Manager, project management job description

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Perform duties to conduct and manage the day to day operations of the care management functions communicating with departmental and plan administrative staff to facilitate daily department functions.
• Manage the delivery of services to members, ensuring services are appropriate and cost effective.

• Ensure compliance with government and company requirements in the care management department. Develop and implement new procedures, regulatory filings and manage compliance issues.

• Develop, implement, and oversee care management policies and procedures and give specific guidance to staff and departments as appropriate.

• Develop, implement, and maintain care management programs to facilitate the use of appropriate services and resources in order to maintain the member in the least restrictive environment.

• Direct the daily activities of care management staff. Facilitate on-going communication between case management staff, members, contracted providers, and subsidiaries.

• Develop staff skills and competencies through training and experience.

• Manage resolution of complaints, and assist in audits and evaluations related to Care Management Programs. If necessary, develop and implement corrective action plans.

Education/Experience: Bachelor's degree in Nursing preferred. RN 6+ years related experience. Thorough knowledge of case and/or utilization management. Familiarity with Medicaid managed care practices and policies. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.

License/Certification: CA RN License and valid driver's license.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Manager, Care Management

**LOCATION:** Woodland Hills, California

**REQNUMBER:** 1364600

Accountable for the development, implementation and ongoing management of more complex projects which typically impact more than one of the following: process, system, product and/or function and run a year or more in duration.-Develops and implements strategic project plan to achieve business goals -Proactively leads project and/or business by setting direction of project, creating project plan, timeline identifying key milestones and additional resources needed on selected project(s) -Identifies gaps and recommends enhancements related to new and/or existing products, services and workflows based on broad view of the organization -Solicits and evaluates internal and external customer feedback to enhance continuous quality improvement -Responsible for managing the budget and/or financial implications of more complex projects -Group facilitation/presentation influencing various internal (these may be cross-functional/segment) and external parties (e.g., vendor management) -Identifies issues that may stall project and addresses them by either resolving the issue or creating an alternative solution -Tracks progress and communicates project(s) status on a regular basis to all impacted parties -Builds communication plans for implementation to ensure all impacted parties (up stream/down stream) are informed of next steps for completion -May mentor and/or coach others -Acts as an advocate for change may require influencing others to see the value in project, including managing interpersonal sensitivities and articulating the strategic view to ensure project alignment
Pay Range

The typical pay range for this role is:

Minimum: 60,300

Maximum: 126,600

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

Strong Project Management and Leadership skills, ability to lead a project and direct a project team-Proven ability to lead change and influence outcomes-Ability to collaborate and drive results with project team members from various departments-Excellent communication skills both written and verbal-Proven track record in meeting project milestones-Ability to mitigate risks and solve project issues

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications

PMP certified, with 5-7 years of management experience related to product, technology, systems, and processes preferred

Education

Bachelors Degree

Business Overview

Bring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Comcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities across a wide range of locations and disciplines. We are at the forefront of change and move at an amazing pace, thanks to our remarkable people, who bring cutting-edge products and services to life for millions of customers every day. If you share in our passion for teamwork, our vision to revolutionize industries and our goal to lead the future in media and technology, we want you to fast-forward your career at Comcast.

Responsible for managing, planning, tracking and implementing small projects or aspects of larger projects from initiation to completion. Ensures project completion according to timeline, budget and specifications. Works with vendors and team to establish and achieve goals. Coordinates the activities of a cross-functional team including exempt and non-exempt employees. Communicates project status with Project Manager.
Job Description
Core Responsibilities
Manages projects, with direct supervision, to ensure on-time completion according to specifications and within budgeted costs.Uses formal processes and tools to manage resources, budgets, risks and changes.Identifies project scope and objectives. Manages a cross-functional team including third party vendors and other resources; coordinates activities to achieve goals.Plans and directs schedule and budget.Maintains communication with stakeholders. Provides status reports to Project Managers, vendors, stakeholders and resources.Addresses problems through risk management and contingency planning and presents solutions and/or options to executive management.Regular, consistent and punctual attendance. Must be able to work nights and weekends, variable schedule(s) and overtime as necessary.Other duties and responsibilities as assigned.

Employees at all levels are expected to:

Understand our Operating Principles; make them the guidelines for how you do your job.Own the customer experience - think and act in ways that put our customers first, give them seamless digital options at every touchpoint, and make them promoters of our products and services.Know your stuff - be enthusiastic learners, users and advocates of our game-changing technology, products and services, especially our digital tools and experiences.Win as a team - make big things happen by working together and being open to new ideas.Be an active part of the Net Promoter System - a way of working that brings more employee and customer feedback into the company - by joining huddles, making call backs and helping us elevate opportunities to do better for our customers.Drive results and growth.Respect and promote inclusion & diversity.Do what's right for each other, our customers, investors and our communities.

Disclaimer:

This information has been designed to indicate the general nature and level of work performed by employees in this role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications.

Comcast is an EOE/Veterans/Disabled/LGBT employer.

We believe that benefits should connect you to the support you need when it matters most, and should help you care for those who matter most. That's why we provide an array of options, expert guidance and always-on tools that are personalized to meet the needs of your reality-to help support you physically, financially and emotionally through the big milestones and in your everyday life.
Please visit the benefits summary on our careers site for more details.

Education
Bachelor's Degree

While possessing the stated degree is preferred, Comcast also may consider applicants who hold some combination of coursework and experience, or who have extensive related professional experience.

Certifications (if applicable)

Relative Work Experience
0-2 Years

Comcast is proud to be an equal opportunity workplace. We will consider all qualified applicants for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other basis protected by applicable law.