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Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and the
Bachelor's Degree in related field or equivalent experience required. 8+ years of clinical technology experience Deep understanding of the member journey. Product development experience. Pay Range: $188,900.00 - $359,800.00 per year At Centene, we connect people to the care th
Position Purpose: Works with senior care management team to support 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. Serves as a liaison a
Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and
Position Purpose: Oversee the development and implementation of contracting activities in network development and enhancement. Education/Experience: Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience. 7+ years of relat
Position Purpose: Support the development and maintenance of quality improvement related projects and reporting. Respond to quality improvement inquiries. Key Details: Candidates residing in California are strongly preferred and all candidates must be available to work Pacific T
Position Purpose: The Senior Director, Healthcare Analytics leads analytic service delivery by aligning strategic objectives with the development of tools and capabilities and appropriate deployment of supporting analytic teams. The director serves in a leadership function spanni
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 a Board Certified Physician and licensed in the state of Arizona. - Provides medical
Position Purpose: Direct the process for identifying and obtaining the appropriate licenses for new and existing businesses. Assist new business development and expansion for companywide operations - Identify state requirements and secure the appropriate information within Cente
Position Purpose: The Program Manager IV leads the planning and delivery of strategic programs and complex, enterprise-wide initiatives that support company goals. This role will provide hands-on support to matrixed teams to ensure the successful completion of complex integration
This position is fully remote/work from home; applicants must reside in the state of Missouri and hold an active Missouri RN licensure. The role supports our Medicaid population. The work schedule is Monday - Friday, 8am - 5pm central time zone with 1 - 2 rotational holidays/yea
Position Purpose: Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within care management to improve member and/or provider experience. Key Details: Mu
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flex
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: 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
Position Purpose: Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all appeal letters generated comply with both State and NCQA requirements. Key Details: Must have an unencumbered R
***NOTE: Travel (25%) is required throughout the Chicago metropolitan area, specifically targeting communities across Cook County and the surrounding collar counties (primarily DuPage, Lake, and Will counties)*** Position Purpose: Collaborate with healthcare providers to help th
This is a remote opportunity supporting enterprise-wide quality strategy initiatives throughout the year. Experience with HEDIS operations and quality strategy initiatives is highly preferred. Position Purpose: Lead and direct process improvement activities that provide more eff
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flex
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flex