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Added 2 hours ago
CM
Senior LTSS Service Care Manager (RN)
Centene Management Company LLC
Remote, United States
- $36.21 to $65.09 USD / hour
Added 6 hours ago
CM
Utilization Review Clinician - Behavioral Health
Centene Management Company LLC
Remote, United States
- $27.02 to $48.55 USD / hour
Added 6 hours ago
CM
Trainer I
Centene Management Company LLC
Remote, United States
- $56,200 to $101,000 USD / year
Added 6 hours ago
CM
Contact Center Data Analyst III
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year
Added 6 hours ago
CM
Vendor Relations Manager
Centene Management Company LLC
Remote, United States
- $87,700 to $157,800 USD / year
Added 10 hours ago
CM
Director, Procurement
Centene Management Company LLC
Remote, United States
- $134,600 to $249,000 USD / year
Added 10 hours ago
CM
Pharmacist Graduate Summer Intern
Centene Management Company LLC
Remote, United States
- $21 to $30 USD / hour
Added 10 hours ago
CM
Manager, Business Product Owner – Outreach, Engagement
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
Added 10 hours ago
CM
Manager, Business Product Owner - Risk Stratification & Assessment
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
Added 10 hours ago
CM
RN, Senior LTSS Service Care Manager
Centene Management Company LLC
Remote, United States
- $36.21 to $65.09 USD / hour
Added 10 hours ago
CM
Senior Applications Security Engineer, AI & Automation Development
Centene Management Company LLC
Remote, United States
- $87,000 to $161,300 USD / year
Added 10 hours ago
CM
Product Owner - Business Operations
Centene Management Company LLC
Remote, United States
- $87,700 to $157,800 USD / year
Added 10 hours ago
CM
Program Manager III - Payment Accuracy
Centene Management Company LLC
Remote, United States
- $87,700 to $157,800 USD / year
Added 10 hours ago
CM
Vice President, Enterprise Business Platforms, Membership Enrollment & Billing
Centene Management Company LLC
Remote, United States
- $171,900 to $326,900 USD / year
Added 10 hours ago
CM
Vice President, Enterprise PMO
Centene Management Company LLC
Remote, United States
- $171,900 to $326,900 USD / year
Added 10 hours ago
CM
Marketing Driver
Centene Management Company LLC
United States
- $15.87 to $27.25 USD / hour
Added 10 hours ago
CM
Marketing Driver
Centene Management Company LLC
United States
- $15.87 to $27.25 USD / hour
Added 10 hours ago
CM
Remote Medical Director, Inpatient Medicare
Centene Management Company LLC
Remote, United States
- $215,000 to $408,500 USD / year
Added 10 hours ago
CM
Manager, Sales & Marketing - Bilingual Arabic, Bengali, Hindi, Urdu
Centene Management Company LLC
United States
- $87,700 to $157,800 USD / year
Added 10 hours ago
CM
Director, Grievance & Appeals
Centene Management Company LLC
Remote, United States
- $107,700 to $199,300 USD / year
Added 10 hours ago
CM
Quality Improvement Specialist I
Centene Management Company LLC
Remote, United States
- $23.23 to $39.61 USD / hour
Added 10 hours ago
CM
Senior Applications Security Engineer (SOAR)
Centene Management Company LLC
Remote, United States
- $87,000 to $161,300 USD / year
Added 10 hours ago
CM
Applications Security Engineer II (SOAR)
Centene Management Company LLC
Remote, United States
- $75,300 to $135,400 USD / year
Added 10 hours ago
CM
Behavioral Health Medical Director
Centene Management Company LLC
Remote, United States
- $215,000 to $408,500 USD / year
Added 10 hours ago
CM
Quality Improvement Specialist Senior
Centene Management Company LLC
Remote, United States
- $70,100 to $126,200 USD / year

Centene Management Company LLC

Program Manager III - Payment Accuracy

Remote, United States

$87,700 to $157,800 USD / year

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Job details

Pay: $87,700 to $157,800 USD / year
Posting language: English
Posted: Nov 3, 2026

Original job description

Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.

Identify opportunities to increase efficiency, improve service levels and to ensure regulatory compliance through enhanced operations
Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment
Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure
Utilize corporate and industry standard project management tools and techniques to effectively manage projects
Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans
Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations
Negotiate with project 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
Responsible for the Governance communications and ceremonies

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. Managed care or prescription benefit management experience preferred. Experience with Amisys, Xcelys or similar claims adjudication engines strongly preferred. Demonstrated knowledge and experience of Payment Accuray programs within EDI Gateway Availity or similar programs preferred.

Pay Range: $87,700.00 - $157,800.00 per year

At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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

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More about this job

Skills

Regulatory compliance
Prioritization
Requirements gathering
Manage resources
Project management
Manage several projects
Documentation
Leadership
Presentation skills
Program management
EDI
Mentor individuals

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