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Centene jobs - Columbus, OH

Viewing 1 - 10 of 152 jobs

  • Program Coordinator II

    Centene - Columbus, OH

    ## Description Position Purpose: Perform duties to 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...

    5 days ago from IHispano

  • Healthcheck Coordinator II

    Centene - Columbus, OH

    ## Description Position Purpose: Coordinate preventive health care and promote compliance with preventive care guidelines through member outreach. Serve as a liaison between the health plan and members, providers, organizations, and...

    4 days ago from Professional Diversity Network

  • Member Service Representative I

    Centene - Columbus, OH

    ## Description Position Purpose: Receive and respond to member/customer inquiries via telephone and written correspondence in a timely and professional manner. * Receive and respond to all telephone or written correspondence inquiries from...

    5 days ago from Women's Career Channel

  • Credentialing Specialist I

    Centene - Columbus, OH

    ## Description Position Purpose: Assist the plan in credentialing and re credentialing providers. * Credential and re-credential various providers, including physicians, healthcare delivery organizations, or pharmacies, according to...

    2 days ago from A Mighty River

  • Case Manager I (Prior-Authorization)

    Centene - Columbus, OH

    ## Description Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care * Review provider requests through fax or telephone to ensure medical necessity for services...

    4 days ago from Professional Diversity Network

  • Case Manager I (Prior Authorization)

    Centene - Columbus, OH

    ## Description Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care * Review provider requests through fax or telephone to ensure medical necessity for services...

    1 day ago from Women's Career Channel

  • Case Manager I (Pre Certification)

    Centene - Columbus, OH

    ## Description Position Purpose: Review requests for prior authorization of medical services such as office visits, transportation, and elective and outpatient procedures and surgeries. * Review provider requests through fax, telephone, or...

    5 hours ago from A Mighty River

  • Lead Provider Data Management Specialist

    Centene - Columbus, OH

    ## Description Position Purpose: Review and audit inbound and completed provider data requests to ensure accuracy, completeness and compliance. Review and resolve complex issues and communicate status reports to management. * Review...

    11 days ago from Professional Diversity Network

  • Grievance & Appeals Coordinator I

    Centene - Columbus, OH

    ## Description 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...

    2 days ago from Women's Career Channel

  • Quality Control Coordinator

    Centene - Columbus, OH

    ## Description Position Purpose: Audit the loading of provider contracts from contract file to APACT to Amisys including direct and delegated agreements. Audit attachments created by Contract Coordinators for direct and delegated...

    9 days ago from Women's Career Channel

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