Centene jobs in Columbus, OH

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Case Manager I (Concurrent Review)
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic
Sponsored by HEALTHeCAREERS Network - 21 days ago
Case Manager I (Prior Authorization)
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests
Sponsored by HEALTHeCAREERS Network - 16 days ago

Quality Specialist II (Call Center)

Centene Corporation 164 reviews - Columbus, OH
Maintain a comprehensive working knowledge of policies, procedures and services in order to ensure the appropriate level of customer service is delivered.
2 days ago - save job - email - more...

Office Services Clerk

Centene Corporation 164 reviews - Columbus, OH
Sort incoming mail and packages for distribution, dispatch outgoing mail and packages, and administer office services. Distribute and collect office mail,
2 days ago - save job - email - more...

PDM Administrator

Centene Corporation 164 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
2 days ago - save job - email - more...

Denial Coordinator

Centene Corporation 164 reviews - Columbus, OH
Generate and process denial letters and Notice of Action (NOA) for pre services, leveling of care and denied medical services. Maintain the denial and/or
14 days ago - save job - email - more...

Provider Relations Specialist I

Centene Corporation 164 reviews - Columbus, OH
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform
29 days ago - save job - email - more...

Claims Liaison I

Centene Corporation 164 reviews - Columbus, OH
Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Document, track and resolve
29 days ago - save job - email - more...

Program Coordinator I

Centene Corporation 164 reviews - Columbus, OH
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input
29 days ago - save job - email - more...

Provider Maintenance Administrator I

Centene Corporation 164 reviews - Columbus, OH
This position is responsible for adding, changing, updating and maintaining provider computer records for assigned site Add, change and terminate new or
2 days ago - save job - email - more...

Manager, Sales (Medicare)

Centene Corporation 164 reviews - Columbus, OH
Manage Medicare sales, and business strategy utilizing cross-functional business units to meet strategic objectives. Oversee various sales departments to
2 days ago - save job - email - more...

Coding Analyst I

Centene Corporation 164 reviews - Columbus, OH
Perform review of high dollar claims. Review for appropriate place of service, accurate coding, length of stay, match to authorization, and possible outlier
14 days ago - save job - email - more...
Pended Claims Coordinator II
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Review and price pended claims as a result of high dollar limits or system errors. Assists with financial projects related to claims.
Sponsored by HEALTHeCAREERS Network - 18 days ago
Case Manager II
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health
Sponsored by HEALTHeCAREERS Network - 3 days ago
Behavioral Case Manager
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: This is a part-time position. Candidates will perform duties related to the day-to-day operations of the High Risk Case Management functions
Sponsored by HEALTHeCAREERS Network - 12 days ago

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