Centene

Supervisor, Payment Integrity - Appeals & Disputes

Open 21d RemotePart-time

Position Purpose: Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing…

Finance Analyst III, Managed Care

Open 21d RemotePart-time

Position Purpose: Partner with internal and external stakeholders to support Centene's Provider Network team and help achieve company goals through cost-saving initiatives. Serve as a key stakeholder across…

Open 21d RemotePart-timeSenior

Senior Manager, Finance FP&A

This is a remote position and can be located anywhere in the US, Position Purpose: Oversee the maintenance of revenue forecast functions with emphasis on membership reporting and modeling. Key Details : Must be…

Event Driven Architecture SQL

Manager, Medicare Member Retention

Open 21d RemotePart-time

Position Purpose: Maximizes member retention across the Enterprise by managing a team of retention performance managers that identifies, researches, prioritizes and determines the appropriate course of action for all…

Open 19d RemotePart-timeC-level

VP, Enterprise Product Management - Enterprise Integration & Platform Modernization

Position Location: Remote Nationwide Position Purpose: Product Portfolio: Enterprise Integration & Common Core Platforms This executive will lead the strategy, roadmap, and delivery of Centene's Common Core…

Acceptance Criteria Event Driven Architecture Observability Performance Management

Care Manager

Open 19d RemotePart-time

This is a remote position that requires up to 75% travel. This role is eligible for a $2,500 sign-on bonus . This position supports foster care members in Reno, McPherson, Rice, Harvey, and neighboring counties.…

Open 19d RemotePart-timeC-level

VP, Enterprise Product Management - Member Experience & Omnichannel Engagement

Position Location: Remote Nationwide Position Purpose: Product Portfolio: Member Experience & Omnichannel Engagement This executive will lead the strategy, roadmap, and delivery of Centene's enterprise Member…

Acceptance Criteria Analytics Performance Management

Medical Director

RemotePart-time

Position Purpose: Assist the Chief Medical Officer to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: This role requires a Board…

Care Manager (BH - Foster Care)

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…

Manager, Compliance

Corrective Action Risk Assessment

Position Purpose: Manage the compliance department functions, including but not limited to, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and…

Director, Quality Improvement, Digital Quality Measurement

Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow. This leadership role will shape and execute the organization’s digital quality measurement…

FHIR Process Improvement

Program Manager II-COB, TPL, Subrogation

Position Purpose: Plan, organizes, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. Lead cross-functional COB, TPL, and…

Program Management

Program Manager II-Recovery Operations

Agile Analytics Data Analytics Jira Process Improvement +5 skills

Position Purpose: Plan, organizes, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. Serve as the primary coordinator for…

Open 22d North AmericaPart-timeSenior

Senior Care Manager

United States

Position Purpose: Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on behavioral health needs (including behavioral health, and social…

Data Analyst IV SQL, Power BI

Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Key Details: Must be authorized to work in the U.S. without the need…

Data Quality SQL

Supervisor, Provider Data Management

Position Purpose: Manage the daily operations of all provider data management functions. Direct provider data management related activities based on plan and contract specifications and standard business rules,…

Data Quality

Provider Engagement Account Manager (Northwest TX)

This position is a field based role covering Lubbock and Amarillo Counties. Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client…

EDI

Program Manager III - SSBCI

PMP Program Management Regulatory Compliance Requirements Gathering Root Cause Analysis

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…

4 weeks ago

Care Management Support Coordinator II

Open 23d RemotePart-time

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…