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May 24 Business Systems Analyst-Core/United Member View Projec Centene Saint Louis, MO

Centene Corporation is a leading multiline healthcare enterprise that provides managedcare programs and related services to individuals receiving benefits under Medicaid including... more

May 21 Configuration Trainer Centene Saint Louis, MO

Configuration Trainer Job Title: Configuration Trainer Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose: Design, implement, and conduct... more

May 21 Director, Medicaid Product Development & Management Centene Dallas, TX

Director, Medicaid Product Development & Management Job Title: Director, Medicaid Product Development & Management Job Type: Full-Time Location: Dallas, TX Job Description:... more

May 21 Contract Coordinator Centene Saint Louis, MO

Contract Coordinator Job Title: Contract Coordinator Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose: Create contracts and manage the contracting... more

May 21 Financial Analyst II Centene St Louis, MO

Financial Analyst II Job Title: Financial Analyst II Job Type: Full-Time Location: St. Louis, MO Job Description: Position Purpose: Compile and analyze financial information for... more

May 21 Application Software Engineer - Core/United Member View Proj Centene Saint Louis, MO

Application Software Engineer - Core/United Member View Project Job Title: Application Software Engineer - Core/United Member View Project Job Type: Full-Time Location: Saint... more

More Job Postings from the Web
May 25 Utilization Manager Centene Westmont, IL

Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care... more

May 25 Data Analyst II (SHP) Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 24 Behavioral Health RN - Bilingual ($2,500 Signing Bonus Available) Centene Tempe, AZ

Position Purpose: Perform telephonic triage of callers in a 24/7 call center operation through application of the nursing process and utilizing standardized clinical... more

May 24 NurseWise/Nurse Response Customer Care Professional I - Bilingual Centene El Paso, TX

Position Purpose: Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members... more

May 24 Application Software Engineer - Core/CRM Centene Saint Louis, MO

Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Knowledge/Experience:... more

May 24 Director, Call Center Operations - $5000 Sign-On Bonus Centene Chicago, IL

Position Purpose: Direct responsibility to create and maintain competitive advantage of the nurse triage call centers and other programs as developed (both telephonic and... more

May 24 Project Manager II Centene Indianapolis, IN

Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. more

May 24 Director, Call Center Operations - $5000 - Sign-On Bonus Centene Dallas, TX

Position Purpose: Direct responsibility to create and maintain competitive advantage of the nurse triage call centers and other programs as developed (both telephonic and... more

May 24 Claims Batch Analyst Centene Great Falls, MT

Position Purpose: Run, analyze, and audit batch reports to ensure accuracy of claims data. Review claims for adjudication, adjustment, billing, coding, compliance and... more

May 24 Member Service Representative I Centene Indianapolis, IN

Position Purpose: Receive and respond to member/customer inquiries via telephone and written correspondence in a timely and professional manner. Knowledge/Experience: High school... more

May 24 Provider Relations Specialist I Centene Fort Lauderdale, FL

Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform... more

May 24 Business Systems Analyst-Core/United Member View Project Centene Saint Louis, MO

Position Purpose: Design, build, test and maintain enablers of business processes, including technology and process solutions with a focus on medium to high complexity, multiple... more

May 24 Provider Services Representative I Centene Indianapolis, IN

Position Purpose: Responsible for resolving provider inquiries via telephone and written correspondence in a timely and appropriate manner. Knowledge/Experience: High School... more

May 23 NurseWise/Nurse Response Customer Care Professional I - Bi-lingual Centene Fort Lauderdale, FL

Position Purpose: Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members... more

May 22 Enrollment Processor II (SUPERIOR HEALTH PLAN) Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 22 Enrollment Processor (SUPERIOR HEALTH PLAN) Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 22 Human Resources Coordinator (SUPERIOR HEALTH PLAN) Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 22 Paralegal Centene Rocky Mount, NC

Position Purpose: Provide paralegal services to the organization including: conducting legal research, drafting documents, preparation of various licensing applications, and file... more

May 22 Care Support Representative Centene Dallas, TX

Position Purpose: Responsible for inputting and locating participant information in member management system. May contact participants for scheduling and enrollment information. more

May 22 Program Development Specialist (STRS) - Cenpatico. Centene Austin, TX

Position Purpose: Facilitate program development and implementation for the Specialty Therapy Rehabilitation Services (STRS) from definition of requirements, project planning,... more

May 22 Manager, Network Development (STRS) - Cenpatico. Centene Austin, TX

Position Purpose: Build and maintain provider networks. Develop and implement activities for the recruitment, contracting and retention of effective providers to promote... more

May 22 Sr. Application Software Engineer - Encounters Centene St Louis, MO

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 subject... more

May 21 Chief Medical Director, Managed Health Services/Centene Corporation Cejka Search For Centene Corporations Milwaukee, WI

Centene Corporation is seeking a Chief Medical Director for Managed Health Services, a ... for the un-insured and under-insured. Centene Corporations subsidiary health plans... more

May 21 Human Resources Generalist Centene Saint Louis, MO

Position Purpose: Provide functional support in various areas of Human Resources including but not limited to recruitment and employment, employee/labor relations, job evaluation,... more

May 21 Chief Medical Director for Leading Health Plan Cejka Search For Centene Chicago, IL

Medical Director, Managed Health Services/Centene Corporation Centene Corporation is ... for the un-insured and under-insured. Centene Corporations subsidiary health plans... more

May 21 Manager, Provider Relations - Celticare Health Plans Centene Brighton, MA

Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities. Knowledge/Experience: Bachelors Degree or... more

May 21 Manager, Training Centene Baton Rouge, LA

Job Title: Manager, Training and Project Coordination Position Purpose: Identify training needs to enhance performance, quality and motivation of the staff. Develop, conduct, and... more

May 20 Manager, Case Management (Superior Health Plan) Centene San Antonio, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 20 Financial Analyst III Centene Chesterfield, MO

Position Purpose: Compile and analyze financial information for the company. Lead various financial projects. Knowledge/Experience: Bachelors degree or equivalent experience. 4-6... more

May 20 Manager, Finance Centene Smyrna, GA

Position Purpose: Oversee the maintenance of accurate financial records, including preparing monthly financial reports and various analytical reports. Oversee routine financial... more

May 20 Provider Relations Specialist I (Cenpatico). Centene Chesterfield, MO

Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform... more

May 18 Health Coach CAD RN Centene Tempe, AZ

Position Purpose: Provide telephonic disease management services to individuals with coronary artery disease (CAD) and/or heart failure. Knowledge/Experience: Bachelors degree in... more

May 18 VP Legislative & Government Affairs Centene Lexington, KY

environment for the state health plan and Centene Corporation. Knowledge/Experience: ... to multiple constituencies including; Centene Corporation regional vice president,... more

May 18 Director, Medical Management & Quality Medicare Centene Saint Louis, MO

h plans and specialty business units Coordinate cross-functional meetings with various functional areas to ensure compliance and educate Centene Medicare Advantage Plans on the... more

May 18 Supervisor, Training (Claims) Centene Missouri

Position Purpose: To oversee the day-to-day training functions to include scheduling and curriculum development. Knowledge/Experience: Bachelors degree or equivalent and 4-8 years... more

May 18 Financial Analyst IV Centene Smyrna, GA

Position Purpose: Compile and analyze financial information for the company. Lead various financial projects. Cost effectively manage the utilization of services and develop... more

May 18 Health Coach Registered Dietitian Centene Tempe, AZ

Position Purpose: Provide telephonic disease management services to individuals with cardiac risk factors. Makes independent decisions regarding clinical care plans as they relate... more

May 18 Community Outreach Coordinator Centene Smyrna, GA

Position Purpose: Work with Marketing & Community Relations Manager to develop and implement community outreach plan for the Health Plan. Knowledge/Experience: High school diploma... more

May 18 Health Coach Exer. Phys. Centene Tempe, AZ

Position Purpose: Provide telephonic disease management services to individuals within a specific disease category. Services may include educating members, counseling and... more

May 18 Manager, Clinical - Southern Region (Cenpatico). Centene Austin, TX

Position Purpose: Manage clinical services to include management of clinical services, marketing of clinical services and supervision of clinical staff. Knowledge/Experience:... more

May 18 Utilization Manager Specialty Therapy and Rehabilitative Services (STRS) (Cenpatico). Centene Austin, TX

Position Purpose: Authorize and review utilization of outpatient and home health occupational, physical and speech therapy. Knowledge/Experience: Masters Degree in Speech-Language... more

May 18 Health Coach Respiratory Therapist Centene Baton Rouge, LA

Position Purpose: Provide telephonic disease management services to individuals with asthma or COPD. Knowledge/Experience:1 2 years' care experience. Graduate of a two year AMA... more

May 18 Program Specialist Case Management Centene Baton Rouge, LA

Position Purpose: Assist the Director, Medical Programs and Policy with auditing, training, data analysis and program and policy development for both the outpatient and obstetrics... more

May 18 Community Outreach Coordinator (SE Region) Centene Georgia

Position Purpose: Work with Marketing & Community Relations Manager to develop and implement community outreach plan for the Health Plan. Knowledge/Experience: High school diploma... more

May 17 Clinical Reviewer I - II Centene St Louis, MO

Position Purpose: Perform audits to identify inappropriate billing practices through extensive review of claims data, medical records, corporate policy, state/federal policy, and... more

May 16 Case Manager I (Concurrent Review) Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 16 Prior Authorization Triage Specialist Centene Fort Worth, TX

Position Purpose: Work as a strong member of the Pharmacy Services to triage all prior authorization issues. Knowledge/Experience: Requires a minimum of a high-school degree. At... more

May 16 Plan Controller - Health Plan Accounting Centene Saint Louis, MO

Position Purpose: Manage the entire financial affairs for the assigned health plan. Knowledge/Experience: Bachelors degree in accounting or related field and 5+ years related... more

May 16 Plan Controller Centene Saint Louis, MO

Position Purpose: Manage the entire financial affairs for the assigned health plan. Knowledge/Experience: Bachelors degree in accounting or related field and 5+ years related... more

May 14 NurseWise/Nurse Response Customer Care Professional I - Bilingual - $1000 Sign-on Bonus Centene San Antonio, TX

Position Purpose: Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members... more

May 14 NurseWise/Nurse Response Registered Nurse - Bilingual - $2500 Sign-On Bonus Centene San Antonio, TX

Position Purpose: Triage inbound calls for a 24 hour per day/7 day a week operation (gathering problem information, selecting appropriate triage guidelines, disposition(s) and... more

May 12 Pharmacy Coordinator Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 10 Sr. Application Software Engineer - Core/.Net - Unified Member View Centene Saint Louis, MO

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 subject... more

May 08 MemberConnections Representative I Centene Spokane, WA

Position Purpose: Assist the health plan in establishing a presence in the community; educate the members about the managed care services provided via the health plan and how to... more

May 08 Manager, Marketing & Communications (SUPERIOR HEALTH PLAN) Centene Austin, TX

HealthPlan, a wholly owned subsidiary of Centene Corporation, located in Texas. Superior HealthPlan is a leading multi-line healthcare organization that provides programs and... more

May 06 Care Manager Centene Tampa, FL

Position Purpose: Responsible for members gaining access to needed services through coordination and integration of medical and long-term care services for the purpose of... more

May 05 Encounter Analyst I Centene St Louis, MO

Position Purpose: Perform research and analysis on encounter data. Query and analyze data to assist in identifying issues with encounter holds, rejects, and pends, as well as... more

May 03 RN Case Manager Centene Geronimo, TX

Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members at high risk in order to promote quality, cost effective... more

May 03 Physical, Speech or Occupational Therapist (Cenpatico). Centene Tacoma, WA

Position Purpose: Authorize and review utilization of outpatient and home health occupational, physical and speech therapy. Knowledge/Experience: Masters Degree in Speech-Language... more

May 02 Manager, ABD Programs Centene Mcallen, TX

Position Purpose: Oversee all Medicaid Aged, Blind & Disabled (ABD) support programs Knowledge/Experience: Bachelor's degree in Business Administration, Healthcare Administration,... more

May 02 Behavioral Case Manager (Cenpatico). Centene Tacoma, WA

Position Purpose: Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to... more

May 02 Behavioral Compliance Analyst (Cenpatico). Centene Austin, TX

Position Purpose: Assist in maintaining the compliance program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement... more

May 02 Provider Setup Specialist Centene Milwaukee, WI

Position Purpose: Responsible for knowing the Provider setup rules for every Health Plan market, timely submission of nonparticipating and participating Automated Provider Add,... more

May 02 Office Services Coordinator Centene Baton Rouge, LA

Position Purpose: Responsible for the overall coordination of the office facilities and support services while providing administrative support to the entire location. more

May 02 VP, Compliance Centene Lexington, KY

related to the health insurance industry, Centene Corporation, and its business ... Responsibilities: Ensure business unit and Centene Corporate are in compliance with... more

May 01 Clinical Supervisor, Outpatient Utilization Management (Cenpatico). Centene Atlanta, GA

Position Purpose: Perform duties to supervise the day-to-day operations of the case management and utilization management functions; communicate with departmental and plan... more

Apr 30 Prior Authorization Systems Coordinator Centene St Louis, MO

Position Purpose: Perform duties to support the prior authorization team and ensure accurate claims payment and system configuration Knowledge/Experience: High school education or... more

Apr 26 Trainer - Medical Management (Corporate) Centene Saint Louis, MO

Position Purpose: Responsible for initial and ongoing training for corporate, health plan, and specialty company staff related to clinical systems management. more

Apr 25 Special Investigation Unit Investigator Centene St Louis, MO

Position Purpose: Investigate allegations of potential fraud and complete special projects/audits. Knowledge/Experience: Bachelors Degree in Business, Medical Coding, related... more

Apr 25 Medical Review Nurse Centene Saint Louis, MO

Position Purpose: General medical reviews for medical necessity including prior authorization, precertification, concurrent review and appeals under the supervision of an RN... more

Apr 19 Customer Service Representative I Centene Tempe, AZ

Position Purpose: Responsible for answering incoming calls from consumers and providers on eligibility, benefits, complaints and explaining behavioral health system processes. more

Apr 06 Clinical Assistant Centene Farmington, CT

Position Purpose: Assist Operations Clinical Team with daily clerical duties. Knowledge/Experience: High School diploma or equivalent. Position Responsibilities: Prepare and... more

Apr 06 Actuary - Celtic Insurance Company Centene Chicago, IL

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Knowledge/Experience: Bachelors degree or equivalent and 7+ years of actuarial... more

Apr 06 Accountant I Centene St Louis, MO

Position Purpose: To maintain accurate financial records, prepare monthly financial statements and participate in special projects. Knowledge/Experience: Bachelors degree in... more

Mar 17 Provider Relations Coordinator Centene Tempe, AZ

Position Purpose: Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set-up accurately in the provider information system for state... more

Mar 05 Medical Management Trainer (field) Centene Tacoma, WA

Position Purpose: Provide hands on training to clinical staff in Medical Management on the various aspects of their job functions and responsibilities. Provide an avenue of... more

Mar 05 System Engineer Centene Little Rock, AR

Position Purpose: Provide operational and technical support to ensure the ongoing stability to the server environments. Contribute to the IT infrastructure design and leading in... more

Mar 05 IT Analyst II Centene Fresno, CA

Position Purpose: Facilitate strategic decisions through optimized reporting, advanced analytics and data-mining. Translate business needs into analytics/reporting requirements,... more

Mar 05 Workforce Analyst II - Medical Management Centene Baton Rouge, LA

Position Purpose: Assist with maximizing the effectiveness of scheduling, systems, performance metrics, data analysis, reporting and overall operational functions for all lines of... more

Mar 05 VP, Medical Management Centene Westmont, IL

Position Purpose: Perform duties to direct and coordinate the medical management, quality improvement and credentialing functions for the assigned health plan based on, and in... more

Mar 05 VP, Medicare Centene Clayton, MO

Lead the Medicare product line within Centene and its portfolio of subsidiaries. ... successes and challenges throughout the Centene leadership Ensure appropriate... more

Mar 05 Provider Data Coordinator Centene Austin, TX

Position Purpose: Perform day to day functions to maintain database of the contract database and create reports to monitor network compliance with State requirements. more

Mar 05 Provider Data Management Coordinator I Centene Saint Louis, MO

Position Purpose: Perform Credentialing and re-credential activities for health plans according to plan specifications. Knowledge/Experience: Bachelor's degree in business or... more

Mar 05 Provider Maintenance Specialist Centene Rocky Mount, NC

Position Purpose: Responsible for ensuring provider profiles and contract / fee schedule data bases remain current. Knowledge/Experience: High School Diploma or equivalent. 1-2... more

Mar 05 Healthcare Actuary Centene Saint Louis, MO

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Knowledge/Experience: Bachelors degree or equivalent and 7-9 years of actuarial... more

Mar 05 Web Developer I Centene Farmington, CT

Knowledge/Experience: Bachelors degree in computer science related field, or equivalent experience. 2+ years of experience with web standards ( XML, HTML, CSS,Java Script). more

Mar 04 Data Analyst I Centene Baton Rouge, LA

Position Purpose: Responsible for analytical data needs of the business unit. Knowledge/Experience: Bachelors degree or equivalent experience in statistical/data-related field. more

Mar 04 Claims Configuration & Business Analyst II Centene Saint Louis, MO

Position Purpose: Perform duties to evaluate and test new or modified managed care software programs and software development procedures used to verify that programs function... more

Mar 04 Contract Negotiator (Cenpatico) Centene Austin, TX

Position Purpose: To coordinate and negotiate provider agreements in accordance with Corporate, health plan and State guidelines. Knowledge/Experience: Bachelors degree in... more

Mar 04 Director, Medicare Compliance & Regulatory Affairs Centene St Louis, MO

leadership and main contact between CMS and Centene Acquire information and requirements from CMS, translate into business relevant terms, and disseminate as needed through the... more

Mar 04 Case Manager I Centene Baton Rouge, LA

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity. Knowledge/Experience: At least two years clinical nursing experience. more

Mar 04 Data Warehouse Analyst Centene Dallas, TX

Position Purpose: Develop and maintain databases and processes used to store and analyze customer and operational data. Knowledge/Experience: Bachelors degree in Information... more

Mar 04 Financial Analyst I Centene Tacoma, WA

Position Purpose: Compile and analyze financial information for the company. Knowledge/Experience: Bachelors degree or equivalent and 0 to 2 years of related experience. Position... more

Mar 04 Claims Analyst I Centene Rocky Mount, NC

Position Purpose: Responsible for reviewing and releasing pending claims; processing Member Receipts and serving as a back-up to manual claim entry. Responsible for completing... more

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