead multiple, concurrent strategies to implementation. Identify and deliver defined requirements and meet company strategic objectives.

  • Develop and lead strategies for Medicare Supplemental benefits including dental, vision and hearing
  • Support Medicare Advantage bid development to determine product and benefit changes in response to CMS requirements and market positioning.
  • Lead potential vendor research evaluation and implementation
  • Develop and lead strategies for Medicare Supplemental benefits including dental, vision and hearing
  • Perform detailed analysis and provide tailored benefit recommendations
  • Develop CMS filing guidelines for dental, vision and hearing benefits
  • Manage multiple benefits through full product development life cycle including requirements gathering, creation of documents and schedules, obtaining and managing resources, managing budget, and facilitating execution, deployment and closure
  • Utilize corporate and industry standard project management tools and techniques to effectively manage benefit portfolio.
  • Maintain detailed benefit design documentation as needed including action items, issues lists and risk mitigation plans.
  • Provide leadership and effectively communicate status to all stakeholders, including executive summaries and presentations
  • Negotiate with stakeholders to identify and secure resources, resolve issues, and mitigate risks
  • Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives
  • Provide functional and technical knowledge regarding overall program requirements and operations

Education/Experience:

  • 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.
  • Medicare Supplement Benefits (Dental, Vision, Hearing) experience strongly preferred.
  • 5+ yeas of product development strongly preferred
  • CMS filing experience strongly preferred
Pay Range: $84,300.00 - $151,700.00 per year

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. Total compensation may also include additional forms of incentives.

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

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