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Centene jobs - Scottsdale, AZ

Viewing 11 - 20 of 157 jobs

  • Grievance & Appeals Specialist I

    Centene - Tempe, AZ

    Position Purpose: Responsible for reviewing, investigating and tracking member grievances and appeals, and provider claims disputes. Responsible for coordinating as necessary with the G&A Administrator and outside counsel during state fair...

    12 days ago from Centene

  • Clinical Educator

    Centene - Tempe, AZ

    Position Purpose: Develop and educate clinical staff on the company's clinical philosophy and evidence based practice methods required for excellent patient outcomes and regulatory requirements. Develop and facilitate new hire orientation...

    12 days ago from Centene

  • Manager, Provider Data Management & Credentialing

    Centene - Tempe, AZ

    Position Purpose: Manage the operations of all credentialing and provider data management functions for multiple business units ensuring compliance with National Committee for Quality Assurance (NCQA), Department of Health and Human...

    16 days ago from Centene

  • Fidelity Reviewer (Evidence Based Practices)

    Centene - Tempe, AZ

    Position Purpose: Conduct onsite provider audits to determine adherence to evidence based practices Compile audit findings and report to management, making recommendations for modifications and improvements to operations, systems and...

    16 days ago from Centene

  • Credentialing Specialist II

    Centene - Tempe, AZ

    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 applicable...

    16 days ago from Centene

  • Manager, Provider Relations & Contracting

    Centene - Tempe, AZ

    Position Purpose: Implement development activities for the recruitment, contracting and retention of providers. Negotiate contracts and develop strategies and methodologies for specific network development initiatives. Monitor business...

    16 days ago from Centene

  • Director, Network Management

    Centene - Tempe, AZ

    Review contracts verify compliance with State, Federal and Centene guidelines Oversee provider manual updates and verify changes meet state and health plan requirements. Oversee providers education and training on provider manual and state...

    16 days ago from Centene

  • Director, Network Development

    Centene - Tempe, AZ

    Position Purpose: Develop and maintain provider network that provides appropriate access to care, and programs and promotes quality member outcomes. Develop and implement activities for the recruitment, and retention of effective providers...

    16 days ago from Centene

  • Provider Data Analyst

    Centene - Tempe, AZ

    Position Purpose: Assist with the analysis and correction of data migrated from one provider application to another. Review ongoing provider set up to ensure compliance with standards. Maintain spreadsheets and collect, track, prepare,...

    16 days ago from Centene

  • Auditor II

    Centene - Tempe, AZ

    Position Purpose: Conduct audits to ensure compliance with Center for Medicare/Medicaid Services (CMS) regulations. Identifies improper processes, research issues, and prepare reports on related issues and provide recommendations as...

    18 days ago from Centene

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