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The Senior Compliance Analyst will maintain Centene's Compliance Program by providing regulatory interpretations, managing compliance reporting, leading special projects, developing auditing strategies, and implementing compliance policies. Responsibilities include responding to regulatory inquiries, conducting compliance audits, and assisting in training programs while ensuring adherence to state and federal requirements.
As a Lead Cloud Platform Engineer, you'll manage the technical approach for cloud platform configurations, automate cloud infrastructure, lead a team in supporting cloud environments, and implement CI/CD deployment plans. You'll work collaboratively with DevOps and other teams to enhance cloud applications and ensure secure, reliable deployments.
The Provider Account Manager is responsible for maintaining account relationships, overseeing project management for contract implementations, providing training to clients, and ensuring service delivery enhancements. This role involves site visits, vendor meetings, and acting as a liaison between clients and internal departments, while also supporting management with regulatory insights.
The Snowflake Enablement Engineer II will join the Data Platform team to support the Enterprise Datahub. Responsibilities include developing enablement programs, creating documentation and tutorials, collaborating with other teams to resolve roadblocks, and gathering feedback for continuous improvements. This role emphasizes training and onboarding for effective data utilization.
The Senior Application Architect is responsible for designing, developing, and deploying software systems related to Payment Integrity and Accuracy. This role involves defining system solutions, leading application architecture vision focusing on AWS serverless technologies, promoting event-driven architecture, overseeing security reviews, and documenting disaster recovery plans, among other responsibilities.
The Sr. Metadata Application Development Engineer will create and maintain metadata solutions, improve data governance, and support enterprise-wide metadata distribution. Responsibilities include designing data management procedures, guiding data engineers, administering metadata tools, and enhancing the metadata environment.
The Provider Engagement Administrator II acts as a liaison between Tier II providers and the health plan, managing network performance and driving performance improvement in key metrics such as Risk/P4Q and HEDIS quality. Responsibilities include resolving provider claim issues, conducting education and orientations, performing analyses, and coaching less experienced staff. The role requires local travel and completion of assigned special projects.
As the Lead Risk Quantification Analyst, you will develop probabilistic models, derive insights from quantitative analyses, and communicate findings to leadership. You will collect and report cybersecurity risk metrics while overseeing the maintenance of risk models and conducting peer reviews. Additionally, you'll manage training services and collaborate with IT and Cybersecurity experts to frame business problems and identify data for risk modeling.
As a Customer Service Representative, you will respond to inquiries from members and providers, assist with website navigation, document activities for quality reporting, and coordinate member services. You will also help with pharmacy orders and manage patient billing services while ensuring compliance with performance standards.
The Senior IAM Analyst role involves designing and implementing Identity and Access Management solutions, providing subject matter expertise, documentation of IAM Standards, and continuous service improvement. The position requires collaboration with cross-functional teams and staying updated on industry trends in IAM.
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