Centene jobs in City of Sunrise, FL

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Referral Specialist I

Centene Corporation 206 reviews - City of Sunrise, FL
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate

Case Manager I (Prior Authorization)

Centene Corporation 206 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

Claims Liaison I

Centene Corporation 206 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

Provider Network Specialist I

Centene Corporation 206 reviews - City of Sunrise, FL
Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement

Quality Specialist II (Call Center)

Centene Corporation 206 reviews - City of Sunrise, FL
Maintain a comprehensive working knowledge of policies, procedures and services in order to ensure the appropriate level of customer service is delivered.

Sales Representative (Medicare)

Centene Corporation 206 reviews - City of Sunrise, FL
Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in

Business Analyst II

Centene Corporation 206 reviews - City of Sunrise, FL
Perform various analysis and interpretation to link business needs and objectives for assigned function Support business initiatives through data analysis,

Provider Data Analyst

Centene Corporation 206 reviews - City of Sunrise, FL
Assist with the analysis and correction of data migrated from one provider application to another. Review ongoing provider set up to ensure compliance with

Program Coordinator I

Centene Corporation 206 reviews - City of Sunrise, FL
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input

Director, Quality Improvement

Centene Corporation 206 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

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