Centene

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.…

Open 19d North AmericaPart-time

Member Support Representative

Position Purpose: Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and…

Salesforce

Open 17d RemotePart-timeLead

Team Lead, Care Management Support Coordinator

Position Purpose: Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members,…

AI Generative AI

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…

Open 17d RemotePart-timeC-level

VP, Network Development & Contracting - Sunshine State Health Plan

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…

Supervisor, Care Management - LTSS

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…

Commercial Product Manager

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…

Project Manager IV - Business Operations

Performance Management PMP

Position Purpose: As a member of the Corporate Business Operations team, this role independently leads complex programs comprised of multiple projects and workstreams. The position is responsible for proactively…

Program Manager III

Program Management Regulatory Compliance Requirements Gathering Smartsheet

Position Purpose: The Program Manager leads and supports strategic initiatives and ongoing operational priorities across Member and Provider Services. This role coordinates cross-functional stakeholders, manages risks…

Open 19d RemotePart-timeSenior

Senior Compliance Analyst - Regulatory Change Management

Position Purpose: Support strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company. Key Details: Applicants…

Vendor Relations Manager

Open 19d 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

Open 19d RemotePart-timeSenior

Senior Business Technical Analyst

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

Manager, Risk Adjustment MLTC-MAP

Open 19d 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: Must be authorized to work in the U.S. without the need…

Manager, Intake & Insurance Verification

Open 19d RemotePart-time

Position Purpose: Manage all activities related to the intake, referral management and insurance verification functions, including implementation of initiatives. Key Details: Must be authorized to work in the U.S.…

Open 21d RemoteNorth AmericaPart-time

Supervisor, Utilization Management

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…

Open 21d RemotePart-timeSenior

Senior Manager, Medicare Strategy & Performance

Position Purpose: Lead a team of professionals responsible for the strategic and operational execution of the strategic plan, typically including individual state initiatives as well as broad, national strategic…

PMP

Open 21d RemoteNorth AmericaPart-timeSenior

Senior UAS LTSS Assessor (RN)

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

Open 21d RemoteNorth AmericaPart-timeSenior

UAS Senior LTSS Assessor (RN)

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

Open 21d RemotePart-timeSenior

Senior Director, Product Implementation

Position Purpose: Responsible for guiding the strategic product direction for department. Responsible for the product road map, development and implementation, opportunity identification, business case development,…

Agile Program Management