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Position Purpose: Direct, strategize, negotiate and handle activities of the marketing and sales functions. Support the company’s strategic plan and establish the strategic vision, objectives, and policies and…
Manager, Patient Services (Call Center - Pharmacy) Position Purpose: Manage the customer service function, including technology needs and implementation. Coordinate with various operational departments to research and…
Position Purpose: As a Senior Compliance Analyst, you will d rive and coordinate end-to-end external audit process along with providing regulatory interpretation, perform compliance reporting, lead special projects,…
Position Purpose: Lead the development and execution of business development strategies that expand the company's market presence and drive growth of Individual Coverage Health Reimbursement Arrangements (ICHRAs).…
Position Purpose: Manage and oversee the coordination of regulatory audits, examinations, and oversight activities for a regional portfolio of Medicaid health plans across the West Region. Provide leadership and…
Position Purpose: Manage the triage process of prior authorizations, including supervising pharmacy technicians, manage departmental work flow; identify and develop prior authorization procedures and policies. Key…
Position Purpose: Through collaboration with the business and IT, leads or co-leads project-based efforts to drive operational efficiency. Following prescriptive methodology, results are achieved through benchmarking,…
Pharmacy Operations Specialist II (FWA) Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. This role…
The Senior HEDIS Quality & Audit Analyst leads HEDIS audit workstreams, ensures audit-defensible documentation, and supports NCQA and CMS submissions for a large healthcare managed-care organization.
Position Purpose: Serves as a strategic business partner overseeing both vendor relationship management and financial performance for assigned business units or delegated entities. Integrates operational oversight with…
Position Purpose: Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans. Key Details: Centene is advancing…
Responsible for advanced predictive data analytics using big data and data science technology for healthcare innovation, performing analysis on structured/unstructured data, developing algorithms, and using tools like SAS, R, and database technologies.
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…
Administer and analyze multi-state corporate benefit plans (401k, health/welfare, wellness) for a large healthcare employer, managing carrier relationships, regulatory filings, and cost analysis using strong Excel and data skills.
Position Purpose: Responsible for driving the product performance function for assigned products, across multiple lines of business. Oversee the review of product performance, the analysis of performance of products,…
Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes. Key Details: Candidate must reside within the…
Position Purpose: Responsible for leading the integration, modernization, and efficient operation of Centene's enterprise telephony and contact center platforms. Involves close collaboration with business process…
Position Purpose: This role is responsible for leading the end-to-end implementation of technology solutions supporting Care Management, translating business and clinical requirements into scalable, well-governed…
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…
Oversee privacy, security, and AI compliance for a healthcare payer, translating laws and contracts into operational controls and ensuring audit readiness across stakeholders.
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