Teams at Centene Corporation

Manages a care management team and member care programs to achieve compliant, high-quality, cost-effective healthcare outcomes. Oversees documentation, escalations, complex cases, audits, policies, reporting metrics, staff caseloads, and regulatory compliance. Supports hiring, onboarding, training, and team development while coordinating with members, providers, and senior leadership. The role is remote and requires California RN licensure while working Pacific Time hours.

Lead enterprise-wide programs transforming contact center and telephony platforms from Avaya to AWS Connect. Manage scope, schedules, budgets, resources, risks, dependencies, and cross-functional teams. Coordinate project managers and business analysts, provide executive dashboards and steering committee updates, resolve escalated issues, and support training and process improvement. The role requires strong program leadership, executive communication, and experience delivering complex IT initiatives in high-visibility environments.

Supervises utilization management nurses conducting prior authorization, concurrent, and retrospective reviews. Oversees performance, compliance, quality, staffing, coaching, onboarding, and training while resolving complex member care issues. Develops and implements utilization management policies, supports regulatory compliance, promotes process improvements, and coordinates communication among team members, members, providers, and senior management.