Centene

Open 23d RemotePart-timeSenior

Senior Director, Risk Adjustment Market Performance

Position Purpose: Provides executive leadership for risk adjustment performance across markets and lines of business, serving as the key link between Enterprise Risk Adjustment and market leadership to translate…

Analytics PMP Risk Assessment Six Sigma

Open 23d RemotePart-timeC-level

VP, Clinical Pharmacy Services

Position Purpose: Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with…

Pipeline Management Regulatory Compliance Strategic Planning

LTSS Service Care Manager

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…

Vendor Relations Manager - Healthcare

Performance Management Vendor Management

Position Purpose: With the Corporate Operations team, you will manage third party program relationships with Delegation partners for performance management standards, financial responsibility, and proactively…

Open 23d RemotePart-timeSenior

Senior Vendor Relations Manager - Healthcare

Position Purpose: With the Corporate Operations team, you will manage third party program relationships with Delegation partners for performance management standards, financial responsibility, and proactively…

Performance Management Vendor Management

Project Manager III - Strategic Business Initiatives

PMP Program Management Requirements Gathering

Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Key Details: Applicants for this job have…

Compliance Officer, Arizona

Corrective Action Program Management

Position Purpose: Oversee all compliance functions for the health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over contract deliverables for all…

Care Management Support Coordinator II

Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to…

Care Manager (RN)

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…

Curriculum Designer

Position Purpose: Design, implement and maintain training resources. Write, update, evaluate, and propose training programs supporting customer service, technical process documentation, operational systems, and…

Open 26d North AmericaPart-time

Accounting Assistant

United States

Position Purpose: Apply all cash receipts into various systems and databases. Assist all major functions of the company including Accounts Payable and Billing. Key Details: Must be authorized to work in the U.S.…

Accounts Payable Accounts Receivable

Care Manager (RN)

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…

Provider Engagement Account Executive

Analytics EDI Process Improvement

Position Purpose: Develop and maintain strategic partnerships between the health plan and contracted provider networks to advance value-based care initiatives, improve provider performance, and enhance member outcomes.…

Operations Analyst II

Position Purpose: Drives the review and analysis of current, complex contact center operational processes to provide data- driven insights related to establishing operational targets, best practices, and training…

Open 27d RemotePart-timeSenior

Senior Manager, Credentialing & Provider Data Management Systems

Position Purpose: The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance. Key Details: Must…

SQL SQL Server

Director, Health Plan Programs and Initiatives

Business Development Strategic Planning

Position Purpose: Provide strategic and operational insights to senior leadership to drive the key initiatives and growth plans in the market. Collaborate with Corporate Strategy partners to ensure alignment with…

Care Manager

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including…

Finance Analyst III - Managed Care

Position Purpose: In this role, you will analyze complex financial information and translate data into meaningful insights that support business decisions. Independently lead financial projects and initiatives,…

Supervisor, Utilization Management (RN)

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management…