Project Manager II (Claims Configuration)

Full Time
Florida
Posted
Job description
You could be the one who changes everything for our 26 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: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.

Managing Policies and Procedures

Tracking and Monitoring Complaints and Escalations

Monitoring departmental mailbox which includes Executive Escalations, State Complaints, Interdepartmental Escalations, etc. This will include assigning out to the appropriate team member or working themselves.

Utilize corporate and industry standard project management tools and techniques to effectively manage projects.

Tracking/monitoring the lifecycle of the complaint to ensure the deadline is met.

Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans.

Effectively communicate project status to all stakeholders.

Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.

Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives.

Provide functional and technical knowledge across multiple business and technical areas.

Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.

Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics.

Education/Experience: Bachelor's degree in related area or equivalent experience. 3+ years of project management experience. Experience working with and leading diverse groups and matrix managed environments. Proficient with project management tools, MS-Project or other project management software, and MS-Office applications. 2+ years experience working in Provider Relations, Claims, or Configuration preferred. Healthcare experience preferred.

License/Certification: PMP or CAPM certification preferred.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.

jjbodyshop.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, jjbodyshop.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, jjbodyshop.com is the ideal place to find your next job.

Intrested in this job?

Related Jobs

All Related Listed jobs