centene

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 competitive benefits including a fresh perspective on workplace flexibility. Position Pu

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 competitive benefits including a fresh perspective on workplace flexibility. This is a r

Position Purpose: Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within care management to improve member and/or provider experience. Key Details: Must reside within Okla

***NOTE: Travel (25%) is required throughout the Chicago metropolitan area, specifically targeting communities across Cook County and the surrounding collar counties (primarily DuPage, Lake, and Will counties)*** Position Purpose: Collaborate with healthcare providers to help them achieve high perfo

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 personalized care plans and education for members and their families related to ment

Position Purpose:Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: Must be a Board Certified Physician and licensed in the state of Arizona. Provides medical leadership of all for uti

Position Purpose: Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging, easy-to-use products across all business units. Lead enterprise UM portfolio strateg

Position Purpose:Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health

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 personalized care plan/service plan for members and educates members and their families/careg

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 health needs to promote quality, cost effective care. Develops a personalized care p

Position Purpose: Provides strategic and operational leadership for enterprise interoperability capabilities across the enterprise. Responsible for enabling healthcare data to move securely and seamlessly between systems, organizations, stakeholders including members, providers, payers and business

Position Purpose: Responsible for leading the integration, modernization, and efficient operation of Centene's enterprise telephony and contact center platforms. Involves close collaboration with business process owners, external technology vendors, and Business Technology Systems professionals to a

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 health needs to promote quality, cost effective care. Develops a personalized care p

Position Purpose: Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referral

Position Purpose: Responsible for driving the product performance function for assigned products, across multiple lines of business. Oversee the review of product performance, the analysis of performance of products, the coordination of product improvement initiatives, and the preparation of executi

Position Purpose:Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with providers. Use existing resources to collaborate with provider offices and i

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 health needs to promote quality, cost effective care. Develops a personalized care p

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 health needs to promote quality, cost effective care. Develops a personalized care p

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 plans and education for members and their families. Key Details: Must be authorized to

Position Purpose: Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans. Key Details: Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market