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Centene jobs - Scottsdale, AZ

Viewing 51 - 60 of 94 jobs

  • Systems Analyst

    Centene - Tempe, AZ

    Position Purpose: Devise and design computer system requirements for the solution of difficult business problems and formulate procedures for their solutions. Develop and implement major systems. Design appropriate application system...

    30+ days ago from Centene

  • Director, Pharmacy Claims Operations

    Centene - Tempe, AZ

    Position Purpose: Provide strategic leadership for pharmacy claims operations including processing, reprocessing, and reconciliation for Medicare Prescription Drug Events (PDE) and Medicare-Medicaid Plan (MMP) Encounters functions. Serve...

    30+ days ago from Centene

  • Supervisor, Clinical Audit (Pharmacist)

    Centene - Tempe, AZ

    Position Purpose: Supervise the clinical audit staff and work directly with the clinical program staff and management regarding coverage determination processing and audit results. This position will oversee CMS audits and follow-up...

    30+ days ago from Centene

  • Provider Mentor I

    Centene - Tempe, AZ

    Position Purpose: Monitor provider performance and contract compliance. Responsible for providing technical assistance to enhance provider compliance. Conduct regular provider monitoring site visits to assigned providers including peer and...

    30+ days ago from Centene

  • Pharmacy Technician I (Med D)

    Centene - Tempe, AZ

    Position Purpose: Track and triage all coverage determination requests for prior authorizations and Medicare Part D recipients Track and triage coverage determination requests submitted from providers and determine if a pharmacist review...

    30+ days ago from Centene

  • Utilization Management Reviewer (Physical Health)

    Centene - Tempe, AZ

    Position Purpose: Authorize and review utilization of physical health services provided in inpatient facilities, skilled nursing facilities, outpatient, and out-of-network settings. Assure appropriate levels of care and medical necessity...

    30+ days 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...

    30+ days ago from Centene

  • Health Coach (Diabetes CDE)

    Centene - Tempe, AZ

    Position Purpose: Provide telephonic disease management services to individuals with diabetes. Services may include educating members, counseling and coordinating care. Act as the Health Coach for patients with diabetes Has discretion on...

    30+ days ago from Centene

  • Arizona State Hospital Liaison

    Centene - Tempe, AZ

    Position Purpose: Serves as the single point of contact with the Arizona State Hospital (AZSH) and ADHS/DBHS to coordinate admissions, ongoing care, and discharges for members in the Arizona State Hospital. Authorizes and/or reviews...

    28 days ago from Centene

  • Supervisor, Information Technology

    Centene - Tempe, AZ

    Position Purpose: Supervise department staff including hiring, performance management and career development to ensure alignment with defined goals Plan and operate the daily activities of a team focused on a particular system or...

    30+ days ago from Centene