[Remote] Program Manager – PA Governance

Note: The job is a remote job and is open to candidates in USA. Centene Corporation is a diversified national organization focused on transforming the health of communities. The Program Manager will lead enterprise-wide Prior Authorization governance, ensuring effective execution across regulatory, operational, and clinical initiatives while partnering with organizational leaders to drive alignment and measurable outcomes.ResponsibilitiesIdentify opportunities to increase efficiency, improve service levels, and ensure regulatory and PA compliance through enhanced, standardized operations and governance practicesDevelop and execute strategies to realize PA improvement opportunities, ensuring enterprise‑level prioritization, clear decision rights, and appropriate resource alignmentManage multiple PA initiatives through the full project lifecycle, including requirements gathering, governance intake, development of project plans and schedules, resource and budget management, execution, deployment, and closureSupport structured PA governance cycles by ensuring initiatives are evaluated, prioritized, approved, and sequenced in alignment with enterprise standards and readiness criteriaUtilize corporate and industry‑standard project management and governance tools to manage PA initiatives effectively, including standardized trackers, RAID logs, and decision artifactsMaintain detailed and accurate PA program documentation, including action items, risk and issue logs, mitigation plans, and governance decisions, ensuring auditability and traceabilityMaintain accurate and up‑to‑date trackers, RAID logs, and documentation across multiple PA workstreams to support transparency and leadership oversightCompile, format, and validate review packets and governance decision materials to ensure consistency, completeness, and decision‑readiness for leadership reviewCoordinate and validate market, clinical, and SME inputs to ensure they are accurately incorporated into final PA governance materialsPartner with analytics, medical economics, and operations teams to review financial and operational claims data prior to governance review and decision‑makingEnsure ad‑hoc PA requests are logged, tracked, prioritized, and either executed or formally deferred into subsequent governance cyclesMaintain a centralized PA documentation repository as the single source of truth for governance artifacts, decisions, and reference materialsProvide strong leadership and communicate PA program and governance status to stakeholders at all levels, including executive summaries, dashboards, and presentationsLead cross‑functional governance and working sessions with Operations, Clinical, Finance, Analytics, Technology, and Compliance partners to meet enterprise objectives and stakeholder expectationsNegotiate with stakeholders to secure resources, resolve cross‑functional dependencies, and mitigate risks while maintaining alignment to PA governance standardsProvide functional and operational expertise related to PA programs, requirements, and workflows to support informed decision‑makingSkillsBachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience5+ years project implementation, product or program management experienceStrong leadership and communication skillsExperience in managing multiple PA initiatives through the full project lifecycleAbility to utilize corporate and industry-standard project management and governance toolsExperience in maintaining detailed and accurate program documentationAbility to compile, format, and validate review packets and governance decision materialsExperience in coordinating and validating market, clinical, and SME inputsAbility to partner with analytics, medical economics, and operations teamsExperience in logging, tracking, prioritizing ad-hoc PA requestsAbility to maintain a centralized PA documentation repositoryExperience in leading cross-functional governance and working sessionsAbility to negotiate with stakeholders to secure resources and resolve dependenciesFunctional and operational expertise related to PA programs, requirements, and workflowsMaster's degreeManaged care or prescription benefit management experienceBenefitsCompetitive payHealth insurance401K and stock purchase plansTuition reimbursementPaid time off plus holidaysA flexible approach to work with remote, hybrid, field or office work schedulesTotal compensation may also include additional forms of incentivesBenefits may be subject to program eligibilityCompany OverviewCentene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. It was founded in 1984, and is headquartered in St Louis, Missouri, USA, with a workforce of 10001+ employees. Its website is http://centene.com.