Centene Corporation jobs in Westmont, IL

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Program Coordinator II

Centene Corporation 205 reviews - Westmont, IL - +1 location
Perform duties to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests

Case Manager I (Concurrent Review)

Centene Corporation 205 reviews - Westmont, IL - +1 location
Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure

Claims Liaison I

Centene Corporation 205 reviews - Westmont, IL
Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send

Project Manager I

Centene Corporation 205 reviews - Westmont, IL - +1 location
Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.

Trainer I

Centene Corporation 205 reviews - Westmont, IL
Responsible for developing and conducting a variety of training programs and/or auditing tools. Conduct training needs analyses to determine specific

Case Manager II

Centene Corporation 205 reviews - Westmont, IL - +1 location
Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are

Manager, Case Management

Centene Corporation 205 reviews - Westmont, IL
Perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff

Quality Improvement Coordinator II

Centene Corporation 205 reviews - Westmont, IL
Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits.

Lead Customer Service Representative

Centene Corporation 205 reviews - Westmont, IL
Serve as a liaison between Customer Service Representatives CSRs), management and other various departments. Resolve customer inquiries via telephone and

Provider Relations Specialist II-Dental Health & Wellness (W...

Centene Corporation 205 reviews - Westmont, IL
Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims Conduct on-site provider orientations,

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