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Program Manager – PA Governance

May 27, 2026

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: The Program Manager is responsible for leading enterprise‑wide Prior Authorization (PA) governance ensuring disciplined planning, data‑driven prioritization, and effective execution across regulatory, operational, and clinical initiatives. This role partners closely with organizational leaders to drive alignment, manage change, and ensure PA decisions translate into measurable outcomes.Responsibilities:<ul><li>Identify opportunities to increase efficiency, improve service levels, and ensure regulatory and PA compliance through enhanced, standardized operations and governance practices.</li><li>Develop and execute strategies to realize PA improvement opportunities, ensuring enterprise‑level prioritization, clear decision rights, and appropriate resource alignment.</li><li>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.</li><li>Support structured PA governance cycles by ensuring initiatives are evaluated, prioritized, approved, and sequenced in alignment with enterprise standards and readiness criteria.</li><li>Utilize corporate and industry‑standard project management and governance tools to manage PA initiatives effectively, including standardized trackers, RAID logs, and decision artifacts.</li><li>Maintain detailed and accurate PA program documentation, including action items, risk and issue logs, mitigation plans, and governance decisions, ensuring auditability and traceability.</li><li>Maintain accurate and up‑to‑date trackers, RAID logs, and documentation across multiple PA workstreams to support transparency and leadership oversight.</li><li>Compile, format, and validate review packets and governance decision materials to ensure consistency, completeness, and decision‑readiness for leadership review.</li><li>Coordinate and validate market, clinical, and SME inputs to ensure they are accurately incorporated into final PA governance materials.</li><li>Partner with analytics, medical economics, and operations teams to review financial and operational claims data prior to governance review and decision‑making.</li><li>Ensure ad‑hoc PA requests are logged, tracked, prioritized, and either executed or formally deferred into subsequent governance cycles.</li><li>Maintain a centralized PA documentation repository as the single source of truth for governance artifacts, decisions, and reference materials.</li><li>Provide strong leadership and communicate PA program and governance status to stakeholders at all levels, including executive summaries, dashboards, and presentations.</li><li>Lead cross‑functional governance and working sessions with Operations, Clinical, Finance, Analytics, Technology, and Compliance partners to meet enterprise objectives and stakeholder expectations.</li><li>Negotiate with stakeholders to secure resources, resolve cross‑functional dependencies, and mitigate risks while maintaining alignment to PA governance standards.</li><li>Provide functional and operational expertise related to PA programs, requirements, and workflows to support informed decision‑making.</li></ul>Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay Range: $87,700.00 - $157,800.00 per yearCentene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...