Program Manager III

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Oversee intricate, cross-functional programs and strategic initiatives that enhance Utilization Management operations across Medicaid and Marketplace lines of business.

• Collaborate with health plans, clinical operations, compliance, quality assurance, vendor partners, and enterprise leadership.

• Recognize opportunities to boost efficiency, enhance service levels, and maintain regulatory compliance.

• Formulate improvement strategies while ensuring alignment of organizational priorities and resource allocation.

• Oversee multiple projects throughout the entire project life cycle.

• Collect requirements and generate project plans and timelines.

• Acquire and manage resources along with budgets.

• Facilitate project execution, deployment, and completion.

• Keep comprehensive project documentation, including action items, issue lists, and risk mitigation strategies.

• Report project status to stakeholders via executive summaries and presentations.

• Negotiate with stakeholders to secure resources, address issues, and mitigate risks.

• Lead cross-functional meetings to align with stakeholder expectations and corporate objectives.

• Provide both functional and technical insights regarding program requirements and operations.

⛳️ Requirements

• Bachelor’s degree in Business Administration, Healthcare Administration, a related field, or equivalent experience.

• A minimum of 5 years of experience in project implementation, product, or program management.

• Experience in managed care or prescription benefit management is preferred.

• A Master’s degree is preferred.

• Proven ability to manage complex, cross-functional programs and strategic initiatives.

• Familiarity with project management tools and methodologies.

• Competence in managing project requirements, plans, schedules, resources, budgets, execution, deployment, and closure.

• Ability to maintain project documentation, action items, issue lists, and risk mitigation strategies.

• Functional and technical understanding of program requirements and operations.

• Candidates will be considered from across the nation.

• Expectation of 10% travel.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K retirement plan.

• Stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements with options for remote, hybrid, field, or office schedules.

• Additional forms of incentives may be included in the overall compensation package.