Centene jobs in Austin, TX

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Service Coordinator

Centene Corporation 196 reviews - Austin, TX
Provide for the needs of members through collaboration with medical, behavioral, and social support staff. Conduct screening and risk assessment interventions

Claims Liaison I

Centene Corporation 196 reviews - Austin, TX
Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send

Grievance & Appeals Coordinator I

Centene Corporation 196 reviews - Austin, TX
Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather,

Customer Service Representative II

Centene Corporation 196 reviews - Austin, TX
Receive and respond to telephone inquiries from members or providers regarding eligibility, benefits and authorization of services. Educate callers on

Utilization Manager - Afterhours Program

Centene Corporation 196 reviews - Austin, TX
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care

Specialty Therapist

Centene Corporation 196 reviews - Austin, TX
Perform utilization review of authorization requests regarding specialty therapy services (speech language, occupational, and physical therapy) across the

Project Coordinator I

Centene Corporation 196 reviews - Austin, TX
Provides support with various activities and projects. Track and coordinate projects to ensure prescribed activities are carried out in accordance with

Director, Appeals & Grievance

Centene Corporation 196 reviews - Austin, TX
Oversee multiple Medical Management functions, including denials, appeals, authorization reconciliation and staff training and auditing. Ensure compliance

Director, Medical Management Operations

Centene Corporation 196 reviews - Austin, TX
Lead Medical Management process improvement initiatives to reduce medical costs, reduce administrative costs, and improve member quality. Assist Medical

Case Manager I (Prior Authorization)

Centene Corporation 196 reviews - Austin, TX
Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or

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