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Position Purpose: Oversee operations, and business strategy utilizing cross-functional departments to meet strategic objectives. Key Details: Must be authorized to work in the U.S. without the need for employment-based…
Position Purpose: Drives the review and analysis of current, complex contact center operational processes to provide data- driven insights related to establishing operational targets, best practices, and training…
Position Purpose: Responsible for supporting accounting operations through financial reporting, reconciliations, account analysis, and month-end close activities while ensuring accuracy, compliance, and timely…
Position Purpose: The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance. Key Details: Must…
Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan…
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based…
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including…
Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a…
Position Purpose: In this role, you will analyze complex financial information and translate data into meaningful insights that support business decisions. Independently lead financial projects and initiatives,…
Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management…
Position Purpose: The Program Manager IV is responsible for all aspects of the planning and delivery of strategic programs and complex, large-scale enterprise-wide projects to execute defined requirements and meet…
Position Purpose: Work with the Pharmacists to accurately assist prescription orders in a timely manner Key Job Details: Pharmacy Technician II (Onsite Specialty Outreach - Customer Service - Phone Outreach with Data…
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…
Position Purpose: Identify training needs to enhance performance, quality, and motivation of corporate and field staff for the Quality department. Develop, conduct, and evaluate the effectiveness of training programs.…
Position Purpose: Ensure regulatory compliance with Washington state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries. Key Details: Candidates…
The Care Manager will be responsible for enrolling members in case management and completing required care management activities for individuals of all ages. The role requires strong communication, organization, and…
Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members.…
Position Purpose: Develop and produce marketing materials and coordinate website changes. Provide support to implement the strategic public relations and communication plan for the organization. Work closely with…
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