Description
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: The Community Health Worker (CHW) Program Manager is responsible for supporting community health activities by overseeing vendor/partner organization, coordination of patient support with providers and care teams, coordinating activities related to logistics, curriculum, reporting, and analyzing program data. The CHW Program Manager operates within a public health framework emphasizing prevention, health equity, and community-based care integration. This role is accountable for full population management across the CHW-supported population, including engagement, outcomes, and integration with care management and quality. Under the department HE Director's leadership, the Community Health Worker Program Manager will serve as the primary contact to the specific vendor/partner interacting extensively with internal and external stakeholders, including members. The Community Health Worker Program Manager will also actively develop policies and procedures and execute the specific required tasks for the manager is responsible for the creation and delivery of presentations to internal and external stakeholders surrounding the program contractual compliance, status of patient care, successes in operations and opportunities for improvements. The role ensures alignment with existing chronic disease infrastructure and positions CHW services as a core component of the overall clinical and population health strategy.
*Note: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
*Travel Requirement: This is a remote position with regular local travel primarily throughout Passaic County in northern New Jersey. Travel can include to our Iselin, NJ office, provider offices, community-based organizations, partner offices. Candidates residing in New Jersey—ideally within or near Passaic County—are strongly preferred due to the field-based nature of the role and in office meetings. Occasional evening or weekend travel may be required to support community events.
Lead population-level strategy for CHW-supported members including engagement and outcomes accountability.
Integrate CHW programs into chronic disease management and clinical infrastructure.
Monitor outcomes, utilization, and health equity metrics and drive program improvements.
Develop and roll out work plan and timelines for program.
Schedule weekly meetings to discuss status of program upon execution of Agreement.
These weekly meetings will continue for at least six (6) months following program execution, or longer as reasonably requested.
Attend on-boarding and file layout review sessions.
Communicate progress and make sure the appropriate amount of time for the resources is allocated to meet key milestones on the setup of the data aggregation process (design, development, testing).
Attend all state, stakeholder, and community-based organization meetings and is able to work with the dedicated resources at DMAHS to resolve and identify issues/barriers per CHW program requirements.
Schedule quarterly business review meetings.
Respond to inquiries from the vendor/partner organization as questions arise including but not limited to program design, implementation conditions, budgetary, etc.
Handle issue resolution related to adhering to budget, grant management, contractual obligations, inventory levels, Data and service levels covered under this contractual requirements.
Respond within one (1) business day explaining how the issue is being addressed.
Provide program launch support in partnership with vendor/partner organization.
Assist in staff training and in-services for program implementation/initiatives.
Oversight of state contractual obligations and reporting for MCO contract requirements.
Development of launch plan and subsequent launch plan variables.
Collaborate across care management, quality, and population health teams to embed CHW services.
Performs other duties as assigned and complies with all policies and standards.
Education/Experience: Bachelor’s Degree or high school diploma and equivalent work experience also considered. 2+ years' experience in healthcare management setting. Prior experience with healthcare reporting and compliance.
Preferred Qualifications:
Master’s degree in public health or related field strongly preferred.
Prior experience in pharmacy or the healthcare industry.
Prior experience in community health work or the healthcare industry.
Prior experience using analysis tools or systems (ex. web based, custom, proprietary, etc.).
Experience in the implementation of quality process improvement efforts.
Experience documenting requirements, creating training materials/reports and working directly with stakeholders/members.
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, 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
