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Reentry Care Manager

Centene

Washington, US
Full time
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Master's degree in behavioral health, social work, or nursing
Licensed master's behavioral health professional (lcsw, lmft, etc.) or rn
2-4 years of related experience
Centene is seeking a Reentry Care Manager in Washington, US, responsible for coordinating care for individuals transitioning from carceral facilities. The role requires expertise in mental and behavioral health, with a focus on integrated, person-centered care to enhance health outcomes and reduce recidivism
22 days ago
85

Lead Application Development Engineer

Centene

Full time
Base: $102,900.00 - $190,500.00 py; bonus/equity: ...
Hybrid
Bachelor's degree in quantitative or business field
5 to 7 years of related experience
Experience managing people and technology changes
22 days ago

Manager, Data Analytics & Reporting

Centene

Full time
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Must be authorized to work in the u.s. without visa sponsorship
Bachelor's degree required
4+ years of relevant experience
Centene is seeking a Manager of Data Analytics & Reporting to oversee accurate and timely reporting for their core business functions. The ideal candidate will have a strong background in data analysis and experience with various analytical tools, alongside the ability to manage a team and lead complex projects
22 days ago
85

Data Analyst Iii

Centene

Full time
Base: $70,100.00 - $126,200.00 py; bonus/equity: n...
**
Bachelor's degree in related field or equivalent experience
Must be authorized to work in the u.s. without visa sponsorship
No employment-based visa sponsorship available now or in future
** Centene is seeking a Data Analyst III to lead complex data projects, providing advanced analytical support across various healthcare-related domains. The role requires a bachelor's degree, over four years of data analysis experience, and a preference for candidates with healthcare experience. **
22 days ago
75

Clinical Review Therapist - Physical Health

Centene

Texas, US
Full time
Base: $30.58 - $55.09 ph; bonus/equity: not specif...
Hybrid
Active ot, pt, or ccc-slp license
Texas state licensure
Bachelor's degree
This role involves performing clinical reviews of therapy services and durable medical equipment to ensure appropriate care for 28 million members
22 days ago

Grievance & Appeals Coordinator

Centene

Sacramento, CA, US
Full time
Base: $19.43 - $32.98 ph; bonus/equity: not specif...
Hybrid
High school diploma or equivalent
2+ years grievance or appeals experience
Must reside in california
Centene is seeking a Grievance & Appeals Coordinator in Sacramento, CA, to manage and resolve claims and appeals from providers and members. The role demands analytical skills to address grievances and support health services, with a preference for candidates who have relevant experience in managed care
22 days ago
85

Plan President & Ceo

Centene

Baton Rouge, LA, US
Full time
Base: $270,000.00 - $580,000.00 py; bonus/equity: ...
**
Bachelor's degree required; master's preferred
5+ years top management experience in government or healthcare
Must live within driving distance of baton rouge office
** Centene is seeking a Plan President & CEO to lead Louisiana Healthcare Connections in Baton Rouge, focusing on operational policies and financial strategies. The ideal candidate will have extensive experience in healthcare management and a strong background in strategic planning and operations. **
22 days ago
75

Business Analyst Ii -integration Quality & User Acceptance Testing (cm)

Centene

Full time
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in related field
2-4 years business process or data analysis experience
Previous structured testing experience preferred
Centene is seeking a Business Analyst II for Integration Quality and User Acceptance Testing, preferably with experience in business analysis, UAT, and quality roles. The role requires a solid understanding of healthcare processes, strong analytical skills, and proficiency in tools like Azure DevOps, JIRA, or ServiceNow
22 days ago
85

Clinical Review Therapist - Ot, Pt, Or Slp

Centene

Full time
Base: $30.57 - $55.09 ph; bonus/equity: not specif...
Hybrid
Ot, pt, or ccc-slp license issued by texas
Bachelor's degree required
2-4 years minimum experience
This role involves performing clinical reviews of therapy services and durable medical equipment for Centene's 28 million members based on best practice standards
22 days ago

Senior Analytics Engineer

Centene

Full time
Base: $87,000.00 - $161,300.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in quantitative or business field
4-6 years of related analytics engineering experience
Strong understanding of sdlc processes
This role offers the opportunity to impact health outcomes for 28 million members by leveraging advanced technology
22 days ago

Authorization Specialist Ii

Centene

Full time
Base: $17.84 - $28.02 ph; bonus/equity: not specif...
Hybrid
High school diploma or ged required
1-2 years of related experience
Must be authorized to work in the u.s. without visa sponsorship
This role supports the prior authorization request process to ensure all requests are addressed within contractual timelines
22 days ago

Manager, Integration Quality & User Acceptance Testing (cm/ltss)

Centene

Full time
Base: $107,700.00 - $199,300.00 py; bonus/equity: ...
Hybrid
Bachelor's degree required
5+ years of related experience
Minimum 2 years direct supervisory experience
Centene is seeking a Manager for Integration Quality & User Acceptance Testing, responsible for leading a team to ensure that testing solutions align with business expectations. The ideal candidate will have supervisory experience and expertise in user acceptance testing, particularly in the healthcare sector, while enjoying a range of competitive benefits and a flexible work environment
22 days ago
85

Bilingual Retention Field Representative - Manhattan

Centene

Manhattan, NY, US
Full time
Base: $23.23 - $39.61 ph; bonus/equity: not specif...
Hybrid
Must be authorized to work in the u.s. without visa sponsorship
No more than 2 attempts to pass required tests
High school diploma or ged required
Centene is seeking a Bilingual Retention Field Representative in Manhattan, NY, responsible for retaining current members through outreach and education about Fidelis Care products. Ideal candidates should possess fluency in Spanish, French, or Wolof, along with experience in healthcare and customer service. The position offers competitive pay and a range of benefits, including flexible work arrangements
22 days ago
85

Pharmacist - Per Diem - Onsite Specialty Fulfillment

Centene

Tampa, FL, US
Part time
Base: $51.78 - $95.81 ph; bonus/equity: not specif...
Hybrid
Current florida pharmacist license
Bachelor's degree in pharmacy or pharm d
3+ years of mail order, retail, or hospital pharmacy experience
Centene is seeking a Per Diem Pharmacist for its Tampa, FL location, focusing on onsite specialty fulfillment. The role involves pharmacy services, including dispensing medications and patient outreach, with a flexible schedule based on business needs
22 days ago
85

Program Manager Iii, Integration Quality & Uat (um)

Centene

Full time
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
**
Bachelor's degree in business administration, healthcare administration, or related field
5+ years of project implementation, product, or program management experience
Must be authorized to work in the u.s. without visa sponsorship
** Centene is seeking a Program Manager III for Integration Quality & UAT, focusing on enhancing program efficiency for its members. The ideal candidate should have strong experience in Utilization Management processes, project management, and familiarity with healthcare systems. **
22 days ago
75

Business Analyst Iv - Integration Quality & User Acceptance Testing (ltss)

Centene

Full time
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in related field or equivalent experience
Must be authorized to work in the u.s. without visa sponsorship
Advanced knowledge of microsoft applications including excel, access, project, and visio
Centene is seeking a Business Analyst IV to lead integration quality and user acceptance testing, with a focus on enhancing business processes and ensuring operational performance. The ideal candidate should have extensive experience in business analysis, UAT, and data/interface validation, particularly within the healthcare sector
22 days ago
85

Health Benefit Rep - Albany

Centene

Albany, New York, US
Full time
Base: $23.23 - $39.61 ph; bonus/equity: not specif...
Hybrid
High school diploma or ged
Valid driver's license
Ny state of health certification
The role involves educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace
22 days ago

Business Solutions Developer Ii

Centene

Full time
Base: $70,100.00 - $126,200.00 py; bonus/equity: n...
Hybrid
2+ years of relevant field experience
Bachelor's degree or equivalent technical training completion
Basic understanding of agile and scrum methodologies
Centene is transforming the health of communities for its 28 million members through innovative technological solutions
22 days ago

Senior Director, Payment Integrity - Audit Programs

Centene

Full time
Base: $148,000.00 - $274,200.00 py; bonus/equity: ...
**
Bachelor's degree in healthcare administration, nursing, finance, or related field
Rhit, rhia, ccs, cic, or ccds certification required
Rn or higher qualification preferred with coding credential
** Centene is seeking a Senior Director for its Payment Integrity - Audit Programs team, responsible for leading strategic initiatives to enhance claims accuracy and reduce improper payments. The ideal candidate should possess extensive experience in healthcare auditing, payment integrity, and team management, with strong leadership capabilities to drive operational excellence. **
22 days ago
75

Business Analyst Iv - Integration Quality & User Acceptance Testing (um)

Centene

Full time
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in related field or equivalent experience
Must be authorized to work in the u.s. without visa sponsorship
Advanced knowledge of microsoft applications including excel, project, and visio
Centene is seeking a Business Analyst IV specializing in Integration Quality and User Acceptance Testing (UAT) to enhance business processes for its healthcare services. The role is hybrid and requires strong analytical skills, experience in UAT and integration testing, and proficiency in tools like Azure DevOps and JIRA. The candidate will also mentor junior analysts and contribute to continuous improvement initiatives
22 days ago
85

Business Solutions Developer I

Centene

Full time
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in computer science, mis, or related field
0-2 years of experience in the field
Technical training program completion may substitute for degree
This role involves planning, conceptualizing, and building technological solutions to solve common business challenges for Centene's 28 million members
22 days ago

Manager, Application Development Engineering

Centene

Full time
Base: $102,900.00 - $190,500.00 py; bonus/equity: ...
Hybrid
Bachelor's degree
5+ years of related experience
Leadership of development staff
Centene is seeking a Manager of Application Development Engineering to lead a team in designing and implementing complex software solutions, focusing on collaboration with both technical and non-technical roles. The position requires a Bachelor's degree and 5+ years of relevant experience, with a preference for candidates with healthcare experience and cloud application development skills. Centene offers competitive pay and a comprehensive benefits package, along with a flexible work environment
22 days ago
85

Compliance Analyst - Compliance Program Administration

Centene

Full time
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Bachelor's degree required
1+ years related experience
Knowledge of hipaa regulations
Centene is seeking a Compliance Analyst to support its Ethics & Compliance Program, focusing on the administration of compliance activities and documentation. The role requires operational and coordination support, communication management, and collaboration across various departments, especially in the healthcare sector
22 days ago
85

Clinical Pharmacist (advanced Analytics)

Centene

Full time
Base: $107,700.00 - $199,300.00 py; bonus/equity: ...
Hybrid
Current us state pharmacist license with no restrictions
3+ years of clinical pharmacy experience preferred
1+ years of hands-on experience with sql, python, and power bi
This role leverages clinical pharmacy expertise to design and operationalize data-driven strategies that improve quality of care and utilization efficiency
22 days ago

Community Relations Representative Iii

Centene

Delaware, United States
Full time
Base: $70,100.00 - $126,200.00 py; bonus/equity: n...
Hybrid
Obtain accident and health insurance agent license within 6 months
Bachelor's degree in marketing, social work, or business administration
Minimum 6 years of relevant experience
Centene is seeking a Community Relations Representative III based in Delaware to manage and develop community relations programs, focusing on building relationships with stakeholders and enhancing health initiatives. The role involves extensive field-based travel and requires a strong background in community outreach, public speaking, and stakeholder engagement
22 days ago
85

Senior Site Reliability Engineer

Centene

Full time
Base: $87,000.00 - $161,300.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in quantitative or business field
4 to 6 years of related experience
Experience with sre or devops methodologies
This role involves leading projects to maintain optimum platform infrastructure performance, reliability, and security using SRE practices
22 days ago

Senior Regional Provider Engagement Manager

Centene

Austin, Texas, United States
Full time
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in healthcare administration or business required
6+ years experience in provider engagement or network management
Must reside in austin, san antonio, or surrounding areas
This role serves as a strategic leader driving provider performance improvement strategies while aligning engagement efforts with enterprise goals for quality, coding, cost, and utilization
23 days ago

Ltss Service Care Coordinator

Centene

Iowa, US
Full time
Not specified; adjusted based on skills + experien...
Hybrid
Bachelor's degree required
Rn license with 6+ years experience alternative
Must reside in iowa
The role involves developing and coordinating holistic care management activities to ensure quality, cost-effective healthcare outcomes for long-term care members
23 days ago

Registered Dietician Nutritionist

Centene

Illinois, US
Full time
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Active unrestricted rd license
Bachelor's degree in health related field
2+ years experience in disease specific education
The Registered Dietician provides clinical education regarding appropriate dietary practices for managing chronic conditions such as diabetes and COPD
23 days ago

Principal Domain Solutions Architect

Centene

Full time
Base: $146,000.00 - $269,600.00 py; bonus/equity: ...
Hybrid
Bachelor's degree in quantitative or business field
Minimum 6-8 years of related experience
At least five years of payer experience spanning multiple functional domains
This role provides in-depth knowledge and expertise in designing enterprise-level system and application architectures to improve health outcomes for 28 million members
23 days ago

Bilingual Customer Service Advocate I- Mandarin

Centene

Full time
Base: $16.35 - $23.46 ph; bonus/equity: not specif...
Hybrid
High school diploma or ged required
Must be authorized to work in the u.s.
No visa sponsorship available now or in future
This role serves as the first-line advocate responsible for resolving routine inquiries and preventing complaints from escalating for Centene's 28 million members
23 days ago

Principal Ai Governance Scientist - Artificial Intelligence

Centene

Full time
Base: $134,600.00 - $249,000.00 py; bonus/equity: ...
Hybrid
Bachelor's degree in computer science or related field required
Master's degree preferred
Must be authorized to work in the u.s. without sponsorship
This role leads the technical evaluation and assurance efforts within the AI Governance team at Centene, a diversified national organization serving 28 million members
23 days ago

Health Benefit Rep

Centene

Putnam County, NY, US
Full time
Base: $23.23 - $39.61 ph; bonus/equity: not specif...
Hybrid
High school diploma or ged
2+ years in managed care, sales, or customer service
Valid driver's license (mandatory for non-nyc counties)
Centene is seeking a Health Benefit Representative to assist individuals in enrolling in affordable health insurance through the NY State of Health Marketplace. The role requires bilingual (English/Spanish) candidates who are community-focused and possess strong customer service skills
23 days ago
85

Remote Inpatient Medical Director, West Coast

Centene

Full time
Base: $236,500.00 - $449,300.00 py; bonus/equity: ...
Hybrid
Medical doctor or doctor of osteopathy degree
Board certification recognized by abms or aoa
Current unrestricted state license as md or do
This role provides medical leadership for utilization management, cost containment, and quality improvement activities for 28 million members
23 days ago

Provider Engagement Account Executive

Centene

Full time
Base: $86,000.00 - $154,700.00 py; bonus/equity: +...
Hybrid
Bachelor's degree required; master's preferred in public health, mha, or mba
Five or more years of managed care or provider relations experience
Experience with project management in medical groups or health plans
Centene is seeking a Provider Engagement Account Executive to develop strategic partnerships with contracted provider networks, focusing on enhancing patient care and improving performance metrics. The ideal candidate will have extensive experience in managed care, provider relations, and quality improvement, with a strong ability to influence outcomes and collaborate with cross-functional teams
23 days ago
85

Vice President, Network Development & Contracting

Centene

Long Island City, NY, US
Full time
Base: $188,900.00 - $359,800.00 py; bonus/equity: ...
Hybrid
Bachelor's degree required; mba or mha preferred
10+ years in managed care network development
Previous management experience hiring and training staff
This executive role directs provider network strategy and oversees all aspects of contracting activities for a major health organization
23 days ago

Ltss Service Care Manager

Centene

Palm Beach County, FL, US
Full time
Not specified; competitive pyy mentioned; total co...
**
Bachelor's degree
2-4 years related experience
Must reside in palm beach county
** Centene is seeking a Ltss Service Care Manager for its Palm Beach County, FL location, focusing on holistic care management for long-term care members. The role involves developing care plans, coordinating with healthcare providers, and ensuring access to necessary services, with a strong emphasis on bilingual candidates. **
23 days ago
75

Siu Investigator

Centene

California, US
Full time
Base: $56,200.00 - $101,000.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in business, criminal justice, healthcare, or related field
1+ years of medical claim investigation or audit experience
Must reside within the state of california
Centene is seeking a Siu Investigator in California to investigate healthcare fraud and abuse, requiring a Bachelor's degree and at least one year of relevant experience. The role offers a competitive salary and benefits, with a hybrid work model
23 days ago
85

Quality Care Member Advocate

Centene

Kentucky, US
Full time
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Bachelor's degree in social work, public health, nursing, or related field
2+ years in community health or healthcare quality
Must be authorized to work in the u.s. without visa sponsorship
Centene is seeking a Quality Care Member Advocate to enhance health outcomes for its members through community engagement and care coordination. The ideal candidate will possess a background in social work, public health, or nursing, with experience in community health or healthcare quality, particularly with Medicaid and Medicare programs
23 days ago
85

Psychologist Reviewer

Centene

Remote, US
Full time
Base: $87,700.00 - $157,800.00 py; bonus/equity: n...
Hybrid
Phd or psyd in clinical psychology, counseling, or related field
Unrestricted psychologist license (psy) upon hire
Minimum 2 years of behavioral health experience
Centene is seeking a Remote Psychologist Reviewer specializing in Applied Behavior Analysis (ABA) for individuals with Autism, requiring candidates to hold an active psychologist license in Indiana and preferably a BCBA certification. The position offers 100% remote flexibility and involves authorizing, monitoring, and providing education related to behavioral health care
23 days ago
85

Care Manager Rn

Centene

Michigan, US
Full time
Competitive pyy; sign-on bonus available; total co...
Hybrid (50% travel to member homes, 50% remote)
Bachelor's degree in nursing from accredited school
2-4 years of related experience
Active rn state licensure or compact state licensure
Centene is seeking a Care Manager RN based in Michigan to facilitate personalized care management for members with physical health needs. The role involves developing care plans, collaborating with providers, and ensuring access to necessary services, with a hybrid work model that includes significant travel
23 days ago
85

Behavioral Health Program Manager

Centene

Washington, US
Full time
Base: $70,100.00 - $126,200.00 py; bonus/equity: n...
Hybrid
Bachelor's degree in counseling, social work, psychology, nursing, or related field
5+ years of experience in behavioral health
Active washington state license (lcmhc, aprn, lcmft, lcsw, or rn)
Centene is seeking a Behavioral Health Program Manager to join their Medical Management/Health Services team in Washington. The ideal candidate will have extensive experience in behavioral health, strong project management skills, and a relevant license, while also benefiting from a comprehensive benefits package and a flexible work environment
23 days ago
85

Behavioral Health Medical Director

Centene

Louisiana, US
Full time
Base: $221,300.00 - $420,500.00 py; bonus/equity: ...
Hybrid
Md or do degree required
Current unrestricted louisiana md/do license
Abpn board certification mandatory
Centene is seeking a full-time Behavioral Health Medical Director to lead medical management and quality improvement initiatives for their healthcare services in Louisiana. The ideal candidate will possess a medical license in Louisiana, board certification in psychiatry, and over five years of post-residency experience in behavioral health
23 days ago
85

Remote Behavioral Medical Director

Centene

Full time
Base: $231,900.00 - $440,500.00 py; bonus/equity: ...
**
Md or do degree required
Abpn board certification in psychiatry
No government program sanctions on license
** Centene is seeking a Remote Behavioral Medical Director to lead medical management and quality improvement initiatives for their healthcare services aimed at Medicaid and Medicare members. The ideal candidate will be an MD or DO with board certification in Psychiatry, experienced in utilization management and committed to improving community health outcomes. **
23 days ago
75

Quality Practice Advisor

Centene

Sioux City, Iowa, US
Full time
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Bachelor's degree required
3+ years in hedis record collection
Iowa nursing license strongly preferred
Centene is seeking a Quality Practice Advisor to enhance relationships with healthcare providers while educating them on HEDIS measures and ensuring compliance with quality standards. The position requires a bachelor's degree, relevant experience in HEDIS record collection and risk adjustment, and offers a hybrid work environment with significant local travel
23 days ago
85

Care Manager (social Work)

Centene

Wayne County, MI, US
Full time
Not specified; total compensation may include + fo...
Hybrid (approximately 75% travel to member homes)
Master's degree in behavioral health or social work
Licensed master's behavioral health professional (lcsw, lmsw, lmft, lmhc, lpc) or rn
2-4 years of related experience in behavioral health
Centene is seeking a Care Manager with a focus on mental and behavioral health to develop and coordinate care plans for members in Wayne and Macomb counties, Michigan. The position requires a Master's degree in Behavioral Health or Social Work, and offers a hybrid work environment with considerable travel
23 days ago
85

Privacy & Security Enterprise Engagement Officer

Centene

Full time
Base: $107,700.00 - $199,300.00 py; bonus/equity: ...
Hybrid
Bachelor's degree required; master's or jd preferred
7+ years privacy/security/risk experience in managed care
5+ years analyzing security/privacy controls in health plan operations
Centene is seeking a Privacy & Security Enterprise Engagement Officer to enhance compliance and operational controls related to privacy, security, and business continuity in the healthcare sector. The ideal candidate will have extensive experience in privacy/security compliance, particularly within the managed care industry, and hold relevant certifications
23 days ago
85

Provider Engagement Account Manager

Centene

Georgia, US
Full time
Base: $55,100.00 - $99,000.00 py; bonus/equity: no...
Hybrid
Bachelor's degree in related field
Two years of managed care experience
Proficiency in hedis and quality measures
Centene is seeking a Provider Engagement Account Manager in Georgia to maintain partnerships with contracted provider networks, ensuring high-quality care for their members. The role involves building client relations, addressing provider issues, and driving performance improvements in various healthcare metrics
23 days ago
85

Principal Cloud Platform Engineer

Centene

Full time
Base: $121,500.00 - $224,900.00 py; bonus/equity: ...
**
Bachelor's degree in quantitative or business field
6-8 years of related experience
Aws certified solutions architect professional preferred
** Centene is seeking a Principal Cloud Platform Engineer to lead its AWS cloud platform strategy, focusing on designing scalable solutions and driving transformation initiatives across the organization. The ideal candidate will possess extensive experience in AWS architecture, infrastructure automation, and cloud governance, alongside strong leadership capabilities. **
23 days ago
75

Plan Chief Financial Officer

Centene

Baton Rouge, Louisiana, United States
Full time
Base: $213,300.00 - $403,700.00 py; bonus/equity: ...
**
Bachelor's degree in finance, accounting, economics, or business administration
Master's degree preferred
Cpa certification preferred
** Centene is seeking a Plan Chief Financial Officer to lead financial operations for a business unit in Baton Rouge or Covington, Louisiana. The ideal candidate will have over ten years of experience in finance within the healthcare or insurance industry and will be responsible for financial analysis, compliance, and strategic financial planning. **
23 days ago
75
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