[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. Responsibilities Identify opportunities to increase efficiency, improve service levels, and ensure regulatory and PA compliance through enhanced, standardized operations and governance practices Develop and execute strategies to realize PA improvement opportunities, ensuring enterprise‑level prioritization, clear decision rights, and appropriate resource alignment Manage 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 closure Support structured PA governance cycles by ensuring initiatives are evaluated, prioritized, approved, and sequenced in alignment with enterprise standards and readiness criteria Utilize corporate and industry‑standard project management and governance tools to manage PA initiatives effectively, including standardized trackers, RAID logs, and decision artifacts Maintain detailed and accurate PA program documentation, including action items, risk and issue logs, mitigation plans, and governance decisions, ensuring auditability and traceability Maintain accurate and up‑to‑date trackers, RAID logs, and documentation across multiple PA workstreams to support transparency and leadership oversight Compile, format, and validate review packets and governance decision materials to ensure consistency, completeness, and decision‑readiness for leadership review Coordinate and validate market, clinical, and SME inputs to ensure they are accurately incorporated into final PA governance materials Partner with analytics, medical economics, and operations teams to review financial and operational claims data prior to governance review and decision‑making Ensure ad‑hoc PA requests are logged, tracked, prioritized, and either executed or formally deferred into subsequent governance cycles Maintain a centralized PA documentation repository as the single source of truth for governance artifacts, decisions, and reference materials Provide strong leadership and communicate PA program and governance status to stakeholders at all levels, including executive summaries, dashboards, and presentations Lead cross‑functional governance and working sessions with Operations, Clinical, Finance, Analytics, Technology, and Compliance partners to meet enterprise objectives and stakeholder expectations Negotiate with stakeholders to secure resources, resolve cross‑functional dependencies, and mitigate risks while maintaining alignment to PA governance standards Provide functional and operational expertise related to PA programs, requirements, and workflows to support informed decision‑making Skills Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience 5+ years project implementation, product or program management experience Strong leadership and communication skills Experience in managing multiple PA initiatives through the full project lifecycle Ability to utilize corporate and industry-standard project management and governance tools Experience in maintaining detailed and accurate program documentation Ability to compile, format, and validate review packets and governance decision materials Experience in coordinating and validating market, clinical, and SME inputs Ability to partner with analytics, medical economics, and operations teams Experience in logging, tracking, prioritizing ad-hoc PA requests Ability to maintain a centralized PA documentation repository Experience in leading cross-functional governance and working sessions Ability to negotiate with stakeholders to secure resources and resolve dependencies Functional and operational expertise related to PA programs, requirements, and workflows Master's degree Managed care or prescription benefit management experience Benefits Competitive pay Health insurance 401K and stock purchase plans Tuition reimbursement Paid time off plus holidays A flexible approach to work with remote, hybrid, field or office work schedules Total compensation may also include additional forms of incentives Benefits may be subject to program eligibility Company Overview Centene 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.