Search the 149 jobs at Centene Corporation

The Application Development Engineer II designs, develops, and implements enterprise software solutions focused on automating processes within claims departments. Responsibilities include coding software modules, executing project plans, evaluating tests, and ensuring compliance with standards. The role requires collaboration with various stakeholders to deliver effective software solutions.

The Senior Application Development Engineer designs and implements complex software solutions to enhance DevOps practices. The role encompasses collaborating with various stakeholders, developing software modules, creating technical documentation, and ensuring compliance with standards. Active participation in application support and problems resolution is also required, along with continuous development of coding techniques and standards.

As a Resource Mother I, you will assist with care management and coordination, provide education on health services, complete intake interviews, identify member needs, and coordinate communal resources to support participants in accessing healthcare and social services.

The Product Manager will manage feature development in an Agile scrum team, define product roadmaps, gather client feedback, and ensure market needs are met. Responsibilities include monitoring development projects, creating requirements documents, and conducting market testing to promote product features.

The Provider Engagement Account Manager will maintain partnerships with contracted provider networks, ensuring high-quality care delivery. Responsibilities include addressing provider issues, managing network performance, conducting provider education, and implementing performance improvement strategies. The role demands strong relationship management and project management skills.

The Provider Engagement Account Manager serves as the primary liaison between the health plan and healthcare providers, ensuring optimal network performance and resolving provider-related issues. Responsibilities include educating providers on policies, managing provider performance, and completing assigned projects to improve healthcare delivery.

The Community Resource Coordinator II supports community connection activities by connecting members with resources to aid in their care management. They assist both members and the care team with inquiries, documentation, and health education, while also conducting assessments and outreach efforts to ensure members access the necessary care resources.

The Senior Quality Improvement Specialist is responsible for developing and implementing quality improvement initiatives, conducting audits for compliance with regulatory standards, analyzing performance data for improvement opportunities, and collaborating with clinical and administrative teams to resolve issues. This role also involves preparing for regulatory site visits and managing assigned quality studies.

The IT Data Scientist II will design and develop scalable AI and machine learning solutions, conduct research to build predictive models, and analyze data to derive insights for business decisions. The role includes coding in SQL and Python/R, exploring data quality, building models, and integrating solutions while engaging with internal customers to fulfill AI/ML requests.

As a Complaints Coordinator, you will receive, investigate, and respond to Member and Provider complaints, ensuring compliance with federal and state regulations. Your responsibilities include maintaining complaint logs, reviewing complaint processes, and coordinating with internal and external customers for information needed for responding to complaints.

Design, develop, and implement complex enterprise software solutions using GoLang, collaborating with various technical and non-technical roles. Responsibilities include analyzing user needs, creating designs, implementing solutions, and participating in application support activities, while adhering to best practices and standards.

The Community Resource Coordinator II supports community connection activities by connecting members to key community resources, conducting assessments, and aiding the clinical care team. The role involves outreach efforts, documentation of community resources, and ensuring compliance with health plans.

As a Finance Analyst II with the Wellcare of Kentucky Finance team, you will be responsible for compiling and analyzing financial data, leading cost settlements and DMS reconciliations, performing financial forecasting, and providing relevant reports. You'll also identify trends to present findings to senior management.

The Community Relations Specialist leads initiatives to meet membership and enrollment goals through marketing projects, community events, and training. Responsibilities include developing business relationships, conducting presentations, coordinating events, and collaborating with the sales team. The role requires significant travel and may involve outreach activities to promote membership growth.

The Senior QA Automation Solutions Architect designs and develops integration testing architecture while providing expertise in testing practices. Responsibilities include creating architecture guidelines, participating in testing discussions, collaborating on requirements, and maintaining documentation for testing integrations to enhance business processes.

The Community Resource Coordinator II facilitates connections between community members and applicable resources. They coordinate outreach activities, support community health initiatives, conduct assessments, and provide educational materials. The role requires interaction with clinical teams and documentation of community resource standards.

The Senior Quality Improvement Specialist coordinates quality improvement programs related to NCQA, HEDIS, and Medicaid services. This role involves managing complex healthcare initiatives, ensuring compliance with regulations, conducting program assessments, and developing targeted improvement activities to enhance care delivery and outcomes for members. Collaborating with various stakeholders, the specialist also leads cross-functional committees and communicates with external entities on program initiatives.

Supports the prior authorization request process, ensuring all requests are addressed in a timely manner. Aids in documentation, verifies insurance coverage, performs data entry, and stays updated on healthcare policies. Assists with authorization reviews and other assigned duties in accordance with company policies.

The Finance Analyst II analyzes financial information, develops revenue and expense analyses, creates periodic reports, identifies market trends, performs financial forecasting, and ensures accuracy of financial records for Centene's Health Plan Accounting team.

The Community Resource Coordinator II is responsible for connecting members with community resources, supporting care management, and facilitating member outreach and education. Duties include conducting health assessments, managing community inquiries, and assisting clinical teams in outreach efforts while documenting resource standards and compliance.