Centene Corporation jobs in Sacramento, CA

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Manager, Compliance & Reporting

Centene Corporation 189 reviews - Sacramento, CA
Design and implement programs, policies, and practices to ensure State and Federal program contract compliance, as well as compliance with federal and state

Member Connections Representative I

Centene Corporation 189 reviews - Sacramento, CA
Assist the health plan in establishing a presence in the community through home visits and community outreach. Educate members on health care benefits

Provider Relations Specialist I

Centene Corporation 189 reviews - Sacramento, CA
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform

Program Specialist I (Social Worker)

Centene Corporation 189 reviews - Sacramento, CA
Conduct screening and risk assessment interventions per program guidelines. Assist with non medical aspects of the member’s care, including referrals to

Health Educator

Centene Corporation 189 reviews - Sacramento, CA
Assess and approve written health education materials designed to assist health plan members to modify personal health behaviors, achieve and maintain healthy

HEDIS Coordinator / El Centro or Sacramento

Centene Corporation 189 reviews - Sacramento, CA
Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement opportunities. Assist with quality improvement

Manager, Contracting & Network Development

Centene Corporation 189 reviews - Sacramento, CA
Provide support for the management of physician, hospital and ancillary provider recruitment in accordance with corporate, health plan and state guidelines

Quality Improvement Coordinator

Centene Corporation 189 reviews - Sacramento, CA
Provide support for the Quality Department to perform improvement and review procedures Conduct internal record reviews and audits, including medical records

Claims Research Specialist

Centene Corporation 189 reviews - Sacramento, CA
Perform duties to act as a liaison between provider relations, provider services, the health plan and corporate to investigate and resolve claims inquiries.

Director, Contracting

Centene Corporation 189 reviews - Sacramento, CA
Coordinate, negotiate and handle activities of the provider contracting, network development and/or provider relations functions and aid in formulating and

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