Centene

NewBe an early applicant RemoteNorth AmericaFull-timeSenior

Senior Manager, Data Analytics & Reporting

Analytics Automation Data Mining Data Warehousing Microsoft Access +3 skills

Position Purpose: Responsible for ensuring accurate, timely, and efficient reporting and input of data related to all core business functions to include: provider data, clinical data, member data, and other data types.…

NewBe an early applicant RemoteNorth AmericaFull-time

Project Manager II- Member Experience

Microsoft Project PMP Requirements Gathering

Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including…

NewBe an early applicant RemoteNorth AmericaFull-time

LTSS Service Care Coordinator

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…

NewBe an early applicant RemoteNorth AmericaFull-timeSenior

Senior Director, Strategic Provider Partnerships and Payment Innovation

Position Purpose: Responsible for identifying, building and implementing business strategies that support provider network and product development initiatives, focusing on building productive strategic provider…

NewBe an early applicant RemoteNorth AmericaFull-timeSenior

Director, Provider Engagement

This is a remote position and can be located anywhere in the US. Position Purpose: A senior leadership role responsible for driving strategic initiatives and ensuring the performance and alignment of provider…

NewBe an early applicant RemoteNorth AmericaFull-time

Finance Analyst IV

Position Purpose: Compile and analyze financial information for the company. Lead various financial projects. Cost effectively manage the utilization of services and develop measures to track, trend and forecast…

NewBe an early applicant RemoteNorth AmericaFull-timeSenior

Senior Care Manager (RN)

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…

NewBe an early applicant RemoteNorth AmericaFull-time

Program Manager II

Position Purpose: Plan, organize, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. Key Details: Must be authorized to work…

Program Management

NewBe an early applicant RemoteNorth AmericaFull-time

Psychologist Reviewer

Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and…

NewBe an early applicant RemoteNorth AmericaFull-time

Program Manager III - Recovery Operations/Payment Integrity

Automation Program Management Regulatory Compliance Requirements Gathering

Position Purpose: This position is responsible for leading recoupment claim inventory management and BOT automation monitoring to ensure Payment Integrity Amisys, Facets, Xcelys, and ABS recovery processes operate as…

NewBe an early applicant RemoteNorth AmericaFull-time

Utilization Review Clinician - Behavioral Health

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…

NewBe an early applicant RemoteNorth AmericaFull-timeSenior

RN Senior Transition Specialist

Position Purpose: Provides expertise based on experience with identifying, overseeing, and managing the coordination of transition of members in the community. Works with leadership to address complex issues and…

NewBe an early applicant RemoteNorth AmericaPart-time

Medical Director PRN

Position Purpose: Assist the CMO to direct and coordinate the physician component of the utilization management functions for the health plan business units. Key Details: Must be Board Certified Physician with an…

NewBe an early applicant RemoteNorth AmericaFull-time

Clinical Review Nurse - Prior Authorization (Hospice)

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's…

Care Coordinator II

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.…

Data Analyst III Healthcare Analytics, Medical Economics

Analytics Automation Business Intelligence Data Mining Data Modeling +5 skills

Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value,…

Director, Operations

Position Purpose: Lead the development, coordination, and execution of operational strategies and process improvements across shared services to support enterprise and market‑level product growth, implementation, and…

Regulatory Compliance

Care Management Support Coordinator II

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…

RN Clinical Review Nurse - Prior Authorization

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's…