As a Remote Psychologist Reviewer, you will authorize and monitor care for behavioral health issues, conduct peer reviews, educate practitioners, and address complaints, focusing on youth with Autism.

This Senior Actuary role focuses on leading strategic initiatives, conducting financial analysis, developing methodologies, and influencing cross-functional teams to optimize health care programs.

Manage, configure, and support the Coupa P2P platform (including Sourcing and CLMA), lead cross-functional requirements, design solutions and integrations, provide end-user support and training, perform testing and QA, maintain documentation, manage product backlog, and mentor junior team members to ensure compliant, stable financial system operations.

The Lead IAM Engineer is responsible for designing, implementing, and supporting SailPoint IdentityIQ solutions, troubleshooting issues, and leading integration initiatives.

The Senior RN Clinical Review Nurse reviews challenging prior authorization requests to determine medical necessity and appropriate care levels, collaborates with providers, and improves authorization processes.

The Clinical Pharmacist leverages clinical expertise and analytics to identify cost-saving opportunities, analyze healthcare data, and drive strategic initiatives for improved care quality and efficiency.

As a Data Engineer II, you will develop and optimize data pipelines for analytics and reporting, ensuring data quality and efficiency. You'll engage with DevSecOps in continuous integration efforts and maintain high-performance data structures.

The Clinical Review Nurse drafts correspondence letters based on clinical reviews, investigates denials, maintains cases, and provides feedback to improve processes.

The Senior Site Reliability Engineer leads projects on Disaster Recovery, manages platform performance, reliability, and security, and improves monitoring and incident response processes.

Lead the vision and execution of ICHRA-focused products, drive market competitiveness, and foster innovation while managing stakeholder alignment.

The coordinator analyzes and resolves member and provider grievances and appeals, prepares response letters, maintains files, and supports data entry functions.

The Senior Site Reliability Engineer leads projects to maintain platform performance, ensuring reliability and security through SRE practices and automation, while troubleshooting issues and optimizing processes.

Directs teams in developing enterprise software solutions for Member/Provider Portals and Data Integrations, providing technical guidance and managing project portfolios.

Collaborate with teams to enhance production systems, manage incidents, analyze data, and improve documentation and operational processes.

The Commissions Analyst I processes commission payments, accounting entries, and reports, performs data reconciliation, and provides customer support related to commissions inquiries.

The role involves designing and developing custom enterprise software solutions, collaborating with various stakeholders, and ensuring compliance with standards and best practices.

The Principal Incident Response Analyst will coordinate incident response, enhance processes, manage communications, and collaborate with security teams to mitigate threats.

This role is responsible for enhancing operational efficiency and fostering innovation within Centene's Population Health & Clinical Outcomes Organization by developing strategies, overseeing project management, ensuring regulatory compliance, and mentoring teams for continuous improvement.

The Senior Communications Specialist develops and distributes communications materials, coordinates approvals, monitors content changes, and ensures compliance with regulations, supporting the implementation of the Gold Card program.

The Provider Engagement Account Manager maintains partnerships with providers, ensures quality care delivery, addresses provider issues, educates on policies, and drives performance improvement using data analytics.