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Centene

American multinational healthcare company

Jobs Hiring Closed Discussion
167 jobs
Centene
5 views 2 weeks ago

Care Manager (RN)

RemotePart-time

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…
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Centene
2 views 2 weeks ago

LTSS Service Care Coordinator

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…
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Centene
3 weeks ago

Director, Pharmacy

Open 17d RemotePart-timeC-level

Position Purpose: Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and…

Regulatory Compliance
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Centene
3 views 3 weeks ago

Manager, Regulatory & Filing Operations

Open 16d RemotePart-time

Position Purpose: Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit…

Risk Assessment
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Centene
2 views 3 weeks ago

Senior Care Manager RN - STAR/CHIP

Open 16d RemotePart-timeSenior

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…
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Centene
2 views 3 weeks ago

Manager, Risk Adjustment

Open 16d RemotePart-time

Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans. Key Details: Ideal candidate to live in the state of PA. Develop and…
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Centene
3 weeks ago

Manager, Compliance Risk Adjustment

Open 16d RemotePart-time

Postition Purpose: Manages a team responsible for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables and associated risk related…

Corrective Action
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Centene
1 views 3 weeks ago

LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT

Open 16d RemotePart-time

Position Purpose: Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

First Aid
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Centene
1 views 3 weeks ago

Clinical Pharmacist (Formulary & Quality)

RemotePart-time

Position Purpose: Define and develop standard and custom formularies for assigned plan. Key Details: Indiana Clinical Pharmacist (Formulary & Quality). Current Indiana licensure highly preferred but will also…

Regulatory Compliance
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Centene
1 views 3 weeks ago

Utilization Review Clinician - Behavioral Health

RemotePart-time

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…
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Centene
2 views 3 weeks ago

LTSS Service Care Manager - Behavioral Health, STAR Kids

RemotePart-time

Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

First Aid
Apply
Centene
1 views 3 weeks ago

LTSS Service Care Manager - Behavioral Health

RemotePart-time

Position Purpose: Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

First Aid
Apply
Centene
1 views 3 weeks ago

Care Coordinator II (Foster Care)

RemotePart-time

Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved.…
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Centene
2 views 3 weeks ago

Care Manager

Open 18d 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…
Apply
Centene
3 weeks ago

VP, Network Development & Contracting - Sunshine State Health Plan

Open 18d RemotePart-timeC-level

Position Location: Remote in FL Position Purpose: Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support…
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Centene
3 weeks ago

Supervisor, Care Management - LTSS

Open 18d RemotePart-time

Position Purpose: Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues…
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Centene
5 views 3 weeks ago

Commercial Product Manager

Open 18d RemotePart-time

Position Purpose: Support the product teams focus on offering quality, competitive product solutions for growth and retention of our Ambetter marketplace members. Support the annual Product Development Life Cycle for…
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Centene
1 views 3 weeks ago

Vendor Relations Manager

Open 21d RemotePart-time

Position Purpose: Manages up-front third party evaluations and relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business…

Performance Management
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Centene
13 views 3 weeks ago

Senior Business Technical Analyst

Open 21d RemotePart-timeSenior

Position Purpose: Provides advanced business and technical expertise to design, build, validate, implement, and support complex data solutions, reporting, applications, and automations. Serves as a subject matter…

Analytics API Automation Candidate Experience Corrective Action +14 skills
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Centene
3 weeks ago

Care Navigator - Foster Care

Open 21d RemotePart-time

Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a…
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