Clinical Program Manager

Centene
Indiana
Workplace: RemoteFull timeUSD 87,700 - 157,800 annuallyFunction: Program & Project Management (PMO)Experience: 5-7 yearsEducation: bachelorsSkills: ["Communication","Stakeholder management","Presentation skills","Data analysis","Project leadership"]

Manage and track clinical projects that support the organization’s strategic objectives with provider groups and hospital systems. Lead cross-functional initiatives, organize committees, publish agendas, document minutes, maintain work plans, and monitor action items. Partner with the Regional Medical Director to analyze data and implement interventions aligned to the Triple Aim, including developing workflows, policies, and clinical reports for internal teams and external provider partners.

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Centene
Centene
1 day ago

Clinical Program Manager

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Last checked: 1 hour agoStatus: Live

Job Summary

Manage and track clinical projects that support the organization’s strategic objectives with provider groups and hospital systems. Lead cross-functional initiatives, organize committees, publish agendas, document minutes, maintain work plans, and monitor action items. Partner with the Regional Medical Director to analyze data and implement interventions aligned to the Triple Aim, including developing workflows, policies, and clinical reports for internal teams and external provider partners.
Location: Indiana
Workplace: Remote
Employment Type: Full time
Job Function: Program & Project Management (PMO)
Seniority: Mid level

Key Responsibilities

  • •Manage and track clinical, quality, correct coding, documentation, and data submission projects that support strategic goals.
  • •Support committees and work teams by organizing agendas, documenting minutes, maintaining work plans, and monitoring open action items.
  • •Partner with the Regional Medical Director to analyze data and develop and implement interventions aligned to the Triple Aim.
  • •Lead cross-functional performance improvement initiatives by coordinating project requirements and tracking progress of action plans.
  • •Facilitate development of clinical reports and delivery of data to provider partners, including internal reporting on progress.

Pay and Benefits

Salary: USD 87,700 - 157,800 annually
Equity and Bonus:Equity
Perks:Health Insurance401kEquityLearning BudgetPaid LeaveRemote Work

Key Requirements

  • •Bachelor’s Degree in Nursing or an MPH/MHA/MBA, or equivalent experience.
  • •Five to seven years in managed care, hospital, or medical group experience focused on quality improvement, utilization management, or clinical operations.
  • •At least two years of project management experience managing projects in a medical group, IPA, or health plan setting.
  • •Experience analyzing and presenting data to drive outcomes, including presentations in group settings.
  • •Experience with Indiana Medicaid and/or NCQA, CMS, UM appeals/grievances, delegated/vendor oversight, or health plan audit readiness is preferred.
Experience:5-7 yearsManaged careHealthcareUtilization managementQuality improvementHealth plans
Education:Bachelor's
Skills:CommunicationStakeholder managementPresentation skillsData analysisProject leadership

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn