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The Community Resource Coordinator connects members with community resources and provides support for their care management journey. Responsibilities include conducting assessments, supporting outreach initiatives, and collaborating with the clinical team to address member needs in a cost-effective manner, ensuring effective communication and resource management.

Responsible for designing, developing, and implementing complex enterprise software solutions. Collaborates with various roles to create software modules and analyze user needs, while ensuring compliance with standards and managing application support activities.

The Quality Improvement Coordinator I will analyze, develop, implement, and monitor clinical quality improvement initiatives aimed at achieving healthy outcomes. Responsibilities include ensuring compliance with quality improvement programs, supporting quality assurance initiatives, preparing for committees, investigating member complaints, and auditing medical records.

The Quality Improvement Coordinator II conducts compliance reviews of delegated healthcare entities, performing medical record audits and analyzing data for quality improvement. They resolve quality issues, document complaints, and develop corrective action plans, while functioning as the liaison between community resources and the company. The role includes coordinating Quality Improvement Committee activities and recommending policy enhancements.

The Senior Actuarial Analyst will develop and maintain models for pricing and filing of Centene's marketplace product, Ambetter Health. Responsibilities include leading model operations, communicating results, developing standalone and integrated sub-models, analyzing data, and creating visualizations.

Designs, develops, and implements enterprise software solutions for analytics data collection. Collaborates with various stakeholders to create software modules, ensuring that designs meet both functional and nonfunctional requirements. Engages in application support and resolves issues as they arise, while adhering to coding standards and best practices.

The VP of Network Development & Contracting at Centene oversees provider network strategy and contracting activities. Responsibilities include leading provider relations, analyzing network efficiency, managing budget initiatives, and supporting market expansion efforts. This role requires strategic vision and management of a team to accomplish departmental goals.