Position Purpose: The main focus of the role is to support the cash related accounting processes for Medicaid Health Plans along with maintaining accurate financial records, prepare monthly financial statements and participate in special projects. Key Details: Applicants for this role have the flexi
Work from home. Work warm leads with families. Learn a system. Build a book. That is the job in one line. Included • Web-conference meetings from home • Full-time or part-time options • No cold calling • Written training plus live coaching • Advancement for people who lead their numbers Your day Mee
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 identifying and mitigating risks, managing interdependencies, and driving alignment acro
Digital Sales Advisor Hearst Digital Marketing Services is seeking a highly motivated and experienced seller to join our team. As a Digital Media Advisor, you will be responsible for developing and pitching digital media strategies to drive business growth for our SMB clients. This is an exciting op
Position Purpose: Manages up-front third party evaluations and relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as the critical link between our Delegation partners and in
Position Purpose: This role serves as a trusted advisor to leaders and employees across the enterprise, providing guidance and support on a wide range of workplace matters while helping ensure fair, consistent, and compliant employment practices. The People Relations (PR) Partner manages employee re
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 for this job have the flexibility to work remote from home anywhere in the Contin
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: Develops and implements effective business solutions through research, audit, and analysis of data and/or business processes. Audits and validates routine pre and post payment claims to determine correct adjudication as well as compliance with corporate policies and procedures, and
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 benefit coverage. Provides recommendations to the appropriate medical team to promote qu
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. Interacts with members by performing member outreach telephonically or through hom
Position Purpose: Utilizes business expertise to facilitate, lead and drive complex large scale work efforts across domains and/or large scale cross functional initiatives with matrixed team support. Analyzes and measures the effectiveness of existing business processes and develop sustainable, scal
Position Purpose: The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities. This role independently interprets regulatory and audit requirements, leads complex HEDIS aud
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. Interacts with members by performing member outreach telephonically or through hom
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 Experience and Omnichannel Engagement portfolio, focused on creating seamless, personalized
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 platform portfolio, providing the foundational capabilities that enable enterprise modernizat
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 efforts. Responsible for a large budget that is very complex in nature, in support of th
Position Purpose: Job Description: The Project Management Undergraduate Intern will support the Business Implementation & Strategic Initiatives team in planning and executing key projects. This fully remote position may be performed from any of the 50 U.S. states and provides hands-on experience wit
Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Key Details: Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Su
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, industry research, and new product introduction across the product set. Responsible f
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