Centene Corporation jobs in Columbia, SC

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Claims Research Analyst

Centene Corporation 190 reviews - Columbia, SC
Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send

Senior Customer Service Representative

Centene Corporation 190 reviews - Columbia, SC
Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school

Manager, Prior Authorization & Referrals

Centene Corporation 190 reviews - Columbia, SC
Oversee day to day functions of the call center that provides preauthorization and referral services to physicians for plan members. Oversee preauthorization

Provider Network Specialist II

Centene Corporation 190 reviews - Columbia, SC
Perform health plan provider orientations and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within the

Manager, Claims & Contract Support Services

Centene Corporation 190 reviews - Columbia, SC
Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams Oversee the claims operation function, including contracting and

Manager, Case Management

Centene Corporation 190 reviews - Columbia, SC
Perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff

Director, Medicare Product Development

Centene Corporation 190 reviews - Columbia, SC
Manage the development, implementation and administration of Medicare Special Needs product. Oversee integration of internal operations needed to ensure

Case Manager I (Prior Authorization)

Centene Corporation 190 reviews - Columbia, SC
Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or

Business Analyst II

Centene Corporation 190 reviews - Columbia, SC
Perform various analysis and interpretation to link business needs and objectives for assigned function Support business initiatives through data analysis,

Utilization Manager

Centene Corporation 190 reviews - Columbia, SC
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care

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