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Centene jobs

Viewing 1 - 10 of 288 jobs

  • EDI Analyst

    Centene - Chesterfield, MO

    Position Purpose EDI support team responsible for addressing trading partner questions by phone or email. Do analysis in various systems to track claim and associated responses. Strong communicator and customer service responsibilities.

    4 days ago from Dice

  • Vice President Quality Improvement at Buckeye Health Plan for Centene Corporation

    Cejka Executive Search For Centene - Columbus, OH

    to recruit a Vice President, Quality Improvement for one of Centene Corporations' top performing health plans, Buckeye ... beneficiaries in the state of Ohio. A Fortune 250 company, Centene Corporation is a recognized leader in providing high...

    7 hours ago from American Organization of Nurse Executives

  • Senior Pega Developer

    Centene - Town and Country, MO

    Position Purpose: Design, build, test and maintain scalable and stable custom built technology solutions to meet business needs. Collaborate and support team members in delivering high-quality software solutions in an agile environment.

    2 hours ago from Centene

  • Special Investigation Unit Analyst

    Centene - Chesterfield, MO

    Position Purpose: Assist with investigation of healthcare fraud and complete special projects/audits. Run data queries for investigations Review quarterly reports to detect potential outliers Review quarterly reports to validate data...

    2 hours ago from Centene

  • Supervisor, Appeals (RN preferred)

    Centene - Columbus, OH

    Position Purpose: Manage the day to day operations of the Appeals staff and functions within the Medical Management department. Complete weekly and monthly denial and appeal reporting requirements. Ensure that the Appeals department...

    2 hours ago from Centene

  • Medical Management Analyst (Data)

    Centene - Little Rock, AR

    Position Purpose: Provide analytical support to Medical Affairs to develop focused management reports and trend information to improve medical management across the Plan and provide interface between end users and data resources. Focus on...

    2 hours ago from Centene

  • Vice President, Medicare Advantage Leader

    Centene - Sunrise, FL

    Position Purpose: Oversee and direct Medicare operations, compliance and business strategy utilizing cross functional business units and corporate teams to meet strategic objectives. Lead Medicare operations, planning, market strategy and...

    20 hours ago from Centene

  • Clinical Audit Coordinator (Pharmacy Technician - Med D)

    Centene - Tempe, AZ

    Position Purpose: Assist with clinical training programs and audits of clinical systems entry and/or processes Assists with auditing staff and vendor partners in accordance with established CMS guidelines Partner with business groups to...

    20 hours ago from Centene

  • Customer Service Representative I

    Centene - Little Rock, AR

    Position Purpose: Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence inquiries from members and/or providers within established...

    3 days ago from Centene

  • Case Manager I (Concurrent Review) LTC - Field Based - FL Statewide

    Centene - West Palm Beach, FL

    Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care Review and audit...

    3 days ago from Centene