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As a Project Manager III, you will orchestrate complex, long-term projects across the organization, ensuring alignment with strategic objectives. The role involves managing the entire project lifecycle, utilizing project management tools, maintaining documentation, providing status updates, and ensuring quality standards for project deliverables. You'll collaborate with cross-functional teams and stakeholders to meet project goals effectively.

The Manager, Utilization Management will oversee the Prior Authorization, Concurrent Review, and Retrospective Review Clinical Review teams to ensure compliance and appropriate member care. Responsibilities include managing utilization management operations, analyzing trends, developing policies, providing education, coaching staff, and collaborating with senior management on initiatives and goals.

The Instructional Documentation Writer is responsible for designing and updating healthcare processing documentation, translating technical data for claims business operations staff, and collaborating with various departments to maintain clarity and consistency in documentation. Tasks include creating user guides, conducting annual reviews, and participating in technical initiatives.

The Compliance Analyst will assist in maintaining the Compliance Program at Centene Corporation through various responsibilities including compliance reporting, regulatory interpretation, compliance audits, and training programs. They will also communicate regulatory requirements and assist in policy development related to compliance issues.

The Executive Assistant will relieve the executive of administrative functions, prepare and coordinate records, assist in event organization, handle confidential information, and prepare correspondence.

The Quality Program Strategist II will oversee quality improvement programs for HEDIS, CAHPS, and HOS strategies, analyze business issues for stakeholders, develop support resources, ensure compliance with state reporting standards, and train Quality Improvement Health Plan staff.

The Complaints and Issues Specialist II documents and addresses customer complaints and issues, ensuring compliance with regulatory requirements. They collaborate with team members to investigate complaints, identify root causes, and develop solutions while maintaining documentation and reporting outcomes. The role also involves training contact center staff on proper procedures for issue resolution.