Amerika Qo‘shma Shtatlari
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.
Amerika Qo‘shma Shtatlari
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.
Amerika Qo‘shma ShtatlariFlorida
Michigan
Missuri
Shimoliy KarolinaTexasAnalyze 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.
Amerika Qo‘shma Shtatlari
KanzasRemote 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.
Amerika Qo‘shma Shtatlari
Nyu-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.
Amerika Qo‘shma ShtatlariFloridaLead 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.
Amerika Qo‘shma ShtatlariMissuriJoin 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.
Amerika Qo‘shma ShtatlariTexasLead 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.
Amerika Qo‘shma ShtatlariFloridaMichiganShimoliy Karolina
Pensilvaniya
Janubiy KarolinaTexas
Virjiniya
G‘arbiy VirjiniyaSupport 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.
Amerika Qo‘shma ShtatlariTexasSupport 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.
Amerika Qo‘shma ShtatlariKanzasManage Centene’s provider partnerships across Kansas while improving network quality, cost utilization, claims resolution, and performance outcomes.
Amerika Qo‘shma ShtatlariKanzasBuild and strengthen Centene’s contracted provider networks in Wichita. Improve provider quality, cost utilization, claims resolution, and contract incentive performance.
Amerika Qo‘shma ShtatlariMissuriCentene 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.
Amerika Qo‘shma Shtatlari
OklaxomaAudit care management records for NCQA, HEDIS, CMS, and regulatory compliance while supporting corrective actions, reporting, and quality improvement at Centene Corporation.
Amerika Qo‘shma Shtatlari
KaliforniyaFloridaMissuriCentene 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.
Amerika Qo‘shma ShtatlariTexasCentene sog‘liqni saqlash rejasining Shimoliy-G‘arbiy Texasdagi provayderlar bilan munosabatlari va tarmoq samaradorligini boshqaring. Sifat, xarajat, foydalanish, da’volarni hal qilish va provayderlarni o‘qitish tashabbuslarini qo‘llab-quvvatlang.
Amerika Qo‘shma ShtatlariFloridaCentene kompaniyasida Florida shtatidan masofaviy ishlagan holda tibbiy da'volarning aniqligi, muvofiqligi va jarayon sifatini tekshiring. Istisnolar va bahsli da'volarni o'rganing, tendensiyalarni aniqlang hamda da'volarni ko'rib chiqish jarayonini yaxshilashga yordam bering.
Amerika Qo‘shma ShtatlariMissuriCentene uchun sog‘liqni saqlash delegatsiyasi hamkorlari bilan munosabatlarni boshqaradi hamda shartnomalar, xizmat darajalari, muvofiqlik va yetkazib beruvchi faoliyati uchun javob beradi. Baholash kartalari, tuzatish chora-tadbirlari rejalari va hisobotlarni boshqarib, sog‘liqni saqlash operatsiyalaridagi manfaatdor tomonlar bilan hamkorlik qiladi.
Amerika Qo‘shma ShtatlariMissuriCentene uchun vakolat berilgan tibbiy xizmat hamkorlari, shartnomalar, xizmat darajasi bo‘yicha kelishuvlar, muvofiqlik va moliyaviy javobgarlikni boshqaring. Masofaviy ushbu lavozimda parvarishni boshqarish xizmatlari bo‘yicha yetkazib beruvchilar faoliyati va to‘lovlar aniqligini nazorat qiling.
Amerika Qo‘shma ShtatlariMissuriCentene kompaniyasining HEDIS provayderlar uchun vositalar to‘plami hamda a’zolar va provayderlar uchun materiallar bo‘yicha kommunikatsiyalarni boshqaring. Aniq va talablarga muvofiq kommunikatsiyalar orqali tibbiy xizmatlarni yanada qulay va samarali qilishga yordam bering.
