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4,462

Centene Corporation Jobs





Job info
SPONSORED JOB
Location
Tampa, FL
Posted Date
Sep 28,20
Source
Employer     

Pharmacy Technician II Appeals - Tampa FL 1199291 Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipientsTrack and triage coverage determination requests submitted from..

SPONSORED JOB
Location
Tampa, FL
Posted Date
Sep 28,20
Source
Employer     

Pharmacy Technician II Prior Authorization - Tampa FL 1190053 Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipientsTrack and triage coverage determination requests submitted..

SPONSORED JOB
Location
Tampa, FL
Posted Date
Sep 28,20
Source
Employer     

Pharmacy Technician - Clinical Services 11am - 8pm M-F 1194917 Supports the efforts of the clinical team through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate evidence-based..

 
Location
Tacoma, WA
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Customer Service Representative II','1200207','!*!Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer escalated and complex inquiries from members..

 
Location
Baton Rouge, LA
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Medical Review Nurse','1197295','!*!Position Purpose: Perform medical review provider claims, authorizations, and medical records to achieve resolution of authorization issues that result in claims denials or pended claims. Perform retrospective review..

 
Location
Clayton, MO
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Provider Recruiter II (Contracting)','1200499','!*!Please note: This position is heavily phone based (sales) recruiting providers to join our new Commercial PPO (Network). Position Purpose: Recruit physician, hospital and ancillary service providers..

 
Location
Tampa, FL
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Customer Service Representative II','1196886','!*!Position Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer escalated and complex inquiries from members..

 
Location
Indianapolis, IN
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Information Technology Support Specialist (Deskside Services)','1200098','!*!Position Purpose: Provide first-level remote support of customers’ software and minor operating system modification requests. Investigate, research, and resolve moderately complex issues Respond to requests..

 
Location
Saint Louis, MO
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Position Purpose: Learn various job functions within the Managed Care industry and explore various career opportunitiesnApply academic knowledge and learn new skills by contributing to various projectsnResearch various legal, regulatory,..

 
Location
Little Rock, AR
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Concurrent Review Nurse I','1199750','!*!Position Purpose: Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to..

 
Location
Tampa, FL
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Intern (Actuarial Services - Medicaid Team -Undergraduate - Summer)','1194596','!*!Position Purpose: Learn various job functions within the Managed Care industry and explore various career opportunities Apply academic knowledge and learn new..

 
Location
El Paso, TX
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Quality Practice Advisor (RN or LPN/LVN)','1199998','!*! Position Purpose: Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in..

 
Location
Tampa, FL
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Intern (Actuarial Sciences - Reserving Team, Undergraduate - Summer)','1196094','!*!Position Purpose: Learn various job functions within the Managed Care industry and explore various career opportunities Apply academic knowledge and learn new..

 
Location
Eugene, OR
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Clinical Appeals Coordinator','1200496','!*!Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all appeal letters generated comply..

 
Location
Tampa, FL
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Director, Pharmacy Operations','1198677','!*!Position Purpose: Provide strategic leadership on pharmacy initiatives to ensure best-in-class outcomes for all Centene health plans. Collaborate with internal and external stakeholders to ensure pharmacy initiatives are..

 
Location
San Antonio, TX
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Care Manager II (RN)','1200426','!*!Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to..

 
Location
Charlotte, NC
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Position Purpose:We are the EDAS (Enterprise Data and Analytic Solutions) team and part of Centene’s IT organization. EDAS provides a variety of solutions for the organization centered on data at..

 
Location
Tampa, FL
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Senior Application Software Engineer (Informatica)','1196209','!*!Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Act as a..

 
Location
Kalamazoo, MI
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Care Manager I (Social Work)','1200277','!*!Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members..

 
Location
Baton Rouge, LA
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Contract Implementation Analyst','1200162','!*! *Relocation Available* Position Purpose: Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately reflect a contract’s negotiated terms.Perform audits..

 
Location
Saint Louis, MO
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Senior Director, Quality Improvement','1194191','!*!Position Purpose: Provide strategic leadership on quality improvement initiatives to ensure best-in-class quality improvement outcomes for all Centene health plans. Collaborate with internal and external stakeholders to..

 
Location
Des Moines, IA
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Position Purpose: Direct medical management program including utilization management, case management, quality improvement and credentialing in accordance with the mission, philosophy, and objectives of plan and in conjunction with Corporate..

 
Location
Tampa, FL
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Intern (Actuarial Analytics -Undergraduate - Summer)','1195150','!*!Position Purpose: Learn various job functions within the Managed Care industry and explore various career opportunities Apply academic knowledge and learn new skills by contributing..

 
Location
Durham, NC
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Position Purpose: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary documentation..

 
Job title
GRANTED JOB
Location
Sunrise, FL
Posted Date
Sep 29, 2020
Info Source
Employer  - Full-Time   

Chief Medical Officer','1198405','!*!Position purpose: Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members. Provide leadership and expertise in the..

 
Location
Charlotte, NC
Posted Date
Sep 28, 2020
Info Source
Employer  - Full-Time   

Position Purpose: tResponsible for the entire implementation process and drive definition of business needstLead cross functional teams through the entire implementation processtResponsible for overall solution design including building and testingtConduct..

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