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Arizona Complete Health · 6 hours ago

Program Manager II

Full-time

Hybrid

Mid Level

$70K/yr - $126K/yr

3+ years exp

Arizona Complete Health is part of Centene, a national organization focused on transforming the health of communities. They are seeking a Program Manager II to plan, organize, and oversee programs, ensuring compliance with guidelines and meeting strategic objectives.

Health CareHealth InsuranceHospitalMedical

Responsibilities

Creating/maintaining work processes for the UM/CM team to ensure compliance with NCQA/State/Federal guidelines and requirements

Support business department initiatives that promote, quality, safety and cost of care opportunity

Ensuring policies/processes and other information on the UM/CM SP sites/folders are current

Utilize corporate and industry standard tools and techniques to effectively oversee programs according to department procedures

Maintain detailed business process documentation including meeting minutes, action items, issues lists and risk management plans as applicable

Create and monitor all department deliverables to ensure adherence to quality standards including clinical reporting documents, related reference materials, and policy and procedure documentation

Communicate program status to management and key stakeholders

Change management when rolling out new processes

Support reporting requirements, productivity tracking for UM/CM teams

Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and business objectives

Manage projects through the full project life cycle

Provide leadership and effectively communicate project status to all stakeholders

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

Performs other duties as assigned

Complies with all policies and standards