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Centene jobs - Pflugerville, TX

Viewing 1 - 10 of 426 jobs

  • Case Manager II (RN) (In office)

    Centene - Austin, TX

    ## Description Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost...

    8 hours ago from IHispano

  • Manager, Provider Relations

    Centene - Austin, TX

    ## Description Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities * Manage the staff in contracting area including work flow, training and communication...

    7 days ago from Professional Diversity Network

  • Case Manager I (Concurrent Review) (RN)

    Centene - Austin, TX

    ## Description 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 *...

    8 hours ago from IHispano

  • Manager, Denials & Appeals

    Centene - Austin, TX

    ## Description Position Purpose: Ensure appropriate processing of member denials and appeals, provider appeals that require clinical review, and/ or State Fair Hearings. Perform duties as the point of contact with the State. * Ensure that...

    5 days ago from Professional Diversity Network

  • Data Analyst II

    Centene - Austin, TX

    ## Description Position Purpose: Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling. * Analyze health management programs including: data collection, validation and outcome...

    8 hours ago from IHispano

  • Supervisor, Appeals

    Centene - Austin, TX

    ## Description 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...

    3 days ago from Professional Diversity Network

  • Provider Data Coordinator II

    Centene - Austin, TX

    ## Description Position Purpose: Perform day to day functions to inbound requests and maintain provider database. Audit analyses on completed requests and monitor compliance status of submitted requests. * Analyze inbound request to...

    3 days ago from IHispano

  • Manager, Clinical Implementation (Sign On Bonus)

    Centene - Austin, TX

    ## Description #LI-NP1 Position Purpose: Implement clinical development activities for new and prospective markets. Develop strategies and methodologies for service delivery system in new markets, benefits and authorization requirements,...

    7 days ago from Professional Diversity Network

  • Behavioral Care Coordinator

    Centene - Austin, TX

    ## Description Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Provide outreach and preventative care to members seeking services in the least restrictive environment. * Identify special needs...

    4 days ago from IHispano

  • Quality Improvement Coordinator I

    Centene - Austin, TX

    ## Description Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. * Perform duties and functions to comply with quality improvement programs according to state requirements. *...

    4 days ago from IHispano

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