Centene Corporation jobs in St. Louis, MO

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Business Analyst III - Claims Configuration
Centene Corporation 182 reviews - St. Louis, MO
The Lead Configuration Analystin this role will gain exposure to all facets of Centenes business operations and have significant opportunities for growth....
Sponsored by Dice - 1 day ago

Contract Analyst I

Centene Corporation 182 reviews - Clayton, MO
Provide analytic support for network performance, unit cost trend, network profiling and evaluation, and contract modeling for current health plans, future

Senior Financial Systems Analyst

Centene Corporation 182 reviews - Clayton, MO - +1 location
Identify opportunities for new system functionality for better alignment to business processes Define and document requirements for configuration and custom

Manager, Utilization Management

Centene Corporation 182 reviews - Chesterfield, MO
Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department

Project Coordinator I

Centene Corporation 182 reviews - St. Louis, MO
Provides support with various activities and projects. Track and coordinate projects to ensure prescribed activities are carried out in accordance with

Clinical Reviewer II (Special Investigation Unit)

Centene Corporation 182 reviews - Chesterfield, MO
Perform audits to identify inappropriate billing practices and determine medical necessity through extensive review of claims data, medical records, corporate

Contract Negotiator I

Centene Corporation 182 reviews - Chesterfield, MO - +1 location
Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and

Prepay Compliance Analyst (Fraud, Waste, & Abuse)

Centene Corporation 182 reviews - Chesterfield, MO
Apply accept/reject recommendations to claims clinically reviewed by third party vendor by using knowledge of medical claims billing, coding, and other

Case Manager I (Prior Authorization)

Centene Corporation 182 reviews - Chesterfield, MO
Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or

Provider Data Management & Credentialing Specialist I

Centene Corporation 182 reviews - Chesterfield, MO
Perform credentialing and provider data management related activities based on plan specifications. Create credentialing files consistent with NCQA standards

Business Systems Analyst

Centene Corporation 182 reviews - Chesterfield, MO - +1 location
ยท Design, build, test and maintain enablers of business processes, including technology and process solutions with a focus on medium complexity, multiple

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