12/01/2022
Vertexer - Farmington, MO - Centene
Position Purpose: To accurately enter data from incoming medical forms into assigned software packages. Maintains appropriate records, files, documentation, etc…
Source: Centene |
12/02/2022
Claims Liaison I (Remote) - , AL - Centene
Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues.
Source: Centene |
12/02/2022
Office Services Clerk - , KY - WellCare of KY
As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Source: Centene |
11/29/2022
Team Assistant-4 - Rego Park, NY - Fidelis Care
Provides phone coverage and clerical support to the team. Places follow-up telephone calls. Assists staff within teams to facilitate workflow and ensure…
Source: Centene |
11/17/2022
Resource Mother I - , GA - Peach State Health Plan
Position Purpose: Perform duties to assist in activities related to care management, care coordination, post-partum follow up, and wavier programs as assigned:…
Source: Centene |
11/10/2022
Clinical Reviewer - New York, NY - Fidelis Care
Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Source: Centene |
12/05/2022
Member Connections Representative I - , KY - WellCare of KY
Position Purpose: Assist the health plan in establishing a presence in the community through home visits and community outreach.
Source: Centene |
12/02/2022
Community Health Worker - , MI - Michigan Health Plan
Position Purpose: Provide a link between members and available resources to provide the necessary resources in a cost effective manner.
Source: Centene |
12/02/2022
Case Coordinator - , DE - Centene
Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Identify special needs members through the completion of health…
Source: Centene |
10/19/2022
Care Coordinator - , VT - Medicare
Position Purpose: Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure…
Source: Centene |
10/01/2022
Program Associate - Long Island, NY - Fidelis Care
Position Purpose: Provide non-medical administrative support to service coordination and case management team. Places follow-up telephone calls.
Source: Centene |
11/16/2022
Care Coordinator Clark County - , AR - Arkansas Total Care
Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure continuity of care…
Source: Centene |
11/17/2022
Care Coordinator - , NC - WellCare of North Carolina
Position Purpose: Provide specialty service care coordination to beneficiaries. Ensure appropriate services are delivered by specialty providers and ensure…
Source: Centene |
11/15/2022
Referral Specialist I - , CA - Health Net
Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations…
Source: Centene |
5/24/2022
Clinical Reviewer - Long Island, NY - Centene
Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Source: Centene |
10/13/2022
Actuarial Analyst (Remote / Multiple openings) - , AK - Centene
Assist in financial analysis, pricing and risk assessment to estimate outcomes. Develop and analyze complex financial and statistical reports related to quality…
Source: Centene |
11/30/2022
Customer Service (Remote) - Bilingual Spanish - , AK - Centene
English, Spanish, • Respond to telephone or written correspondence inquiries from members and/or providers within established timeframes utilizing current…
Source: Centene |
8/16/2022
Referral Specialist-1 - , AZ - Centene
Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations…
Source: Centene |
10/27/2022
Quality Reporting Specialist - , ME - Medicare
REMOTE (with occasional in-person meetings); must reside in Maine, Southern Maine preferable*. Position Purpose: Organize and assemble various quality…
Source: Centene |
9/24/2022
Quality Improvement Abstractor - , SC - Absolute Total Care
Position Purpose: Lead data collection and abstraction for company quality measures, including HEDIS, CMS, CHIPRA and/or any other custom measurements.
Source: Centene |
11/30/2022
LTSS Housing Specialist - Philadelphia, PA - Pennsylvania Health & Wellness
Responsible for providing housing expertise and support to health plan staff and contracted providers statewide. Must have a valid Drivers License.
Source: Centene |
11/29/2022
Clinical Reviewer - Getzville, NY - Fidelis Care
Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Source: Centene |
12/01/2022
Program Coordinator I - , IA - Iowa Total Care
Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Assess and monitor inpatient census.
Source: Centene |
8/17/2022
Health Benefit Rep (Oneida/Herkimer County) - Utica, NY - Fidelis Care
Position Purpose: The Health Benefit Representative (HBR) sells Fidelis Care products and services by first identifying membership growth opportunities in an…
Source: Centene |
12/02/2022
Retention Representative - New York, NY - Fidelis Care
Position Purpose: Responsible for retaining current membership by assisting members with the completion and processing of Government health program applications…
Source: Centene |
