Centene jobs in Columbus, OH

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Claims Liaison I

Centene Corporation 194 reviews - Columbus, OH
Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send

PDM Administrator

Centene Corporation 194 reviews - Columbus, OH
Update and maintain provider computer records for assigned sites Add, change and terminate new or existing provider records in the medical information

Referral Specialist I

Centene Corporation 194 reviews - Columbus, OH
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate

Data Analyst II

Centene Corporation 194 reviews - Columbus, OH
Responsible for analytic data needs. Handle complex data requests, reports, and predictive data modeling. Analyze health management programs including: data

Quality Improvement Coordinator I

Centene Corporation 194 reviews - Columbus, OH
Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Perform duties and functions to comply with quality improvement

Grievance & Appeals Coordinator I

Centene Corporation 194 reviews - Columbus, OH
Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather,

Pharmacy Coordinator

Centene Corporation 194 reviews - Columbus, OH
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan’s pharmacy program. Receive and

Customer Service Representative I

Centene Corporation 194 reviews - Columbus, OH
Respond to customer inquiries via telephone and written correspondence in a timely and appropriate manner. Respond to telephone or written correspondence

Senior Customer Service Representative

Centene Corporation 194 reviews - Columbus, OH
Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner. Qualifications Education/Experience: High school

Case Manager I (Pre Certification)

Centene Corporation 194 reviews - Columbus, OH
Review requests for prior authorization of medical services such as office visits, transportation, and elective and outpatient procedures and surgeries.

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