Centene jobs

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Member Advocate I - San Antonio

Centene Corporation 238 reviews - San Antonio, TX  +2 locations
Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community

Provider Data Management Analyst I

Centene Corporation 238 reviews - Town and Country, MO
Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry,

Business Process Analyst I

Centene Corporation 238 reviews - Little Rock, AR
Develop documentation for business processes and provide subsequent training, if necessary. Qualifications Education/Experience: Bachelor’s degree in

Manager, Case Management

Centene Corporation 238 reviews - Tacoma, WA  +4 locations
Perform duties to conduct and manage the day to day operations of the case management functions communicating with departmental and plan administrative staff

Case Manager (Long Term Care) Coconut Creek/Deerfield Beach

Centene Corporation 238 reviews - City of Sunrise, FL
Responsible for members gaining access to needed services through coordination and integration of medical and long term care services for the purpose of

Lead Provider Reimbursement Auditor

Centene Corporation 238 reviews - Farmington, MO
Audit provider claims involving products with complex provider reimbursement rules for payment accuracy to source documents (e.g. contracts) Estimate the

Customer Care Professional (Outbound)

Centene Corporation 238 reviews - Farmington, MO  +1 location
Make outbound calls and provide information and education regarding program features and requirements Gather and verify demographic information Document

Clinical Reviewer II (Special Investigation Unit)

Centene Corporation 238 reviews - Chesterfield, MO
Perform audits to identify inappropriate billing practices and determine medical necessity through extensive review of claims data, medical records, corporate

Patient Care Coordinator I

Centene Corporation 238 reviews - Houston, TX  +1 location
Handle inbound and outbound calls, including the processing and upkeep of pharmacy orders and handling of order inquiries and issues Reach out to all new

Behavioral Referral Specialist I

Centene Corporation 238 reviews - Austin, TX
Receive, review and process Outpatient Treatment Requests (OTR) from providers as it relates to eligibility, benefits and authorization of services. Resolve
SQL Developer
OptiCare-Centene Corporation - Rocky Mount, NC
Position Purpose: Develop reporting views and queries, performance optimization and tuning for web-based applications. Education/Experience: Bachelor's degree
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Sponsored by OptiCare-Centene Corporation
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