Manager, Clinical Program Manager

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.This Management position will support Northern CA and Central CA and requires local travel.Position Purpose: Manage a team of Clinical Program Managers (CPMs) who play a significant role to improve clinical quality performance, provider satisfaction, and member experience, and operational performance, including access to care. Lead and direct process improvement initiatives by utilizing process improvement methodologies in the analysis of current operations and design of clinical operations. Manage activities related to reprocurement process, provider engagement, and regulatory requirements.Manage relationships with hospitals, providers, clinics, and delegated groups. Ensure that all external activities are coordinated to enhance provider experience and maximize efficiency.Gather, analyze, track and present data on key performance indicators. Develop, implement, and manage external facing projects and programs aimed at improvements in cost, quality, and service. Track progress of projects and implementation of action plans. Prepare and present periodic reports on provider performance.Co-lead the development and implementation of process improvement initiatives with cross-functional teams. Co-manage projects and programs aimed at improvements in cost, quality, and services. Ensure all efforts align and support vision and strategic plan.Manage activities related to re-procurement, compliance with contractual/regulatory requirements, and meeting or exceeding key performance indicators (RAF, STARS, HEDIS, MCAS, etc.).Manage a team of Clinical Program Managers (CPMs) who play a significant role in the Health Plan to improve clinical quality performance, provider satisfaction, and member experience, and operational performance, including access to care. The manager will be responsible for recruitment, onboarding, training, development, setting goals and objectives, and evaluating performance for the CPMs.Education/Experience: Master’s degree in Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Policy, or equivalent field or equivalent experience. 5+ years of experience in managed care. Strong knowledge of operational, regulatory, clinical, and reporting requirements for Managed Care Plans (MCP) operating in multiple lines of business. Experience leading the implementation of programs in managed care and co-leading cross-functional teams.For Coordinated Care Health Plan only:MVR background check required.Candidate required to be a licensed behavioral health clinician.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, Clinical Program ManagerLOCATION: Fresno, CaliforniaREQNUMBER: 1352954