Centene jobs in Baton Rouge, LA

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Claims Liaison I

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

Case Manager II

Centene Corporation 205 reviews - Baton Rouge, LA
Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are

Reconciliation Coordinator I

Centene Corporation 205 reviews - Baton Rouge, LA
Responsible for the reconciliation of the error authorization report to claims. Develop and monitor authorization errors trending and patterns by type of error

Project Coordinator I

Centene Corporation 205 reviews - Baton Rouge, LA
Provides support with various activities and projects. Track and coordinate projects to ensure prescribed activities are carried out in accordance with

Case Manager I (Concurrent Review)

Centene Corporation 205 reviews - Baton Rouge, LA
Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic review to ensure

Contract Implementation Analyst

Centene Corporation 205 reviews - Baton Rouge, LA
Perform day to day duties and testing of contract implementation, including UAT to ensure that systems accurately reflect a contract’s negotiated terms.

Supervisor, Medical Home/Health Home

Centene Corporation 205 reviews - Baton Rouge, LA
Assist in the support of network physicians to redesign practice operations in alignment with Medical Home (MH)/Health Home (HH) designation standards

Program Coordinator I

Centene Corporation 205 reviews - Baton Rouge, LA
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input

Quality Improvement Coordinator II

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

Contract Negotiator

Centene Corporation 205 reviews - Baton Rouge, LA
Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in

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