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This is a remote position that requires up to 75% travel. This role is eligible for a $2,500 sign-on bonus. This position supports foster care members in Reno, McPherson, Rice, Harvey, and neighboring counties. Candidates must reside in Reno, McPherson, Rice, or Harvey County
Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephoni
Product Portfolio: Member Experience & Omnichannel Engagement This executive will lead the strategy, roadmap, and delivery of Centene's enterprise Member Experience and Omnichannel Engagement portfolio, focused on creating seamless, personalized interactions across digital, mobi
Position Purpose: Assist the Chief Medical Officer to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: This role requires a Board Certified Physician that is licensed in the state of Georgia. - Pro
Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized car
Position Purpose: Lead a team of professionals responsible for the strategic and operational execution of the strategic plan, typically including individual state initiatives as well as broad, national strategic efforts. Responsible for a large budget that is very complex in natu
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their fami
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT **App
Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephoni
Position Purpose: Manage the compliance department functions, including but not limited to, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and maintain compliance with federal, state, and local regulatory, co
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their fami
Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized car
Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow. This leadership role will shape and execute the organization’s digital quality measurement strategy, helping modernize how clinical quality data is collected, va
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. - Evaluates t
Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educa
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. Key Details: Must be Board Certified Physician with an active New York MD or DO state license. The ideal ca
Position Purpose: The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Pla
This position is a field based role covering Lubbock and Amarillo Counties. Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our
Position Purpose: Oversee all compliance functions for the health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over contract deliverables for all lines of business and service delivery areas. Key Details: Appl
Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephoni