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Centene Corporation jobs in Clayton, MO

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Member Relationship Liaison new

  • Utilize multiple systems to investigate escalated inquiries on Members and follow the member experience from beginning to resolution.

Clinical Appeals Coordinator new

  • Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals.
  • Maintain files and logs for all appeals.

Project Manager III new

  • Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.

Compliance Analyst new

Clayton, MO
  • Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program; guide special projects; provide regulatory interpretation; perform compliance…

Vice President, Quality & Risk Adjustment Process Improvemen... new

Clayton, MO 63105
  • Develop and oversee enterprise quality and Risk Adjustment improvement programs and strategies for the business unit.

Auditing Analyst new

Clayton, MO
  • Monitor compliance, drive remediation of variances, and generate responses for multiple audits.
  • Prepare various reports on audit findings and recommend…

Senior Manager, Operations- Call Center Oversight new

Clayton, MO
  • Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives.
  • 6+ years of operations experience.

Medicare Operations Performance Manager - Claims Oversight new

Clayton, MO
  • Oversee Claims Configuration & Processing performance and Key Performance Indicator adherence.
  • Partner with Shared Services areas to develop and lead action and…

Concurrent Review Nurse I new

  • Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services…

Manager, Provider Network new

  • Manages the day-to-day operations of the network accounts department.
  • Develop, implement and monitor quality initiatives to achieve healthy outcomes for…

Manager, Product Innovation & Development (Complex Care - LT... new

Clayton, MO
  • Position Purpose: Oversee entire life cycle of new product development for our Complex Care products for our members utilizing Long Term Services and Supports,…

Workforce Analyst II new

  • Assist with maximizing the effectiveness of scheduling, systems, performance metrics, data analysis, reporting and overall operational functions for all lines…

Business Analyst II new

Clayton, MO
  • Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function.

Senior Contract Negotiator new

  • Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi specialty groups) and ancillary service agreements that are in accordance…

Contract Negotiator V new

  • Identify, negotiate and manage high performing provider and vendor partnerships.
  • Negotiate vendor or provider contracts and manage implementations and ongoing…
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