Centene

Maintain compliance with program integrity laws, prepare filings, review reports, and support audits. | Bachelor's in Business, Public Health, or related field, with 2+ years in compliance or legal role, preferably in healthcare. | Program Integrity Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Position Purpose: Maintain compliance with program integrity related regulatory laws and standards, while also supporting program integrity in maintaining compliance with all other regulatory laws and standards, including HIPAA; program integrity reporting; and assist in developing and implementing program integrity oversight, monitoring and auditing strategies. • Prepare and timely file annual and renewal program integrity filings with various state departments of insurance, state level contract holders, and federal regulators. • Review and analyze state program integrity, including fraud, waste and abuse detection, investigation and prevention requirements. • Review reports for program integrity related regulatory requirements, assess data collection and management processes, and recommend or develop enhancements to optimize accuracy and compliance. • Review and analyze proposed contracts for program integrity reporting and other related requirements. • Assist with maintaining program integrity related policies & procedures to ensure compliance with regulatory laws and standards. • Maintain databases relating to federal and state program integrity requirements and program integrity oversight, including oversight activities, auditing and training. • Assist with facilitation of education of employees regarding program integrity, regulatory oversight and data integrity. • Assist in audits of organization for regulatory oversight of compliance and program integrity related matters. • Create and maintain reports to support contractual and regulatory compliance with program integrity related regulations and requirements. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor's degree in Business, Public Health, Health Care Administration, related field or equivalent experience. 2+ years in a regulatory, compliance or legal role, preferably in healthcare or in a government agency. License/Certification: Certified Professional Coder (CPC) or other Compliance related certificates or credentials preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Leads observability projects focused on managing and maintaining APM platform infrastructure performance, reliability, and security. Coaches junior professionals and troubleshoots service disruptions to improve reliability. | A Bachelor's degree in a quantitative or business field and 4-6 years of related experience are required. Technical skills include Dynatrace, cloud integration, scripting, and experience with various databases and operating systems. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads observability projects that are focused on managing and maintaining optimum APM platform infrastructure performance, reliability, and security using SRE practices. Evaluate and consult on APM tool features & functionality. Understands and advocates for monitoring & observability standardization, governance and scalability. Automate monitoring onboarding, reporting, and auditing to reduce manual toil and achieve optional performance of the APM tools. Assists infrastructure & application teams with observability to ensure the health of their systems, improve performance, and provide availability to our customers. Coaches, reviews and delegates work to junior professionals. Troubleshoots and analyzes service disruptions to determine the root cause of issues and develop solutions for improved reliability. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: Dynatrace SaaS, Splunk, Splunk ITSI Understanding of Dynatrace Cloud integration – AWS & Azure Creating Dynatrace dashboards Onboarding new applications into Dynatrace using management zones, hosts groups, applications, synthetics Understanding of Dynatrace extensions Scripting using python or other scripting tools Automation experience using ansible Experience with Linux Operating System; Operating Systems; Unix Operating System; Windows Operating System Experience with working in public cloud platforms like AWS and Azure Experience with building and operating highly scaled applications Experience with MongoDB; MySQL; Oracle Database Management System (DBMS); PL SQL; SQL (Programming Language) Experience with varying code repositories, auto deployments, branching with tools such as Gitlab, Bitbucket, Subversion Experience with IT service management tools such as Service Now, Atlassian, BMC Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills License/Certification: CISSP Certified Information Systems Security Professional preferred Pay Range: $85,300.00 - $158,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

The Care Management Support Coordinator Outreach supports administrative care management activities, including outreach, answering inbound calls, and scheduling services. They serve as a point of contact for members, providers, and staff to resolve issues and document member records in accordance with guidelines. | Candidates must have a High School diploma or GED and 1-2 years of related experience. Knowledge of existing benefits and resources locally is also required. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. **This is a fully remote role. Qualified candidates must reside in one of the following states: AZ, DE, IL, IA, MI, OH, SC, or TX.** Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service May apply working knowledge of assigned health plan(s) activities and resources Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a High School diploma or GED and requires 1 – 2 years of related experience Pay Range: $17.50 - $27.50 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Develop and analyze the performance of products and new ideas using sophisticated data analysis techniques. Make recommendations on necessary changes to product features and facilitate internal relationships to maximize performance and analytics. | Bachelor's degree in Statistics, Economics, Operations Research or related field is required, with a Master's degree preferred. A minimum of 3 years of related experience is necessary for this role. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. (CST or EST) Position Purpose: Develop and analyze performance of products and new ideas including use of sophisticated data analysis techniques to design and model experiments Ideate, design and develop experiments to understand performance of new products, ideas and businesses Requires project management, data acquisition, analysis reporting and presentation of results Make recommendations on necessary changes to product features Requires to closely with the Product and Marketing teams and serve as a guide regarding any analytical research work Facilitate and develop internal relationships to further grow and maximize the performance and analytics function throughout the organization Develop executive research finding summaries to be used by Senior Management and the Board of Directors Ability to drive multiple projects to completion Strong presentation skills Be a strong team player and cultivate relations across functions and Health Plans Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in Statistics, Economics, Operations Research or related field. Master's degree preferred. 3+ years of related experience. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Supports administrative care management activities including outreach, answering calls, and scheduling services. Acts as a point of contact for members and providers to resolve issues and document member records. | Requires a High School diploma or GED and 1-2 years of related experience. Knowledge of health plan activities and resources is beneficial. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. **This is a fully remote role. Qualified candidates must reside in one of the following states: AZ, DE, IL, IA, MI, OH, SC, or TX. ** Position Purpose: Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines. Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service May apply working knowledge of assigned health plan(s) activities and resources Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a High School diploma or GED and requires 1 – 2 years of related experience Pay Range: $17.50 - $27.50 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Perform analysis to link business needs and objectives, supporting initiatives through data analysis and user acceptance testing. Identify user requirements and recommend business solutions to improve processes. | Bachelor's degree in a related field or equivalent experience is required, along with 2-4 years of business process or data analysis experience, preferably in healthcare. Strong knowledge of SQL and experience in Agile environments are preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Identify ways to enhance performance management and operational reports related to new business implementation processes Develop and incorporate organizational best practices into business applications Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in related field or equivalent experience. 2-4 years of business process or data analysis experience, preferably in healthcare. Experience with AMISYS, FACETS, or Xcelys strongly preferred. Strong working knowledge of SQL syntax and/or Golden Tables strongly preferred. Proficiency in Excel strongly preferred. Experience working in Agile environments strongly preferred. Project management experience preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Support utilization management activities for the Centralized Transplant Unit's prior authorization process. Serve as a point of contact for members and providers to resolve issues and ensure timely access to transplant services. | A High School Diploma or equivalent is required along with at least 1 year of related experience. Knowledge of medical terminology is preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Fully remote role, candidate may reside in any state within the Continental US. Candidate must be willing to work CST work hours.*** Position Purpose: Support utilization management activities to facilitate medical necessity review and other related services associated with the Centralized Transplant Unit (CTU) prior authorization process. Serves as a point of contact to members, providers, and staff to resolve issues and documents within the member record in accordance with current regulatory requirements. Serves as an advocate for patients, ensuring they receive timely access to transplant medically necessity review and determination processes. May apply working knowledge of Transplant Unit activities and resources. Serves as the front-line support and on various clinical and non-clinical, member and/or provider inquiries, other internal/external customer requests, or concerns which may include explaining transplant specific utilization management policies and procedures and claims payment processes. Works to ensure member and provider eligibility and benefits for transplant procedures, including pre-authorization and claims processing. Provides education and support to providers regarding submission of proper documentation for processing transplant service requests. Maintains accurate and up-to-date member and provider documentation within the appropriate clinical documentation system. Maintains private health information (PHI) cy of member records to ensure standards of practice and policies. Collaborates with other departments on cross functional tasks (i.e., claims processing). Performs other duties as assigned Complies with all policies and standards Education/Experience: High School Diploma or equivalet required 1+ years Related Experience required Less than 1 year Knowledge of medical terminology preferred Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Responsible for the analytic data needs of the business unit and handling complex data projects. Provide advanced analytical support for business operations in various areas including claims, provider data, and clinical data. | Bachelor’s degree in a related field or equivalent experience with 6+ years of statistical or data analysis experience is required. Healthcare experience is preferred, along with experience managing projects or involvement in project implementation. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Fully remote role, candidate may reside anywhere within the Continental US. Preferred candidate has strong background in SQL, Healthcare Data and/or Power BI.*** Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management Develop reports and deliverables and make recommendations to management Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools Assist management in driving business decisions based on data Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis Assist with training and mentoring other Data Analysts Assist with determining work load and related activities for other Data Analysts Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in related field or equivalent experience. 6+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. HEDIS: Bachelor’s degree related field or equivalent experience. 6+ years of statistical analysis or data analysis experience or 3+ years of HEDIS data analysis experience including measurement and rates impacted. BUSINESS ANALYTIC: Bachelor’s degree’s related field or equivalent experience. 6+ years of statistical analysis or 3+ years of related IT experience, including data warehouse, coding or ETL experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Encounters experience preferred. PHARMACY UNDERWRITING: Bachelor’s degree in related field or equivalent experience. 5+ years of experience in underwriting analysis (preferred in pharmacy or medical field), or 6+ years of experience in data analysis, or financial reporting/auditing, data warehouse, coding, or predictive analytics. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Perform various analyses to link business needs and objectives, supporting business initiatives through data analysis and user acceptance testing. Identify user requirements and recommend business solutions to enhance performance management and operational reports. | Bachelor’s degree in a related field or equivalent experience is required, along with 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience is preferred, along with knowledge of claims payment methodologies and managed care systems. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Fully remote role, candidate may reside anywhere within the Continental US.*** Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Benefits and Payment Configuration: Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis, preferably in healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Experience in benefits, pricing, contracting or claims and knowledge of provider reimbursement methodologies. Knowledge of managed care information or claims payment systems preferred. Previous structured testing experience preferred. Compliance Coding/Prepay Compliance (Payment Integrity): Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis (i.e. i.e. documenting business process, gathering requirements). Experience in healthcare industry, preferably with managed care techniques and administrative philosophy. Experience in claims coding analysis or medical claim review/research preferred. Knowledge of Amisys claims payment system and Business Objects preferred. Encounters: Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry or 3+ years of managed care encounters experience. Experience with encounters or claims business analysis experience in healthcare, preferably managed care or Medicaid. Knowledge of Amisys or other claims system, HIPAA transactions (i.e. 837, 999, 824, 277) and SQL Scripting preferred. Medicare: Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis (i.e. documenting business process, gathering requirements). Experience in healthcare industry, preferably with managed care techniques and administrative philosophy. Experience in managed health care experience, preferably with Medicare. Experience working with and leading diverse teams in matrix managed environments. Project management experience preferred. Provider Data: Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis (documenting business process, gathering requirements) experience in healthcare industry and/or working in a data driven environment. Knowledge of data migration, software enhancement/planning, and Agile preferred. Experience managing projects with a high reliance on technology. Member & Provider Solutions: Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis (i.e. documenting business process, gathering requirements) experience in healthcare industry and/or customer service or enrollment functions. Experience managing projects with a high reliance on technology. Knowledge of data integration, software enhancements/planning and Agile preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Maximize the effectiveness of scheduling, performance metrics, and data analysis for call centers. Monitor real-time call activity and make necessary staffing adjustments. | High school diploma or equivalent with 5+ years of customer service experience required. Working knowledge of telephony systems and experience with forecasting and scheduling is preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Fully remote role. Candidate may reside in any state within the Continental US. Preferred candidate has strong background in call center metrics as well as experience in AWS and IEX.*** Position Purpose: Use ACD phone system to assist with maximizing the effectiveness of scheduling, systems, performance metrics, data analysis, reporting and overall operational functions for all lines of business and all locations. Evaluate staffing adjustments and reskilling of agents as necessary to provide adequate phone coverage. Monitor real-time call activity at various call centers and make necessary staffing adjustments Coordinate scheduling of all offices with call center supervisory staff Monitor agent productivity and provide feedback to call center supervisory staff Generate reports daily, weekly, monthly, annually and ad hoc. Detail forecasts, plans, schedules and performance, both in advance and in review Identify, evaluate and report call center issues and differentiate between workflow, technical, external or staffing Work directly with the department head on strategic planning and new business implementation and forecasting Performs other duties as assigned Complies with all policies and standards Education/Experience: High school diploma or equivalent. 5+ years of customer service experience. Working knowledge of telephony systems and call center technology and vocabulary. Experience with manpower planning and scheduling. Experience with forecasting and trending. Call center and service level experience preferred. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Perform various analyses to link business needs and objectives, supporting business initiatives through data analysis and user acceptance testing. Identify user requirements and recommend business solutions to improve existing processes. | Requires 2+ years of business process analysis experience, preferably in healthcare or claims payment. Knowledge of managed care systems and structured testing experience is preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation Identify ways to enhance performance management and operational reports related to new business implementation processes Develop and incorporate organizational best practices into business applications Lead problem solving and coordination efforts between various business units Assist with formulating and updating departmental policies and procedures Performs other duties as assigned Complies with all policies and standards Education/Experience: 2+ years of business process analysis, preferably healthcare (i.e. documenting business process, gathering requirements) or claims payment/analysis experience. Knowledge of managed care information systems and experience in benefits, pricing, contracting or claims preferred. Knowledge of provider reimbursement methodologies preferred. Previous structured testing experience preferred. Knowledge of claims and/or encounter processing and data analysis experience preferred. Experience managing projects with a high reliance on technology. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Plan, organize, monitor, and oversee large-scale complex projects within Centene's Enterprise Transformation Office. Manage the full project life cycle including requirements gathering, project plans, schedules, and facilitating project execution. | Bachelor's degree in Business Administration, Healthcare Administration, or related field is required, with a Master's degree preferred. Candidates should have 4+ years of project management experience, preferably in managed care organizations or healthcare. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Plan, organize, monitor, and oversee large-scale complex projects within Centene's Enterprise Transformation Office utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. This is a fully remote role. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure. Manage all aspects of tracking requirements, project timelines, scope creep, risks plans, change requests, milestones, communications, and critical tasks utilizing Smartsheet, MS Project, Excel, and other tools, to ensure projects remain on schedule and within budget/resource allowances. Develop project documentation, status reports, dashboards, and communications for Executive-level leadership, while developing strong working relationships and acting as a liaison for cross-functional teams. Assist with establishment and maintenance of corporate project management methodology and other department procedures. Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks. Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives. Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation. Education/Experience: Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred. 4+ years of project management and implementation or program management experience. Proficient with MS Office applications and project management tools. Experience working with and leading diverse groups and matrix managed environments. Experience in managing, leading projects within managed care organizations or healthcare preferred. License/Certification: PMP, PgMP, or CAPM preferred. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Plan, organize, and oversee projects using cross-functional teams to meet strategic objectives, manage project lifecycle, and maintain documentation. | Bachelor's degree or equivalent experience, 0-2 years project management experience, preferably healthcare experience, and ability to work in matrix environments. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ***Fully remote role, candidate may reside anywhere within the Continental US.*** Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Support the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure. Utilize corporate and industry standard project management tools and techniques to effectively oversee projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures. Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans. Effectively communicate project status to all stakeholders. Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks. Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives. Provide functional and technical knowledge across multiple business and technical areas. Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree or equivalent experience. 0-2 years of project management experience. Experience working with and leading diverse groups and matrix managed environments. Healthcare experience preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Lead and perform business process and data analysis to support healthcare initiatives, identify process improvements, manage user requirements, and oversee policy changes. | Bachelor’s degree or equivalent, 6+ years business process or data analysis preferably in healthcare or 5+ years HEDIS analysis, advanced Microsoft Office skills, and project management experience preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Position Purpose: Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements. Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes Resolve issues and identify opportunities for process redesign and improvement Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements Evaluate risks and concerns and communicate to management Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Oversee all changes to departmental policies and procedures, including communicating and implementing the changes Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Education/Experience: Bachelor’s degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred. Enterprise PHCO Utilization Management: Bachelor’s degree in related field or equivalent experience. 6+ years of business process analysis, deep understanding of managed care/utilization management data including sourcing, analysis and representation of data, understanding of and experience in clinical documentation platforms. Advanced knowledge of Microsoft Applications, including Excel and PowerPoint.” Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

The IAM Analyst II performs access reviews, role provisioning, and supports Identity and Access Management systems. They analyze company functions and processes to improve business applications and collaborate with cross-functional teams. | A Bachelor's degree in a quantitative or business field is required along with 2-4 years of related experience. Equivalent experience may also be considered. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. 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 user and system access issues. Provides in-depth business knowledge and advanced technical support to one or more business areas through developed and ad hoc analysis/reporting, as well as designing and programming complex, new processes/reports for Identity Access systems. Analyzes company functions, processes, and activities to improve computer-based business applications for the most effective use of money, materials, equipment, and people. Participates in the ongoing technical development and deployment of the Identity and Access Management (IAM) program Automates and optimizes new and existing processes Collaborates with cross-functional teams to ensure quality of integration and joint designs Maintains current knowledge of industry trends, protocols and standards, and associated technologies Designs, builds, implements, and deploys high availability solutions and other required IAM capabilities for large, cross platform projects Develops and document standard operating procedures, IAM Standards, and technical design documentation (i.e. run-books, repository of documents, etc.) Designs, installs, and configures enhanced security models and other applications used for Identity Authentication and Authorization Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines Gathers data, track trend metrics, and analyzes the results for continuous service improvement (capacity, monitoring system health, uptime and growth, etc.) Triages and implement changes needed to remediate issues or defects Identifies opportunities for streamlining and increasing effectiveness through continuous process improvement Designs applications including code, functionality, and interoperability with other systems and applications Develops Identity and Access Management (IAM) specific detailed technical requirements and designs, and incorporates industry best practices for access management Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Active Directory ServiceNow Pay Range: $30.00 - $54.03 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Analyze business needs and processes, support implementation of business initiatives, identify improvements, and coordinate training and best practices. | Bachelor’s degree or equivalent, 4-6 years business process or data analysis experience preferably in healthcare, project management preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Perform provider data management activities including data analysis, entry, and validation. Enroll providers and update information in the provider data management system. | An associate's degree or high school diploma with 1+ years of relevant experience is required. Experience in data analysis using Excel or similar tools is strongly preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems and applications to validate data is complete and accurate. Enroll providers and practitioners into the provider data management system Update provider and practitioners with claims payment and directory information Research, review, and make updates within the provider data management system per provider requests Perform quality service checks on systemic data, inclusive of claims processing and provider directory information Perform research and resolve problems as necessary Education/Experience: Associate’s degree, or high school diploma/equivalent and 1+ years of data entry, analysis or customer service experience, preferably with healthcare operations (i.e. claims processing, billing, provider relations or contracting), provider data management, or credentialing in a managed care, insurance, or medical office environment. Experience performing data analysis in Excel or similar tools strongly preferred. Pay Range: $19.04 - $32.35 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Analyze healthcare datasets to deliver insights that reduce cost of care and improve clinical outcomes, support large projects, perform root-cause analysis, and communicate findings to business partners. | Entry-level candidate with 0-2 years experience in data management, SQL, preferred Python/R skills, knowledge of healthcare claims and risk adjustment, and ability to work with business intelligence tools. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data Support execution of large-scale projects with limited direction from leadership Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customer Manage multiple, variable tasks and data review processes under direct supervision within targeted timelines Support the design, testing, and implementation of process enhancements and identify opportunities for automation Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 0-2 years of experience in working with large databases, data verification, and data management. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience with emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Convert analytics business requirements into technical requirements and implement projects by collaborating with IT, business, and analytics partners. Lead requirements gathering efforts and mentor junior engineers while managing data modeling and analytics code development. | A Bachelor's degree in a quantitative or business field and 4-6 years of related experience are required. Proficiency in SQL, SDLC, GIT, and other analytics tools is preferred. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes. Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials. Requirements have significant insight and are consistently translated with technical and business insight into understandable constructs for individuals outside of the engineering domain. May mentor junior engineers. Data Modeling – Leverages an expert understanding of data and analytics concepts to build tables and views autonomously. Through understanding of all key data sources and related limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components (e.g. Databricks, Data Mesh, Delta lake, Data Lakehouse) required. Analytics Code Development – Create code management and control. May recommend modifications to departmental SDLC processes to optimize working mechanisms. Creates test plans and validation controls; may create departmental templates. Implements gold layer (medallion architecture) objects in support of the Centene supply chain methodology. Source Code/Documentation Management – May define departmental source code and documentation principles. May own multiple code bases; broad exposure to products, code bases, and domains. Defect/Bug Investigation/Remediation – Develops products developed with very low defect/bug ratio. Addresses bugs and defects of any complexity. Assumes ownership of critical defects regularly and resolve. May define standards and procedures for issue remediation. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 3+ years knowledge of SQL, SDLC, GIT, RDBMS, DBT, Medallion Architecture, DBT, Python, and Snowflake preferred. License/Certification: DBT Fundamentals preferred Pay Range: $85,300.00 - $158,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

This role focuses on ensuring the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. Responsibilities include reviewing benefit/formulary setup, conducting claims analysis, and performing other assigned duties. | Candidates should have a High School Diploma or GED and preferably 2+ years of pharmacy experience in a managed care environment. A current state’s Pharmacy Technician license is preferred, along with experience in pharmacy claims review or prior authorizations. | You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. Perform duties to support the development, coordination and maintenance of the pharmacy program. Review benefit/formulary setup and testing (new and year over year). Conduct claims analysis Performs other duties as assigned Complies with all policies and standards Education/Experience: High School Diploma or GED 2+ years of pharmacy experience in managed care environment preferred License/Certification: Current state’s Pharmacy Technician license preferred Preferred Qualifications: Experience with pharmacy claims review or prior authorizations (PAs) Strong Excel skills, especially proficiency with formulas such as VLOOKUP Experience with training or onboarding others in a team setting Pay Range: $19.04 - $32.35 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.