Statele Unite ale Americii
TexasManage Texas provider relationships and network performance for Centene’s health plan in a hybrid role. Improve quality, cost, utilization, claims, and contract incentive outcomes through consultative account management.
Statele Unite ale Americii
FloridaSupport Centene’s managed care operations by analyzing claims, healthcare costs, and vendor performance. Develop practical experience with SQL, Excel, and Power BI reporting and dashboards.
Statele Unite ale AmericiiFlorida
Michigan
Missouri
Carolina de NordTexasAnalyze healthcare claims, business processes, and requirements for Centene’s payment integrity initiatives. Support data analysis, system testing, reporting, and process improvement in a remote role.
Statele Unite ale Americii
KansasRemote Care Manager role for Kansas-based professionals supporting Centene members with complex mental and behavioral health needs. Responsibilities include care planning, provider coordination, member education, and helping improve access to cost-effective services.
Statele Unite ale Americii
New YorkLead Centene’s healthcare fraud intelligence and anti-fraud innovation programs. Apply complex healthcare data, analytics, and predictive monitoring to support investigations and fraud prevention in New York.
Statele Unite ale AmericiiFloridaLead provider network strategy and contracting for Centene’s Florida health plans in a remote executive role. Direct negotiations, network expansion, reimbursement analysis, budgeting, and provider relations.
Statele Unite ale AmericiiMissouriJoin Centene Corporation as an Accountant I supporting cash accounting, month-end close, and financial reporting for Medicaid health plans. The role is remote within the continental United States, with St. Louis strongly preferred.
Statele Unite ale AmericiiTexasLead administrative care management support for Centene members in Texas, coordinating outreach, scheduling, resources, and documentation. Serve as a senior point of contact for members, providers, and staff while guiding team operations.
Statele Unite ale AmericiiFloridaMichiganCarolina de Nord
Pennsylvania
Carolina de SudTexas
Virginia
Virginia de VestSupport Medicaid LTSS members through care-management outreach, scheduling, authorizations, resource referrals, and administrative coordination. Connect members and providers with health-plan and community services while assisting with care-plan needs.
Statele Unite ale AmericiiTexasSupport Centene members remotely in Texas through care-plan outreach, scheduling, education, and resource coordination. Handle member and provider inquiries while connecting people with health-plan and community services.
Statele Unite ale AmericiiKansasManage Centene’s provider partnerships across Kansas while improving network quality, cost utilization, claims resolution, and performance outcomes.
Statele Unite ale AmericiiKansasBuild and strengthen Centene’s contracted provider networks in Wichita. Improve provider quality, cost utilization, claims resolution, and contract incentive performance.
Statele Unite ale AmericiiMissouriCentene seeks a Senior Quality Auditor to improve healthcare claims accuracy through claims audits, data validation, discrepancy research, and provider data management. The role supports compliant claims processing, quality reporting, and operational improvements.
Statele Unite ale Americii
OklahomaAudit care management records for NCQA, HEDIS, CMS, and regulatory compliance while supporting corrective actions, reporting, and quality improvement at Centene Corporation.
Statele Unite ale Americii
CaliforniaFloridaMissouriCentene seeks a senior analyst to develop claims-data applications, databases, reporting, and automation. The role converts audit and regulatory needs into reliable healthcare technology solutions.
Statele Unite ale AmericiiTexasGestionează relațiile cu furnizorii și performanța rețelei pentru planul de sănătate Centene din nord-vestul Texasului. Sprijină inițiativele privind calitatea, costurile, utilizarea, soluționarea cererilor de despăgubire și educarea furnizorilor.
Statele Unite ale AmericiiFloridaAuditați cererile de despăgubire din domeniul sănătății pentru acuratețe, conformitate și calitatea proceselor, într-un rol la distanță în Florida la Centene. Investigați excepțiile și cererile contestate, identificați tendințele și contribuiți la îmbunătățirea soluționării cererilor.
Statele Unite ale AmericiiMissouriCoordonează relațiile cu partenerii delegați din domeniul serviciilor medicale pentru Centene, având responsabilități privind contractele, nivelurile de servicii, conformitatea și performanța furnizorilor. Gestionează fișe de evaluare, planuri de acțiuni corective, raportare și colaborarea cu părțile interesate din operațiunile medicale.
Statele Unite ale AmericiiMissouriGestionează parteneri medicali delegați, contracte, acorduri privind nivelul serviciilor, conformitatea și responsabilitatea financiară pentru Centene. Coordonează performanța furnizorilor și acuratețea plăților pentru servicii de gestionare a îngrijirii, într-un rol la distanță.
Statele Unite ale AmericiiMissouriCoordonează comunicarea pentru HEDIS Provider Toolkit și materialele destinate membrilor și furnizorilor într-un mediu de îngrijire administrată. Contribuie la accesibilitatea și eficiența serviciilor medicale prin comunicări clare și conforme.
