C

Centene

Runs government-backed health insurance plans

Project Manager 2 - Risk Adjustment

Full-TimeUpdated
$70.1k - $126.2k/yr
Mid
Bachelor's
North Carolina, USA
RemoteFully remote role.
Project & Program ManagementProject Management

About the job

Requirements
  • A bachelor's degree in a related area or equivalent experience is required.
  • At least 3 years of project management experience is required.
  • Experience working with and leading diverse groups and in matrix-managed environments is required.
  • Proficiency with project management tools, such as Microsoft Project or other project management software, and Microsoft Office applications is required.
Responsibilities
  • Plan, organize, monitor, and oversee risk adjustment projects; track monthly goals; assign project tasks to Risk Adjustment Coordinators; conduct provider outreach on project-related issues; meet or exceed annual risk adjustment goals; manage vendors; collaborate with Corporate Shared Services; and drive strategy and process improvement.
  • Manage the full project life cycle, including gathering requirements, creating project plans and schedules, obtaining and managing resources, managing budgets, and facilitating project execution, deployment, and closure.
  • Use corporate and industry-standard project management tools and techniques to manage projects effectively.
  • Assist with establishing and maintaining the corporate project management methodology and other department procedures.
  • Maintain detailed project documentation, including meeting minutes, action items, issue lists, and risk management plans.
  • Communicate project status effectively to all stakeholders.
  • Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.
  • Coordinate cross-functional meetings with various functional areas to meet stakeholder expectations and company objectives.
  • Provide functional and technical knowledge across multiple business and technical areas.
  • Monitor the creation of project deliverables to ensure they meet quality standards, including design documents, test plans, training materials, and operations documentation.
  • Create and communicate project milestone documents, dashboards, return-on-investment tables, and departmental success metrics.
Desired Qualifications
  • Healthcare experience is preferred.
  • PMP or CAPM certification is preferred.
  • Preferred skills include Power BI, Copilot AI, knowledge of risk adjustment, Excel analytics, Microsoft 365, dashboard reporting, and reporting project status to executive leadership.

About the company

C

Centene

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Website

Centene runs government-backed health insurance plans in the United States, with Medicaid as its largest business alongside Medicare and Affordable Care Act Marketplace coverage. It is one of the largest Medicaid insurers in the country and also runs plans for people eligible for both Medicare and Medicaid, long-term care and children in foster care. States and the federal government pay Centene a set amount per member to manage care, and individuals buy its Ambetter Marketplace plans, often with federal subsidies. Centene contracts with local doctors, hospitals and pharmacies and keeps the difference between premiums and the cost of care. The company was founded in 1984 in Milwaukee and is headquartered in Clayton, Missouri.

Company Size

10,001+

Company Stage

IPO

Headquarters

Clayton, Missouri

Founded

1984

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Simplify Jobs

Simplify's Take

What believers are saying

  • Profits are recovering: July 2026 results lifted full-year adjusted EPS guidance above $4.80.
  • Revenue keeps growing: second-quarter revenue reported in July 2026 rose nearly 10% to about $53.6 billion.
  • Large employer, many paths: Centene had 59,800 employees in June 2026 across Medicaid, Medicare and Marketplace plans.

What critics are saying

  • Job security is shaky: in June 2026 Centene offered buyouts to most employees after steep membership losses.
  • Exchange enrollment is shrinking: Marketplace members fell from about 5.9 million in June 2025 to 3.5 million in June 2026.
  • Revenue rides on Medicaid rolls: enrollment fell 5.5% in a year to 12.1 million by June 2026.

What makes Centene unique

  • Government coverage is the whole business: Centene serves more than 1 in 15 Americans across all 50 states.
  • It began as a safety-net plan: a former hospital bookkeeper founded it in 1984 to serve Milwaukee's low-income patients.
  • It runs specialty Medicaid: its Superior HealthPlan has been Texas's sole foster care insurer since 2008.

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Benefits

  • Health Insurance
  • 401(k) Retirement Plan
  • 401(k) Company Match
  • Paid Vacation
  • Hybrid Work Options
  • Flexible Work Hours

Company News

Yahoo Finance
Oct 27th, 2026
Centene raises 2026 outlook to over $5.20 EPS as Medicare beats and debt falls to $15.0B

Centene raised its 2026 earnings outlook after third-quarter results beat expectations. The health insurer reported adjusted earnings per share of $0.58 and $45.1 billion in premium and service revenue. It now expects full-year adjusted earnings per share of more than $5.20, up from more than $4.80. Stronger Medicare results drove the change, and Medicare Advantage is now expected to break even in 2026, a year earlier than planned. Medicaid performed in line with expectations, with membership at 11.9 million. Marketplace margins are expected at the top of the 4.5% to 5% range. Total debt fell to $15.0 billion from $18.5 billion at the end of 2024. Centene will give formal 2027 guidance in February.

Yahoo Finance
Oct 27th, 2026
Centene's Medicare Advantage hits breakeven a year early as debt falls to $15.0B from $18.5B

Centene reported its Medicare Advantage business reached breakeven in 2026, a year ahead of plan, helped by favourable medical costs. Medicaid held steady with a 93.6% health benefits ratio, and Marketplace pretax margin hit the top of its 4.5% to 5.0% range. The company cut total debt to $15.0 billion from $18.5 billion at the end of 2024. It booked $276 million in severance-related charges in the third quarter as part of a $480 million optimisation programme that includes job cuts and AI-driven automation. For 2027, Centene expects Medicare Advantage membership to fall as it exits less profitable areas. It is also leaving the Health Net commercial group business in California over 18 to 24 months. Adjusted earnings per share guidance for 2026 stands at $5.20, including about $0.50 of non-recurring benefits.

Yahoo Finance
Oct 27th, 2026
Centene cuts almost 6,000 jobs as Medicare break-even comes a year early

Centene expects to break even in its Medicare business this year, a target it had not planned to hit until 2027. The St. Louis-based insurer cut Medicare Advantage and prescription drug plan costs in the third quarter. It raised its full-year outlook for the third time this year. Adjusted earnings per share are now forecast at "greater than" $5.20, up from "greater than" $4.80. Third-quarter revenue rose 2% to $50.6 billion. The net loss narrowed to $71 million from $6.6 billion a year earlier, when Centene took a large impairment charge. Headcount fell from 59,800 to 53,900 after layoffs and a voluntary separation program. Severance cost almost $280 million, but executives expect the cuts to help margins in 2027.

RamaOnHealthcare
Oct 27th, 2026
Centene reports small loss as CEO says health insurer on track for 'faster recovery'

Centene reports small loss as CEO says health insurer on track for 'faster recovery' Forbes October 27, 2026 Bruce Japsen Centene reported a $71 million third quarter loss though much improved over the year-ago period as the health insurer gets a handle on costs dogging the industry. Centene, which is one of the nation's largest providers of Obamacare and is also a large provider of Medicaid health benefits for poor Americans, reported a $71 million loss or 14 cents in the third quarter ended Sept. 30. That compares to a loss of $6.6 billion, or $13.50 in the year ago period. Centene reported revenue of $50.65 billion in the period compared to $49.69 billion in the third quarter of last year. "Solid underlying fundamentals within our core businesses have powered a faster recovery to our earnings trajectory than previously anticipated,"...

Trefis
Oct 21st, 2026
The 52-week-high list: 23 Mid Cap names on Tuesday.

The 52-week-high list: 23 Mid Cap names on Tuesday. October 21st, 2026 · by Trefis Team SPYYTD+14.0% SPYYTD+14.0% QQQYTD+18.3% As of Tuesday, October 20, there are 23 Mid Cap US and Canada-listed stocks in the Trefis coverage universe trading at their 52-week highs. Mid Cap here means a market value between $10 billion and $40 billion, the upper figure excluded. At about $35.9 billion in market value, Biogen (BIIB) is the largest company on the list; its stock is up 11.0% over the past month and up 70.0% over the past year. Health Care contributed the most names, 7 of the 23. For context, the S&P 500 is down 0.6% over the past month, including dividends. The 10 Largest, By Market Cap The table below shows the 10 largest of the 23 names, sorted by market capitalization, with returns over four windows: | Tickers | Market Cap | 1D Return | 1W Return | 1M Return | 1Y Return | | BIIB | $35.9 Bil | 4.1% | 6.2% | 11.0% | 70.0% | | CNC | $35.0 Bil | 3.2% | 2.8% | 9.0% | 100.8% | | WSM | $29.9 Bil | 1.8% | 6.2% | 12.1% | 38.9% | | SN | $28.1 Bil | 5.2% | 5.3% | 18.6% | 111.6% | | WST | $27.5 Bil | 1.3% | 4.6% | 7.5% | 44.1% | | CHD | $25.1 Bil | 1.8% | 5.8% | 11.0% | 21.3% | | IFF | $23.3 Bil | 0.3% | 3.4% | 9.1% | 46.3% | | PR | $20.8 Bil | 0.2% | 2.4% | 13.1% | 109.1% | | OVV | $19.7 Bil | 0.4% | 5.4% | 16.8% | 99.9% | | APA | $17.6 Bil | 0.3% | 3.9% | 13.9% | 129.3% | The Businesses Behind The Largest New Highs Biogen (BIIB) grew revenue 0.3% over the last twelve months and earned an operating margin of 19.3%. Centene (CNC) grew revenue 13.9% over the last twelve months and earned an operating margin of 0.8%. Across the list, one-month moves range from +6.4% for American Financial (AFG) to +24.9% for Hasbro (HAS). The median stock on the list is up 46.7% over the past year. 9 of the 23 names are also S&P 500 members. A new high tells you what the market already believes. The harder question is which of these runs management itself is underwriting. Our Guidance Momentum screen tracks exactly that: stocks where the company raised its own forward numbers. Strength Is A Clue. It Is Not A Plan A stock at its 52-week high has momentum on its side, and momentum is a real force. It is also the most crowded signal in the market, and what separates a run that lasts from one that tops is usually the business underneath. Checking that business, across thousands of names, is how the Trefis High Quality (HQ) Portfolio is assembled: roughly 30 companies that pass the quality screens, rebalanced on rules. It has a track record of outpacing a benchmark that combines the S&P 500, the S&P MidCap 400, and the Russell 2000. Let the highs point; let the discipline decide.