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Translates healthcare business needs into technical specs to improve health outcomes for 28 million members using systems analysis and stakeholder collaboration.
Reviews and updates clinical policy coding guidelines for healthcare claims, ensuring compliance with Medicare/Medicaid rules and ICD coding standards.
Analyze healthcare data to uncover cost-saving insights and improve member outcomes, using SQL, Python/R, and visualization tools while collaborating with stakeholders.
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive…
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to…
Develop, manage, and audit compliance policies for a healthcare organization, ensuring adherence to regulations like HIPAA and state laws while supporting regulatory filings and training programs.
Leads Identity and Access Management systems using SailPoint IdentityIQ/IdentityNow, designing and coding scalable IAM solutions in Java/BeanShell to manage user access and compliance for healthcare platforms.
Manage a community health worker program for Centene’s 28 million members, coordinating vendors, providers, and data to improve health equity and chronic-disease outcomes.
Analyze healthcare claims and member data using SQL, Excel, and BI tools to uncover trends, reduce costs, and improve clinical outcomes for 28 million members.
Oversee and improve Centene’s enterprise security program, ensuring compliance with initiatives and producing reports that guide executive decisions.
Oversee and improve enterprise security and compliance programs, draft risk reports for executives, and automate security processes for a healthcare-focused organization.
Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Provide leadership,…
Designs and implements healthcare training programs, e-learning modules, and assessments for corporate teams using tools like Articulate Storyline and Workday LMS.
Lead the design, development, and maintenance of Identity and Access Management systems using SailPoint IdentityIQ/IdentityNow, Java, and PowerShell to secure enterprise applications and ensure compliance.
Senior Actuarial Analyst calculates financial outcomes for healthcare risk adjustment, validates member health data, and ensures regulatory compliance while supporting actuarial exam progress.
Oversee a large healthcare program (Gold Card) across markets, coordinating cross-functional teams, budgets, and regulatory compliance while delivering executive dashboards and risk mitigation.
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