Centene Corporation Jobs

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..

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..

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..

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..

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..

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,..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..

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..