Centene jobs in City of Sunrise, FL

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Claims Liaison I

Centene Corporation 193 reviews - City of Sunrise, FL
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 I (Prior Authorization)

Centene Corporation 193 reviews - City of Sunrise, FL
Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests through fax or

Behavioral Health Service Coordinator

Centene Corporation 193 reviews - City of Sunrise, FL
Work with Foster Care members, Medical Consenters, Department of Family and Protective Services (DFPS) staff, Caregivers, PCP’s and Service Managers to

Provider Data Management Specialist I

Centene Corporation 193 reviews - City of Sunrise, FL
Maintain accurate databases and reports to monitor network compliance with State requirements Create and maintain multiple databases, including, contract

Credentialing Specialist I

Centene Corporation 193 reviews - City of Sunrise, FL
Assist the plan in credentialing and re credentialing providers. Credential and re-credential various providers, including physicians, healthcare delivery

Manager, Claims & Contract Support Services

Centene Corporation 193 reviews - City of Sunrise, FL
Oversee the operation of the Contract Implementation Analyst and Claims Liaison teams Oversee the claims operation function, including contracting and

Utilization Manager

Centene Corporation 193 reviews - City of Sunrise, FL
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care

Member Advocate I

Centene Corporation 193 reviews - City of Sunrise, FL
Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care. Establish a community

Director, Quality Improvement

Centene Corporation 193 reviews - City of Sunrise, FL
Lead and direct process improvement activities that provide more efficient and streamlined workflow. Responsible for leading and collaborating with others on

Manager, STARS (Medicare)

Centene Corporation 193 reviews - City of Sunrise, FL
Lead efforts to maximize the Medicare CMS Star Rating and work to develop a multi-year strategy in collaboration with organizational stakeholders Develop

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