Centene jobs in Austin, TX

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Case Manager I (Pre Certification)

Centene Corporation 182 reviews - Austin, TX
Review requests for prior authorization of medical services such as office visits, transportation, and elective and outpatient procedures and surgeries.

Program Coordinator I

Centene Corporation 182 reviews - Austin, TX
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input

Quality Improvement Specialist I

Centene Corporation 182 reviews - Austin, TX
Support the data management and quality improvement initiatives for assigned functional areas Assist with the development and coordination of all core health

Referral Specialist I

Centene Corporation 182 reviews - Austin, TX
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate

Customer Service Representative I

Centene Corporation 182 reviews - Austin, TX
Receive and respond to telephone inquiries from members or providers regarding eligibility, benefits and authorization of services. Educate callers on

Manager, Denials & Appeals

Centene Corporation 182 reviews - Austin, TX
Ensure appropriate processing of member denials and appeals, provider appeals that require clinical review, and/ or State Fair Hearings. Perform duties as the

Enrollment Processor I

Centene Corporation 182 reviews - Austin, TX
Responsible for maintaining internal computer systems enrollment and membership records related to the qualifications for coverage under the contract or

Operational Quality Analyst I

Centene Corporation 182 reviews - Austin, TX
Review and track data quality and process accuracy for provider load, contracting, and claim review. Perform audit and review functions for contracting,

Quality Specialist II (Call Center)

Centene Corporation 182 reviews - Austin, TX
Maintain a comprehensive working knowledge of policies, procedures and services in order to ensure the appropriate level of customer service is delivered.

Compliance Coordinator

Centene Corporation 182 reviews - Austin, TX
Assist with ensuring compliance with contractual requirements and federal and state government reporting and regulations. Assist with maintaining compliance

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