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Centene

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183 jobs
Centene
2 weeks ago

Vendor Relations Manager

RemotePart-time

Position Purpose: Manages up-front third party evaluations and relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business…

Performance Management
Centene
2 weeks ago

Sales Representative (Medicare)

RemotePart-time

Position Purpose: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and…
Centene
2 weeks ago

Senior LTSS Service Care Manager RN

HybridNorth AmericaPart-timeSenior
United States

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…
Centene
2 weeks ago

Senior Director, Utilization Management Strategy & Innovation

RemotePart-timeSenior

Position Purpose: Oversight of our national Gold Card Program ensuring effective performance and communication of strategic priorities and outcomes with stakeholders. Key Details: Lead the strategy and growth of our…

Stakeholder Management
Centene
2 weeks ago

Care Management Support Coordinator II

RemotePart-time

Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to…
Centene
2 weeks ago

Clinical Review Nurse - Concurrent Review

RemotePart-time

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according…
Centene
2 weeks ago

Senior Business Technical Analyst

RemotePart-timeSenior

Position Purpose: Provides advanced business and technical expertise to design, build, validate, implement, and support complex data solutions, reporting, applications, and automations. Serves as a subject matter…

Analytics API Automation Candidate Experience Corrective Action +14 skills
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Centene
2 weeks ago

Sales Representative (Medicare)

RemotePart-time

Position Purpose: Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and…
Centene
2 weeks ago

Clinical Quality Coordinator (RN)

RemotePart-time

Educate members about needed screenings, including diabetic and breast cancer screenings. Encourage members to schedule appointments and assist with scheduling as needed. Complete assessments, including the Conditions…
Centene
2 weeks ago

Care Manager (RN)

RemotePart-time

Location: Remote. Must reside in North Carolina. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m., with flexible scheduling possible after training. No holiday coverage required. License: An active North Carolina RN…
Centene
2 weeks ago

Vice President, Sales Operations (Remote)

RemotePart-timeC-level

Position Purpose: Lead sales operations functions, including sales and experience reporting and data management, sales systems oversight and management, broker support, broker and agent commissions and incentive…
Centene
2 weeks ago

Lead Data Engineer

RemotePart-timeLead

Position Purpose: Uses advanced expertise and knowledge to lead the development and operationalization of data pipelines to make data available for consumption (reports and advanced analytics), including data…

Analytics Automation Business Intelligence CI/CD Data Ingestion +8 skills
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Centene
2 weeks ago

Finance Analyst II

RemotePart-timeMiddle

Position Purpose: As part of Carolina Complete Health, the Finance Analyst II will compile and analyze financial information for the company, health plan. Key Details: For this role, while it is remote, we are…

Power BI
Centene
2 weeks ago

Supervisor, Care Management (Social Worker)

RemotePart-time

Position Purpose: Supervises the care management team and the care coordination of behavioral health members to promote quality and efficacy of care management delivery related to mental and behavioral health needs.…
Centene
2 weeks ago

Behavioral Health Clinical Liaison

RemotePart-time

Position Purpose: Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and…
Centene
2 weeks ago

Accounting Assistant

North AmericaPart-time
United States

Position Purpose: Apply all cash receipts into various systems and databases. Assist all major functions of the company including Accounts Payable and Billing. Key Details: Must be authorized to work in the U.S.…

Accounts Payable Accounts Receivable
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Centene
2 weeks ago

Vice President, AI Innovation & Partnerships

RemotePart-timeC-level

Position Purpose: Leads Centene's AI innovation and strategic technology partnerships function, providing enterprise technical leadership for the highest-value AI use cases and shaping partner platforms/harnesses…

Agentic AI AI Analytics API Automation +4 skills
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Centene
2 weeks ago

LTSS Service Care Coordinator

RemotePart-time

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service…
Centene
2 weeks ago

Interpreter Coordination Escalation Response Specialist II

RemotePart-time

Position Purpose: Assists with responding to complaints and escalations from members/providers. Supports in handling escalations, handling problem tickets, and providing feedback to senior team members regarding…

Root Cause Analysis
Centene
2 weeks ago

Account Executive (Specialty Pharmacy)

RemotePart-time

Position Purpose: Represent the company to all prospective and existing clients. Monitor client satisfaction and recommend changes to enhance satisfaction. Key Details: Due to travel requirements of the role, we are…