Implementation Manager – Utilization Management

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Job Description

Implementation Manager deploying Utilization Management technology and AI solutions for Centene. Leading enterprise healthcare system configuration, testing, rollout, and adoption.

Responsibilities:

  • Lead end-to-end implementation of technology solutions supporting Utilization Management
  • Translate business and clinical requirements into scalable, well-governed system deployments
  • Drive delivery from design through go-live and post-launch stabilization
  • Partner across clinical, operational, and IT teams to configure, test, and successfully adopt new capabilities
  • Manage scope, timelines, stakeholder alignment, and delivery across cross-functional teams
  • Establish governance structures, project frameworks, and performance measurement criteria
  • Synthesize clinical outcomes, operational performance data, and frontline feedback into executive-ready reporting
  • Identify, evaluate, and prioritize technology and process improvement opportunities
  • Manage system configuration, workflow design, and integration activities with IT and vendor teams
  • Select implementation approaches based on workflow complexity, risk, and business value
  • Lead requirements gathering, solution design, user acceptance testing, and cutover planning for core UM platforms
  • Partner with business leaders, IT, clinical operations, vendor management, and enterprise Program Management Offices
  • Define and track success metrics tied to business outcomes
  • Translate technical concepts, tradeoffs, and recommendations for stakeholders
  • Perform other duties as assigned
  • Comply with all policies and standards

Requirements:

  • Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
  • Bachelor's Degree required
  • 2+ years of experience in technology implementation, systems configuration, or solution deployment including AI required
  • Fluent with a range of implementation and project management tools
  • Demonstrated experience delivering enterprise systems
  • 3+ years project management and cross-functional delivery experience required
  • Experience in the healthcare and/or managed care industries preferred
  • Demonstrated ownership and initiative
  • Strong project management skills
  • Strong analytical skills
  • High attention to detail

Benefits:

  • Competitive pay
  • Health insurance
  • 401K plan
  • Stock purchase plans
  • Tuition reimbursement
  • Paid time off plus holidays
  • Flexible approach to work with remote, hybrid, field or office work schedules
  • Additional forms of incentives may be included in total compensation
  • Equal opportunity employer committed to diversity