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Centene

American multinational healthcare company

Jobs Hiring Closed Discussion
49 jobs
Centene
2 days ago

Business Analyst II - Payment Integrity

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers…

Performance Management
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Centene
2 days ago

Senior Manager, Data Analytics & Reporting

NewBe an early applicant RemoteNorth AmericaPart-timeSenior
United States

Position Purpose: Responsible for ensuring accurate, timely, and efficient reporting and input of data related to all core business functions to include: provider data, clinical data, member data, and other data types.…

Analytics Automation Data Mining Data Warehousing Microsoft Access +3 skills
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Centene
2 days ago

Project Manager II- Member Experience

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including…

Microsoft Project PMP Requirements Gathering
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Centene
2 days ago

LTSS Service Care Coordinator

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service…
Apply
Centene
2 days ago

Senior Director, Strategic Provider Partnerships and Payment Innovation

NewBe an early applicant RemoteNorth AmericaPart-timeSenior
United States

Position Purpose: Responsible for identifying, building and implementing business strategies that support provider network and product development initiatives, focusing on building productive strategic provider…
Apply
Centene
2 days ago

Senior LTSS Service Care Manager RN

NewBe an early applicant HybridNorth AmericaPart-timeSenior
United States

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…
Apply
Centene
2 days ago

Director, Provider Engagement

NewBe an early applicant RemoteNorth AmericaPart-timeSenior
United States

This is a remote position and can be located anywhere in the US. Position Purpose: A senior leadership role responsible for driving strategic initiatives and ensuring the performance and alignment of provider…
Apply
Centene
2 days ago

Finance Analyst IV

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Compile and analyze financial information for the company. Lead various financial projects. Cost effectively manage the utilization of services and develop measures to track, trend and forecast…
Apply
Centene
2 days ago

Senior Care Manager (RN)

NewBe an early applicant RemoteNorth AmericaPart-timeSenior
United States

Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan…
Apply
Centene
2 days ago

Program Manager II

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Plan, organize, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. Key Details: Must be authorized to work…

Program Management
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Centene
2 days ago

Psychologist Reviewer

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and…
Apply
Centene
2 days ago

Program Manager III - Recovery Operations/Payment Integrity

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: This position is responsible for leading recoupment claim inventory management and BOT automation monitoring to ensure Payment Integrity Amisys, Facets, Xcelys, and ABS recovery processes operate as…

Automation Program Management Regulatory Compliance Requirements Gathering
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Centene
2 days ago

Utilization Review Clinician - Behavioral Health

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are…
Apply
Centene
2 days ago

Legal Operations Specialist

NewBe an early applicant HybridNorth AmericaPart-time
United States

Position Purpose: Effectively handle and manage incoming Legal mail and Service of Process. This includes reviewing, distributing, and responding to inquiries related to Legal mail and Service of Process, maintaining…
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Centene
2 days ago

RN Senior Transition Specialist

NewBe an early applicant RemoteNorth AmericaPart-timeSenior
United States

Position Purpose: Provides expertise based on experience with identifying, overseeing, and managing the coordination of transition of members in the community. Works with leadership to address complex issues and…
Apply
Centene
2 days ago

Medical Director PRN

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Assist the CMO to direct and coordinate the physician component of the utilization management functions for the health plan business units. Key Details: Must be Board Certified Physician with an…
Apply
Centene
2 days ago

Provider Engagement Account Manager

NewBe an early applicant North AmericaPart-time
United States

This is a field based position requiring the individual to live in Austin. Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client…

EDI
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Centene
2 days ago

Clinical Review Nurse - Prior Authorization (Hospice)

NewBe an early applicant RemoteNorth AmericaPart-time
United States

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's…
Apply
Centene
3 days ago

Senior LTSS Service Care Manager RN

NewBe an early applicant HybridNorth AmericaPart-timeSenior
United States

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…
Apply
Centene
3 days ago

LTSS Service Care Coordinator

NewBe an early applicant North AmericaPart-time
United States

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service…
Apply

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