Centene Corporation jobs in Fort Lauderdale, FL

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Case Manager I (Concurrent Review)

Centene Corporation 191 reviews - City of Sunrise, FL - +1 location
Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure

Enrollment Processor I

Centene Corporation 191 reviews - City of Sunrise, FL
Responsible for maintaining internal computer systems enrollment and membership records related to the qualifications for coverage under the contract or

Customer Service Representative II

Centene Corporation 191 reviews - City of Sunrise, FL
Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Qualifications Education/Experience: High school

Case Manager I (Prior Authorization)

Centene Corporation 191 reviews - City of Sunrise, FL
Review requests for contract specific prior authorization of services within a centralized unit Review provider request for contract specific prior

Supervisor, Case Management

Centene Corporation 191 reviews - City of Sunrise, FL
Supervise the day to day operations of the case management function. Communicate with departmental and plan administrative staff to facilitate daily

Clinical Resource Specialist

Centene Corporation 191 reviews - City of Sunrise, FL
Provide guidelines for member specific plans of care, and assist Case Managers in organizing, securing, integrating, and modifying the resources necessary to

Provider Data Management Specialist I

Centene Corporation 191 reviews - City of Sunrise, FL
Maintain accurate databases and reports to monitor network compliance with State requirements Create and maintain multiple databases, including, contract

Data Integrity Specialist

Centene Corporation 191 reviews - City of Sunrise, FL
Act as a liaison between the health plan, external agencies, internal teams to ensure accurate and complete data reporting for provider, credentialing,

Quality Specialist II (Call Center)

Centene Corporation 191 reviews - City of Sunrise, FL
Maintain a comprehensive working knowledge of policies, procedures and services in order to ensure the appropriate level of customer service is delivered.

Medical Management Auditor - RN or LPN required

Centene Corporation 191 reviews - City of Sunrise, FL
Responsible for the auditing of corporate, health plan, and specialty company staff related to clinical systems entry and/or processes Develop and maintain

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