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Centene

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199 jobs
Centene
3 weeks ago

Provider Engagement Account Manager

RemoteNorth AmericaPart-time
United States

Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members.…

EDI
Centene
3 weeks ago

Vice President, Network Development & Contracting

RemotePart-timeC-level

Position Purpose: Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis…
Centene
3 weeks ago

Senior Director, Contracting & Network Development

RemotePart-timeSenior

Position Purpose: Oversee the development and implementation of hospital provider contracting activities in network development and enhancement. Key Details : Must be authorized to work in the U.S. without the need for…

Business Development
Centene
3 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
3 weeks ago

Vice President, Clinical Operations - Behavioral Health UM

RemotePart-timeC-level

Position Purpose: Oversee and direct all clinical operations, including care management and coordination, and utilization management Establish the business unit’s clinical strategic vision, objectives, policies and…
Centene
3 weeks ago

Psychologist Reviewer

RemotePart-time

Position Purpose: Authorize, direct and monitor care for behavioral health and/or substance abuse problems according to clinical information given by providers and internal criteria for medical necessity and…
Centene
3 weeks ago

Manager, Cloud Platform Engineering

RemotePart-time

Position Purpose: Oversees the design and management of an organization's cloud systems, applications, policies, and strategy. Manages the development of scalable architecture to support applications and infrastructure…

Automation AWS Azure Azure Functions Bash +18 skills
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Centene
3 weeks ago

Care Manager (RN)

RemotePart-time

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…
Centene
3 weeks ago

Care Manager (RN)

RemotePart-time

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…
Centene
3 weeks ago

LTSS Service Care Manager

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
3 weeks ago

Senior Manager, Application Development Engineering - Provider Data

RemotePart-timeSenior

Position Purpose: Manages the team members accountable for designing, developing, and implementing complex enterprise software solutions. Collaborates closely with technical and non-technical roles such as data…

Agile Data Governance DevOps Proof of Concept SRE
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Centene
3 weeks ago

Manager, Care Management

RemotePart-time

Position Purpose: Manages the care management team and the care coordination of behavioral health members to develop and assess high quality, cost-effective healthcare outcomes related to mental and behavioral health…
Centene
3 weeks ago

Senior Curriculum Designer

RemotePart-timeSenior

Position Purpose: Design, implement and maintain training resources. Evaluate, propose, and create training programs supporting customer service, technical process documentation, operational systems, and e-learning…

SharePoint
Centene
3 weeks ago

LTSS Service Care Manager - Behavioral Health

HybridNorth AmericaPart-time
United States

Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

First Aid
Centene
3 weeks ago

Clinical Pharmacist (Formulary & Quality)

RemotePart-time

Position Purpose: Define and develop standard and custom formularies for assigned plan. Key Details: Indiana Clinical Pharmacist (Formulary & Quality). Current Indiana licensure highly preferred but will also…

Regulatory Compliance
Centene
3 weeks ago

Data Analyst III Healthcare Analytics, Medical Economics

RemoteNorth AmericaPart-time
United States

Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based…

Analytics Automation Business Intelligence Data Mining Data Modeling +6 skills
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Centene
3 weeks ago

Care Manager

RemotePart-time

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including…
Centene
3 weeks ago

Manager, Regulatory & Filing Operations

RemotePart-time

Position Purpose: Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit…

Risk Assessment
Centene
3 weeks ago

Manager, Risk Adjustment

RemotePart-time

Position Purpose: Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans. Key Details: Ideal candidate to live in the state of PA. Develop and…
Centene
3 weeks ago

Manager, Compliance Risk Adjustment

RemotePart-time

Postition Purpose: Manages a team responsible for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables and associated risk related…

Corrective Action