Centene

NewBe an early applicant RemoteNorth AmericaFull-time

4 days ago

Care Manager (RN)

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…

NewBe an early applicant RemoteNorth AmericaFull-time

4 days ago

Care Manager (RN)

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…

5 days ago

Program Manager IV

Analytics Data Governance Data Quality Master Data Management MDM +3 skills

Position Purpose: The Program Manager IV is responsible for coordinating the implementation of new regulatory requirements, including the REAL Health Providers Act, Medicaid Mega Rule, state-specific directory…

5 days ago

Senior Provider Engagement Network Specialist

This position covers the state of NJ and requires the candidate to reside in that state. Position Purpose: Perform day to day duties of assuring that providers are set up accurately in the provider information system…

5 days ago

Manager, Provider Data Management

Note: This is a fully remote role with Central time (CST) working hours along with 10% travel. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.…

Clinical Review Nurse - Concurrent Review

Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning…

New RemoteNorth AmericaFull-timeIntern

Finance and Accounting Summer 2027 Intern (Undergraduate)

Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. We are seeking curious, collaborative,…

New RemoteNorth AmericaFull-timeIntern

Business Operations Summer 2027 Intern (Undergraduate)

Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. We are seeking curious, collaborative,…

Care Manager (RN)

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…

Account Executive (Specialty Pharmacy)

Position Purpose: Represent the company to all prospective and existing clients. Monitor client satisfaction and recommend changes to enhance satisfaction. Key Details: Due to travel requirements of the role, we are…

LTSS Service Care Manager - Behavioral Health, STAR Kids

Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality,…

Senior Strategy Manager

Analytics Business Development Strategic Planning

Position Purpose: Participate in the development of strategic business plans, coordinate and communicate the product strategy and determine key priorities, policies and procedures for product lines and programs. Key…

New HybridNorth AmericaFull-timeSenior

Senior LTSS Service Care Manager RN - Pediatrics

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

RN, Senior LTSS Service Care Manager

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

Care Manager Transition of Care (RN)

Position Purpose: Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective…

RN, Senior LTSS Service Care Manager

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

RN, Senior LTSS Service Care Manager

Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical…

RemoteNorth AmericaFull-time

Provider Engagement Account Manager

RemoteNorth AmericaFull-time

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.…

Provider Engagement Account Manager

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.…

EDI