Centene Corporation jobs in Fort Lauderdale, FL

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Referral Specialist I

Centene Corporation 238 reviews - City of Sunrise, FL
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate

Quality Improvement Specialist I

Centene Corporation 238 reviews - City of Sunrise, FL
Support the data management and quality improvement initiatives for assigned functional areas Assist with the development and coordination of all core health

Program Coordinator I

Centene Corporation 238 reviews - City of Sunrise, FL
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input

Behavioral Care Coordinator

Centene Corporation 238 reviews - City of Sunrise, FL
Conduct screening and risk assessment interventions per program guidelines. Provide outreach and preventative care to members seeking services in the least

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

Quality Improvement Coordinator II

Centene Corporation 238 reviews - City of Sunrise, FL
Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits.

Data Analyst II

Centene Corporation 238 reviews - City of Sunrise, FL
Analyze health management programs including: data collection, validation and outcome measurement. May include: o Financial, pharmacy, claims, provider, and

Customer Service Representative I

Centene Corporation 238 reviews - City of Sunrise, FL
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence

Manager, STARS (Medicare)

Centene Corporation 238 reviews - City of Sunrise, FL
Lead efforts to maximize the Medicare CMS Star Rating and work to develop a multi-year strategy in collaboration with organizational stakeholders Develop

Prior Authorization Nurse I

Centene Corporation 238 reviews - City of Sunrise, FL
Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior

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