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Senior Manager, Medicare Strategy & Performance

Centene · MO · Remote available · $107,700–$199,300 a year · Full time

Posted Sep 30, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a large cross-functional initiative you led. How did you keep it on track?

What they are checking: Whether they can manage dependencies and people across functions they do not directly control.

Tell me about a post-implementation review you led. What did it change?

What they are checking: Whether they use lessons learned to improve future work instead of filing reviews away.

How do you develop the people on your team while delivering on a heavy plan?

What they are checking: Whether they invest in their team's growth even under delivery pressure.

What would you do

How would you turn an annual Medicare strategic plan into a set of initiatives your team can actually execute?

What they are checking: Whether they can break strategy into owned, scheduled work with clear measures of success.

Two initiatives compete for the same people and budget. How do you decide what goes first?

What they are checking: Whether they use clear criteria tied to strategy rather than deferring to whoever pushes hardest.

A state-level initiative is falling behind while national work is on track. What do you do?

What they are checking: Whether they can balance local and national priorities and act on slipping work early.

About the work

How do you build a cost-benefit analysis for a proposed Medicare initiative?

What they are checking: Whether they can work with finance to weigh costs, risks and return before a project is approved.

How do you find the critical path when you integrate several project plans into one program?

What they are checking: Whether they understand program management mechanics well enough to see what really drives the timeline.

What Medicare levers, like Star Ratings or risk adjustment, would you expect a strategy team to focus on?

What they are checking: Whether they understand what drives Medicare Advantage performance and revenue.

How do you manage a large, complex budget across many initiatives?

What they are checking: Whether they can track spend, forecast and catch overruns early across a portfolio.

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The full job description

As published by Centene.

Position Purpose: Lead a team of professionals responsible for the strategic and operational execution of the strategic plan, typically including individual state initiatives as well as broad, national strategic efforts. Responsible for a large budget that is very complex in nature, in support of the Health Care product's strategic and business initiatives. • Support the strategic and business planning process and lead larger scale, cross-functional initiatives that are intended to deliver on annual business and strategic plans. • Support planning and prioritization of initiatives as part of the strategic and business planning process, and ensures that initiatives are executed timely and well. • Collaborate with finance and analytic teams to develop cost/benefit analysis, support business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment, and project budgetary information. • Integrate multiple project plans to create a cohesive plan and/or program with identifiable critical path. • Task dependencies, project inter-relationships and major milestones, and manage the project plan, schedule and resources, ensuring successful completion within scope, budget, time, and quality parameters. • Lead and review post-implementation project reviews to close project and to address post-project issues, concerns, and improvement areas. • Responsible for keeping abreast of business needs and issues related to the success of the Health Care product based on regulatory or policy changes, contract changes, industry trends and/or corporate goals. • Support the preparation of communications and presentations to all levels of the organization as well as to external audiences as appropriate, to socialize product goals, communicate progress, identify and quantify potentials risks, and track performance. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor’s degree in Business Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years of managed care experience in a HMO, MSO, provider managed care setting or related experience. 3+ years of supervisory/management experience. License/Certification: Project Management Professional Certification preferred. Pay Range: $107,700.00 - $199,300.00 per year At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday. Centene 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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