All Jobs Centene Jobs In USA

Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members...

Position Purpose: Compile and analyze financial information for the company. Lead various financial projects. Develop integrated revenue/expense analyses, proje...

Department: Comprehensive Health Mgmt Reports to : Senior Manager, Strategic Initiatives, G&A-QRA Operations Location: Tampa, FL Position Purpose: Support enter...

Position Purpose: Perform comprehensive audits of provider claims to source documents and identify mis-payments. Conduct quality audits of provider claims, pre ...

Position Purpose: Serves as liaison between the Health Plan, assigned Provider Practice, and members to improve provider performance, reduce preventable events ...

Position Purpose: Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan’s pharmacy progr...

Position Purpose: Direct and coordinate the medical management, quality improvement and credentialing functions for the assigned business unit based on, and in ...

Position Purpose: Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for ...

Hours: Monday - Friday; Noon - 9:00 p.m. Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay as...

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for ...