Search the 66 jobs at Centene Corporation

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

Act as a liaison for accurate and complete data reporting for provider, credentialing, enrollment, and contracting. Analyze and modify provider data, work on reconciliation projects, and generate reports using analytical tools. Coordinate data between databases and assist with programming development needs.

Manage either the Medicare Sales or Broker Field Sales teams to drive and achieve company-defined regional or distribution channel sales goals and objectives. Develop market-specific sales plans and marketing strategies to maximize enrollment growth. Supervise staff, provide training, and manage budget and performance goals. Build and maintain relationships with key external partners and ensure compliance with policies and procedures.

Support the implementation and ongoing operational maintenance of assigned products or service areas through effective communication and relationship management with stakeholders. Analyze performance, identify improvement opportunities, escalate issues, and drive operational enhancements. Create and maintain reporting tools to analyze processes and drive improvements.

The Operations Analyst III at Centene is responsible for developing and implementing strategic business solutions through research and analysis of data and/or business processes. Duties include leading process improvement activities, managing projects related to system enhancements, participating in strategic planning, and resolving enrollment issues.

Support the implementation and maintenance of assigned products/services, analyze operational performance, develop relationships with stakeholders, create reporting tools, drive process improvement, and manage projects.

Support the implementation and ongoing operational maintenance of assigned products through solid relationship management, process improvement, and effective reporting tools. Serve as a subject matter expert, drive operational aspects, assess performance, and develop key relationships with stakeholders. Collaborate on project implementations, manage projects, and ensure effective communication to stakeholders. Requires 2+ years of experience in leading projects related to benefits, product management, marketing, sales, and customer service in healthcare.

Plans, coordinates, and monitors project scheduling, logistics, and administrative tasks. Acts as a liaison between project personnel to ensure timely delivery of projects. Prepares reports on project progress and communicates with department staff. Requires 5+ years of administrative or project coordination experience, high school degree or equivalent, and healthcare experience is highly preferred.

Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Responsibilities include outreach to members, data entry, and collaboration with leadership. High school diploma or equivalent required.

Responsible for accurate and timely reporting of data related to core business functions, leading data analysis projects, and managing a team of data analysts.

Support the implementation and ongoing operational maintenance of assigned products or service areas through communication, relationship management, and process improvement. Serve as the subject matter expert, assess operational performance, monitor relationships, develop effective relationships with partners, identify trends, create reports, manage projects, collaborate with partners, and ensure effective communications.

Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation. Design and develop data models, conduct exploratory data analysis, and develop algorithms for business needs. Participate in the design of automated analytics processes and create data reconciliation through various tools.

Support Account Executives and Account Management Teams in assigned territories for small group, mid-market, and large group segments. Assist with new business, renewal presentations, broker service issues, and product training. Develop best practices based on local market conditions and maintain competitive analysis information. Build relationships with sales and account management teams to increase new sales and penetrate book of business. Travel to customer meetings and submit reports. Bachelor's degree and 2+ years of relevant experience required.

Assist with researching and resolving escalated disputes/complaints in premium billed amounts and payment transactions, monitor queues, support training of new specialists, assist in reconciliation projects, identify trends and issues, and provide accurate customer support

The Network Performance Advisor is responsible for managing relationships with key provider groups, driving improvements in provider and member satisfaction, analyzing financial and quality metrics, and leading cross-functional collaboration to support provider performance.

Designs, develops, and implements complex enterprise software solutions. Collaborates with various technical and non-technical roles to provide design, development, testing, and support expertise. Analyzes user needs, assesses requirements, and creates technical design documents. Resolves problems and ensures application designs comply with standards and best practices.

Audit and validate provider, vendor, and internal diagnosis coding for accuracy, identify trends in coding discrepancies, determine coding issues, and coordinate with leadership from various departments.

Maintain accurate financial records, prepare monthly financial statements, participate in special projects, and analyze financial information.

Designs and develops automated test scripts, executes manual and automated tests, enforces quality standards, mentors junior engineers, and ensures compliance with industry developments for a national healthcare organization.

Compile and analyze financial information for the company, including revenue/expense analyses, forecasting, and reconciliation of accounts. Present findings to senior management and ensure accurate financial reporting. Flexible work options available for remote work within the US.