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Responsible for planning, organizing, and overseeing complex projects in the Population Health and Clinical Operations team, ensuring project success through effective communication and resource management.

The executive will manage Centene's Corporate Risk Adjustment operations focusing on compliance, data integrity, and team leadership while driving enterprise-wide change.

The Program Manager III will lead multiple projects to enhance efficiency and compliance, manage resources, and communicate progress to stakeholders.

The role involves overseeing labor management, ensuring resource allocations, developing reporting metrics, managing project lifecycles, and facilitating strategic alignment in technology projects.

Perform care management for high acuity members, develop personalized care plans, coordinate services, monitor progress, and educate families.

The Plan President & CEO will oversee operational policies, represent the organization, manage financial structures, and develop strategic plans.

The Senior LTSS Assessor coordinates care for high-acuity members, develops care plans, monitors progress, and educates families about health services.

Lead the design and development of software systems for Payment Integrity, using AWS Serverless technology while ensuring security, scalability, and performance. Collaborate with teams to establish architecture and requirements, implement CI/CD pipelines, and mentor engineering staff.

The role involves designing architecture at an enterprise level, leading complex IT projects, and mentoring teams on technical solutions.

Conduct audits of medical records to identify billing inaccuracies and recommend actions based on claims data and regulations. Analyze provider billing patterns and suggest preventative measures to mitigate future issues.