Centene

Program Manager III - Provider Data Operations

Acceptance Criteria Agile Automation Jira PMP +8 skills

Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those…

Open 35d RemotePart-timeSenior

Senior Account Relations Manager

Position Purpose: Maintains a strong, continuous relationship with vendors and business partners to enable the understanding of business requirements, needs, and service. Works alongside vendor management team members…

Vendor Management

Manager, Claims Research & Analysis

Automation Process Improvement Root Cause Analysis

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based…

Marketing Communications Specialist

Position Purpose: Develop and coordinate company written documents and communications Develop, produce and upload various print communications for client promotion of wellness, disease management and work-life/EAP…

RN Director, LTSS Clinical Care Management

Position Purpose: Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops…

Open 35d RemotePart-timeSenior

Senior Clinical Market Performance Manager

Position Purpose: Provide tactical and analytical support to leadership to analyze performance and ensure success of product lines within Centene and its portfolio of subsidiaries. Responsible for managing discreet…

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…

Finance Analyst II - Medical Affairs

Coupa Data Quality Power BI Process Improvement SharePoint

Position Purpose: With the Medical Affairs Finance team, you will own the day-to-day financial oversight for Medical Affairs vendor activity, including invoice review, purchase order monitoring, funding forecasts,…

Director, Payment Innovation

Analytics Performance Management

Position Purpose: Lead and support the design, development and execution of value-based purchasing (VBP) & payment innovation programs across Centene. This role will directly support the achievement of goals and…

Data Scientist III

Analytics Data Mining Data Science Databricks Feature Engineering +9 skills

Position Purpose: The Data Scientist III supports Ambetter membership forecasting and reporting through the development of predictive models, analytic frameworks, and data products used in financial planning, pricing,…

Care Manager (Behavioral Health)

RemotePart-time

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…

Director, Trauma & Evidence Based Interventions - Foster Care

Provide national expertise to assist with the expansion of the business unit's position nationally, as a thought leader, regarding the foster care population, treatment, and service needs. Assist with the shaping…

Open 35d RemotePart-timeSenior

Senior Provider Engagement Account Manager

Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions,…

EDI

Director, Claims Configuration

Position Purpose: Oversee the claims configuration and pricing/benefits set up within the claims payment system ensuring accurate reflection of provider contracts and claims payments. Key Details: Must be authorized to…

Legal Support Generalist III

Position Purpose: Provides experienced-level legal support with a high degree of proficiency. Independently manages complex administrative processes, coordinates workflow, and may assist in training new support staff.…

Program Manager III

Analytics PMP Program Management Regulatory Compliance Requirements Gathering

This is a remote position that can be located anywhere in the US. Position Purpose: Drive strategic healthcare transformation initiatives across health plan operations by identifying opportunities to improve clinical…

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…

Behavioral Health Medical Director

RemotePart-time

Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: Must be a Board Certified…

Care Manager, RN

Open 37d RemotePart-time

This RN Care Manager role combines telephonic care management with field-based support for Medicaid members across northwest Kansas. Responsibilities include enrolling members in case management and completing required…