Centene Corporation Jobs

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Director, Clinical','00A58','!*!Position Purpose: Oversee clinical functions in all service areas including: intensive case management (ICM), utilization review (UR), provider training and care coordination. Responsible for clinical initiatives and oversight to..

Senior Site Reliability Engineer','1207562','!*!You could be the one who changes everything for our 24 million members. Centene is transforming the health of our communities, one person at a time. As..

Project Lead Software Developer (SRE)','1207564','!*!You could be the one who changes everything for our 24 million members. Centene is transforming the health of our communities, one person at a time...

Tribal Liaison','00A51','!*!Position Purpose: Act as the liaison regarding the delivery of behavioral health services to Native Americans. Responsible for providing development and training to Native American Tribes on an individual..

Lead Member Advocate','00A4X','!*!Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care while coordinating the..

Director, Behavioral Health Services','00A50','!*!Position Purpose: Ensure that the behavioral health operations are in compliance with the terms of the contract with the State Oversee all interaction with EOHHS and activities..

Director, Utilization Management','00A5E','!*!Position Purpose: Oversee operations of the referral management, telephonic utilization review, prior authorization functions, and case management programs. Ensure compliance government and contractual guidelines and the mission, philosophy..

Manager, Program Integrity','00A57','!*!Position Purpose: Manage compliance with all Federal and State Laws and Regulations related to program integrity and disclosure requirements. Develop, implement and manage strategic fraud, waste and abuse..

Manager, Claims Operations ','00A56','!*!Position Purpose: Manage the budgeting and reporting functions for the Business Operations department. Provide reporting for both accounting and operational needs. Lead the consolidation of monthly/annual budgeting..

Director, Pharmacy','00A52','!*!Position Purpose: Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and..

Vice President, Compliance','1207844','!*!Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene..

Manager, Information Technology','00A55','!*!Position Purpose: Manage department staff including hiring, performance management and career development to ensure alignment with defined goals. • Plan and direct the daily activities of a team..

Medical Director','00A4Z','!*!Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.• Provides medical leadership of all for..

Job Description Position Purpose: Oversee and conduct internal audits, including the execution of strategic, operational, financial, IT, and compliance risk based audits for management and the Audit Committee. Perform annual..

Manager-Transition Coordination','00A5G','!*!Position Purpose: Serve as primary point of contact for Transition of Care operations and oversee Transition of Care staff. Will act as liaison for Transition of Care directives from..

Position Purpose: Manage the budgeting and reporting functions for the Business Operations department. Provide reporting for both accounting and operational needs. Lead the consolidation of monthly/annual budgeting process. • Manage..

Job Description Position Purpose: Manage the budgeting and reporting functions for the Business Operations department. Provide reporting for both accounting and operational needs. Lead the consolidation of monthly/annual budgeting process...

Compliance Analyst','1207474','!*!Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Respond to..

Vice President, Child Welfare Programs','00A4W','!*!Position Purpose: Oversee child welfare program, ensuring care programs are designed, implemented, and operated within defined parameters. • Oversee budgets, revenue targets and P&L related activities..

Position Purpose: Ensure regulatory compliance with state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Ensure business unit and Centene Corporate are..

Job Description Position Purpose: Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies..

Director, Customer Service','00A54','!*!Position Purpose: Direct and oversee the planning, development, and operation of assigned customer service function(s) and aid in formulating and administering organizational policies and procedures Direct department and..