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Centene jobs - Austin, TX

Viewing 1 - 10 of 97 jobs

  • Registered Nurse

    Pinnacle Senior Care - Austin, TX

    model. As a partner with US Medical Management, owned by Centene (a Fortune 250 company). Pinnacle has the unique opportunity to be a part of a medical centered home within the continuum that offers Visiting Physicians, Lab, X-Ray, Home...

    11 days ago from JobNewsUSA.com

  • Referral Specialist I

    Centene - Austin, TX

    Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate authorization requests for outpatient and inpatient services in...

    2 days ago from Centene

  • Medical Program Specialist

    Centene - Austin, TX

    Position Purpose: Responsible for analyzing various medical management programs that impact URAC/NCAQ. Conduct audits of various departments and modify/create training materials as necessary based on audit results. Position...

    2 days ago from Centene

  • Program Coordinator I

    Centene - Austin, TX

    Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research...

    2 days ago from Centene

  • Utilization Manager

    Centene - Austin, TX

    Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial evaluations,...

    5 days ago from Centene

  • Claims Liaison I

    Centene - Austin, TX

    Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send claims to the claims department for corrections Identify any system...

    5 days ago from Centene

  • Supervisor, Provider Data & Credentialing

    Centene - Austin, TX

    Position Purpose: Supervise the provider data management and credentialing functions. Ensure accurate and timely completion of provider data changes, adds, and terminations. Supervise the daily operations of the provider data management...

    5 days ago from Centene

  • Manager, Provider Data

    Centene - Austin, TX

    Position Purpose: Establish and monitor Key Performance Indicators (KPIs) and responsible for quarterly provider directory completion, online provider directory integrity, and overall provider data auditing Oversee all activities related...

    5 days ago from Centene

  • Business Analyst II Health Care

    Centene - Austin, TX

    Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function Support business initiatives through data analysis, identification of implementation barriers and user acceptance...

    5 days ago from Centene

  • Grievance & Appeals Coordinator I

    Centene - Austin, TX

    Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints,...

    5 days ago from Centene

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