Centene

Provider Engagement Account Manager (Northeast PA)

This person will cover Northeast PA; Lackawana County, Luzerne County, Lycoming County, Monroe County, Columbia County, Schuylkill County, and Northumberland County Position Purpose: Maintain partnerships between the…

Care Manager (Behavioral Health)

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…

Transition Specialist (LVN/LPN)

Position Purpose: Provides support with identifying, overseeing, and managing the coordination of transition of members in the community. Works with leadership to ensure the timely and safe transition of members in the…

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.…

RN Director, LTSS Clinical Care Management

Position Purpose: Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops…

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…

RemoteNorth AmericaFull-timeSenior

Senior Provider Engagement Account Manager

Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions,…

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…

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…

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…

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…

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…

Care Manager *$2,500 sign-on bonus**

This is a remote position that requires up to 75% travel. This role is eligible for a $2,500 sign-on bonus . This position supports foster care members across west-central and south-central Kansas, including Reno,…

Manager, Quality Improvement, HEDIS Audit

Applicants for this job have the flexibility to work remote from home anywhere in the United States. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.…

Care Manager (Behavioral Health)

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…

Manager, Sales & Marketing

North AmericaFull-time

Position Purpose: Manage the day to day operations of the Sales and Marketing department. Key Details: Candidate must reside in the state of NY. Field marketing, relationship building, and enrollment covering Monroe…

IAM Analyst II

Active Directory Authentication Azure Cloud Confluence +5 skills

Position Purpose: Performs access reviews, role provisioning, and supporting implemented Identity and Access Management systems and solutions. Supports basic troubleshooting and coordinates with helpdesk to resolve…

HR Program Manager III

North AmericaFull-time

Program Management Requirements Gathering Succession Planning

Position Purpose: The HR Program Manager III is responsible for leading and executing business-critical talent initiatives that support organizational priorities and workforce transformation. This role oversees the…

RemoteNorth AmericaFull-timeSenior

Senior Manager, IP Validation

This is a remote position that can be located anywhere. Position Purpose: Oversee the maintenance of accurate financial records and financial analytic functions. Key Details : Must be authorized to work in the U.S.…