centene

Provide national expertise to assist with the expansion of the business unit's position nationally, as a thought leader, regarding the foster care population, treatment, and service needs. Assist with the shaping of evidence based practices within the foster care provider network, stakeholder system

Position Purpose:Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with p

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 care plans/service plans for long-term care members and educates members and thei

Position Purpose:Manage the workflow and all activities related to the investigation, review, resolution, recovery and settlement of complex claims issues along with Revenue Cycle Management. Key Details: Applicants for this job have the flexibility to work remote from home anywhere in the United St

Applicants for this job have the flexibility to work remote from home anywhere in the United States. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, includin

Position Purpose: Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based cont

Position Purpose: The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified He

Position Purpose: The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified He

Position Purpose: The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified He

Position Purpose: The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified He

Position Purpose: Supervise and coordinate the operations of the network accounts department Key Details: This position is open nationwide. Supervise the day-to-day workflow of the network accounts function in compliance with health plan, corporate and state policies, procedures and guidelines Assis

Position Purpose: Responsible for providing leadership and direction for clinical, quality, risk-adjustment, value-based contracts, and provider outreach functions. Responsible for supervision of QPA field staff and administrative personnel to increase member quality of care, reduce costs, and ident

Position Purpose:The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Hea

Position Purpose: Defines the strategy for the building and automation of recurring capacity and scenario planning models to support service, quality, and efficiency standards. Influences senior leadership on strategic plans to meet short-term and long-term business objectives. This is a strategic w

Position Purpose: The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals through various means including, but not limited to, marketing projects and new market initiatives, health fairs and community activities, training, member retention acti

Position Purpose: This position will be accountable for the performance of a portfolio of Medical Management initiatives and the implementation of the Health Equity Cultural Competency Program. Key Details: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship

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: This remote position

Position Purpose:The Senior Business Process Consultant leads business case development for proposed initiatives, supports the strategic planning process, and leads larger scale, cross-functional initiatives. Key Details: Must be authorized to work in the U.S. without the need for employment-based v

Position Purpose: Performs access reviews, role provisioning, and supporting implemented Identity and Access Management systems and solutions. Supports basic troubleshooting and coordinates with helpdesk to resolve user and system access issues. Provides in-depth business knowledge and advanced tech

Position Purpose:Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education fo