Centene Corporation

Support Ambetter Brokers and Sales team by handling commission and contracting inquiries, researching issues, and collaborating to resolve member and provider problems. | High School Diploma or GED, at least one year customer service or health insurance experience, and Department of Insurance Life/Health License or ability to obtain within 120 days. | 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: This position supports Ambetter Brokers and the Sales team with commission & contracting related questions, which are not limited to, more in-depth research of the issues, which requires strong communication skills to accurately relay the findings back. Collaborating with their leadership team, and other internal teams, including the Sales team, on member related issues that are identified by the Ambetter Brokers and initially reported to the Broker & Sales Support team, ensuring initial research is completed and documented, following up until a resolution is obtained. Partnering with the Sales team to make outreaches to their brokers, in an attempt to secure and retain membership, to ensure organizational goals are met. Handles provider issues that brokers call or email in about. Determine if the issue needs to be escalated to the Provider Management team and Health Plan contacts. Empowered to collaborate with the Provider Management Team and Health Plan to resolve the issue. Research commission issues in determining if a Broker should be paid commissions. If the commission issue is not complex, the Specialist is authorized to have the correction made Responsible for the Broker to be paid or not paid based on their evaluation. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: High School Diploma / GED. 1+ year of customer service or health insurance industry experience. License/Certification: Department of Insurance Life/Health License is required, or ability to obtain license within 120-days of being hired. Pay Range: $19.43 - $32.98 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 coordinate holistic care management activities including personalized service care plans for long-term care members. | Bachelor's degree with 2-4 years of related experience in case management, healthcare, or social/community services. | 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. Centene Corporation is seeking a Bilingual (English/Spanish) LTSS Service Care Manager to join our Sunshine Health Long Term Services and Supports (LTC) team. This is a hybrid role covering Tallahassee, Monticello, Perry, and surrounding areas. The ideal candidate must reside in one of the following zip codes: 32309, 32317, 32311, 32344, 32331, 32347, or 32336. This position is approximately 75% field-based, conducting visits in assisted living facilities (ALFs), nursing homes, and members’ homes. When not in the field, the role allows for remote work. Schedule: Monday – Friday, 8:00 AM – 5:00 PM (local time) Ideal Candidate: Background in case management, healthcare, or social/community services Strong ability to build relationships and support members within the community Experience coordinating care and connecting members to resources Commitment to improving health outcomes and overall quality of life Fluent in English and Spanish (preferred) Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a Bachelor's degree and 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. Pay Range: $27.02 - $48.55 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.

Lead network strategy development focusing on certificate lifecycle management and vendor relationships. | Bachelor's degree and 5+ years experience in certificate management and network infrastructure. | 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: Provides leadership and guides in developing and coordinating network strategies for the full lifecycle of certificate management. In addition, solutions for enterprise infrastructure, including LAN/WAN and third-party network management in support of Centene's business objectives. Manages strategic business relationships with technology vendors, suppliers, internal and external business partners, and collaborates with key stakeholders to establish goals and define objectives. Direct, manage and support the Team responsible for the full lifecycle of certificates (internal and external), including: Inventory, discovery, monitoring, renewal, replacement, and revocation Proactively manage processes / Team for certificate expirations to prevent service disruptions Oversee troubleshooting certificate-related issues across applications, operating systems, and network devices Facilitates the development of the strategic IT plan enabling network services to be delivered through consistent approaches and solutions across all business units Identifies opportunities to drive value for Centene through the network services strategy Defines and maintains all network services key performance indicators (KPI) metrics Accountable for the effective management of access, security, continuity, and maintenance of network services Works closely with the IT leadership team to ensure that network changes and enhancement projects are reviewed, agreed upon, and scheduled through the change management process Establishes, maintains, optimizes, implements and enforces processes, procedures and standards for the operation of effective data networks, specific to LAN/WAN, mobility, and third-party network management Communicates with vendors and suppliers to resolve network issues and support implementation of new technologies Manages the hiring and training of new and existing staff, conduct performance reviews, provide leadership, technical guidance, and coaching Shares knowledge and develop staff capabilities to strengthen understanding of network infrastructure, business issues, best practices, and implications to IT Maintains and supports the budgeting, reporting, forecasting and cost models for network services Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 5+ 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. Certificate Management Citrix NetScaler SSL/TLS Pay Range: $102,900.00 - $190,500.00 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.

Assist in project prioritization, resource allocation, and portfolio management with reporting and governance support. | Requires 2-4 years experience with portfolio management tools, Agile/Lean knowledge, and data analysis skills. | 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: Assists in the prioritization of projects, auditing project alignment with overall technical or business strategy, guiding resource allocation, and supporting the development of profolio or program execution plans. Manages Agile / Lean portfolios and supports overall strategy, investment funding, Agile portfolio operations, and Lean governance. Applies the concept of lean thinking to program and product and coaches stakeholders on these concepts to achieve objectives. Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. Creates visibility into areas struggling with scope, schedule, resources, or budget Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of program into the portfolio Identifies dependencies and critical paths, and aids stakeholders in managing them Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions Analyzes risk profile and balance at the portfolio level Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 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. Experience with ServiceNow, Excel, PowerBI Experience with Data Analysis Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently License/Certification: Certified Project Management Professional (PMP)-PMI preferred Certified Workforce Planning Professional preferred Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $75,300.00 - $135,400.00 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.

Participate in compliance corrections process, triage issues, coordinate corrective actions, and report on trends. | Requires 5+ years in managed care or related field with data analytics and Microsoft Office proficiency. | 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: Participates in corrections process for all lines of business. Responsibilities include intaking and triaging suspected issues of non-compliance, entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members. Collaborates with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation. Updates GRC tool to support corrections reporting. Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans to effectively address non-compliance. Reviews and oversees progress towards remediation and documented key milestones in GRC tool. Identifies issues that require escalation and ensures they are addressed timely through established paths and processes. Conducts review of evidence to address root cause of issue and facilitate timely closure of issues. Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions. Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions. Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree Managed Care/Health Insurance or related field, or equivalent experience required 5+ years experience in Managed Care/Health Insurance or related experience required Excellent Microsoft Office skills preferred Experience with data analytics preferred Licenses/Certifications: Certified in HealthCare Compliance (CHC) preferred Certified Compliance & Ethics Professional (CCEP) preferred Pay Range: $70,100.00 - $126,200.00 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.

Engage subject matter experts to resolve complex IT issues, create knowledge articles, and reduce ticket volume. | Requires high school diploma or GED with 1-2 years related experience; bachelor's degree 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: Engages Subject Matter Experts (SMEs) from other IT groups on complex issues. Uses Incident and Knowledge data to identify repetitive issues and work with appropriate personnel to create knowledge articles and solutions to reduce frequent occurrences. Reviews ticket queue and works to reduce ticket count Uses Incident and Knowledge data to identify common issues and work with appropriate personnel to develop solutions Follows standard technology support procedures Answers customer phone calls Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a High School diploma or GED Requires 1 – 2 years of related experience. May require vocational or technical education in addition to prior work experience. Vocation or technical education may include additional on-the-job training or continuous learning education Bachelor's Degree Information Technology, Computer Science, Engineering or related field preferred Technical Skills: One or more of the following skills are desired. Experience with Other: Active Directory Soft Skills: Beginner - Demonstrated customer service skills Beginner - Demonstrated interpersonal/verbal communication skills Pay Range: $22.94 - $38.79 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.

Oversee provider relations, develop policies, manage budgets, and lead staff training within a healthcare managed care environment. | Requires 7+ years in provider relations or contracting in healthcare, management experience, and a relevant degree. | 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: Oversee the Provider Relations department including negotiations and administering organization policies and procedures. Oversee the Provider Relations department to ensure in compliance with company policies and standards, government laws, regulations and contracting standards. Develop, implement and monitor policies and procedures. Develop tactical plans to align strategies and technologies with future needs. Effectively manage budget and all resources for short and long-term needs. Prepare and analyze reports on departmental and organizational activities and recommend improvements. Ensure timely Provider set up processing, auditing and distribution of Provider Relations data management. Create effective organizational structure and develop staff skills and competencies. Develop and oversee the training program for the Provider Relations Department. Education/Experience: Bachelor’s degree in a Business Administration, Healthcare Administration, related field or equivalent experience. 7+ years of provider relations or contracting experience in a managed care or insurance environment, preferably in Medicare or Medicaid. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. License/Certification: Valid driver's license. Pay Range: $113,100.00 - $209,100.00 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.

Analyze extensive healthcare datasets to inform business decisions, develop insights, and support process improvements within a healthcare organization. | Requires experience with large databases, data verification, healthcare analytics, SQL, and familiarity with data visualization tools; healthcare industry 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: 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 customers Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines Support the design, testing, and implementation of process enhancements and identify opportunities for automation Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with customers and business partners to gather requirements and validate results Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required 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. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. 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 in provider contracting, claims pricing, financial reporting/analysis, data modeling, statistical modeling, data science, or geospatial/reimbursement analysis preferred. Experience with report/dashboard development, data/report automation, self-service capabilities, data design and integration, or data quality and governance preferred By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Pay Range: $27.02 - $48.55 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.

Assist in developing and coordinating care management activities for long-term care members, including assessments, planning, and resource support. | Requires a Bachelor's degree and 2-4 years of related experience, with a preference for healthcare or social work background, and field work experience. | 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: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned. Complies with all policies and standards. We are seeking a LTSS Service Care Manager to join our team! The ideal candidate will bring expertise in: Must Reside in NC Willing to Travel between Winston-Salem, NC and Gastonia, NC Field Work Required (75%) Care Management Face to Face Assessments Excellent Customer Service and Communication Skills Education/Experience: Requires a Bachelor's degree and 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. License/Certification: For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. RN or LCSW / LCSW-A preferred Pay Range: $27.02 - $48.55 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.

Develops and coordinates care plans for members with mental/behavioral health needs, providing education, advocacy, and resource linkage. | Requires a Master's in Mental Health or Nursing, licensure, and 2-4 years of related experience, which you do not possess. | 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. Service Delivery Area: Grand Prairie, TX or Irving, TX. Hybrid/Remote Monday - Friday: 8 am - 5 pm (CST); NO Evenings, NO Weekends, NO On-Call, NO Holidays Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Travel is required for In-Person member assessments Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience. License/Certification: REQUIRED Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience Preferred Experience: • 3+ years of case management, care coordination, discharge planning with adult populations (ages:18 - 65) • 2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members • Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred. NOTE: Travel is required for In-Person member assessments. Mileage Reimbursement is provided for travel. Pay Range: $27.02 - $48.55 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 extensive healthcare datasets to extract insights, develop reports, and support decision-making to improve healthcare outcomes and reduce costs. | Requires 2+ years of healthcare analytics experience, proficiency in SQL, and knowledge of data visualization tools like Power BI, with a preference for experience in healthcare quality measures. | 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 claims, provider, member, and encounters data. Identify and assess the business impact of trends Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Contribute to the planning and execution of large-scale projects with limited direction from leadership Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with customers and business partners to gather requirements and validate results Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Provide technical guidance to junior analysts 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. Master's degree preferred. 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying 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 including Microsoft PowerBI. Experience with HEDIS, NCQA, Medicare Star Rating System, QRS, or other quality measures preferred; Quality auditing or analysis of call center performance preferred; Experience with data mining, population health, and statistical modeling preferred. By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Pay Range: $70,100.00 - $126,200.00 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.

Develops and executes strategic business plans for Medicare and Prescription Drug Plan products, providing market insights and leading cross-functional initiatives. | Requires 6+ years in healthcare market analysis, strategic planning, and experience with PDP or Medicare Part D, which you do not possess. | 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: As part of Centene’s Medicare organization, the Senior Strategy Manager will participate in the development of strategic business plans specific to the standalone Prescription Drug Plan business, coordinate and communicate the product strategy and determine key priorities, policies and procedures for product lines and programs. *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. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Build strong cross-functional relationships with shared service partners and markets to implement business strategies. Contributes to annual product development cycle including assessment of both strategi and operational implications. Lead the execution and management of strategic intelligence initiatives that serve as a foundation for enterprise-wide decision-making. Drive cross-functional efforts aligned with annual business and strategic plans by delivering intelligence-based, forward-thinking recommendations derived from market trends, competitor analysis, and internal performance metrics. Execute and manage the implementation of strategic recommendations. Support the strategic and business planning process and lead larger scale, cross-functional initiatives that are intended to deliver on annual business and strategic plans. Analyze competitor data/landscape, develop competitive dashboards, provides analytical insights (e.g., expansion, new products), and provide recommendations to leadership on potential next steps. Lead and execute complex data related analytical projects to drive business decisions and efficiencies. Responsible for keeping abreast of business needs and issues related to the success of the product based on regulatory or policy changes, contract changes, industry trends and/or corporate goals. Operates as a PDP subject matter expert, responsible for gathering, analyzing, and distributing strategic intelligence to empower leaders across departments with actionable guidance aligned to organizational goals. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor's Degree or equivalent in Business Administration, Finance, Health Administration or related field required. Master's Degree in a related field preferred. 6+ years experience in health care market analysis, strategic planning, compliance, corporate development, or equivalent business experience along with prior experience functioning as a lead required. Ability to provide consultation and expert advice to all levels of leadership to develop and recommend strategic plans to expand the business required. 6+ years experience in PDP, Medicare Part D highly preferred. Pay Range: $87,700.00 - $157,800.00 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.

Assess and coordinate medical and support services for high-acuity populations, develop care plans, and collaborate with healthcare providers. | Requires a licensed RN with 4-6 years of clinical nursing experience, preferably in LTC or similar settings. | 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. Service Delivery Area: Pearsall, TX, Cotulla, TX, Carrizo Springs, TX, Eagle Pass, TX, or Laredo, TX RN Care Manager assess members in Nursing facilities or in member’s home upon discharge. Mileage Reimbursement provided for travel. Monday – Friday: 8 am – 5 pm (CST) Position Purpose: Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care. Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations Reviews referrals information and intake assessments to develop appropriate care plans / service plans Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in Nursing preferred License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required Preferred Experience: Clinical RN or Case Management experience in Nursing Facilities, LTC, SNF, Home Health, and/or Hospice settings Service Coordination with community partners as well as Waiver programs. Current or previous government-sponsored healthcare experience preferred Critical thinking skills and ability to use nursing judgement to assess member’s health risks to ensure member safety Strong clinical documentation and time management skills Flexibility, resilience, and excellent interpersonal communication skills for member advocacy Reliable transportation Pay Range: $36.21 - $65.09 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.

Lead and oversee complex claim reviews, ensuring compliance, accuracy, and program growth, while mentoring teams and collaborating across departments. | Requires 8+ years in complex medical claim review, 3+ years DRG review, proficiency in ICD-10, and managerial experience, with specific certifications 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 IS REMOTE*** ***CANDIDATE MUST HAVE PEOPLE LEADER AND DRG EXPERIENCE*** Position Purpose: Provides strategic leadership for teams performing advanced, complex claim reviews to ensure accuracy, regulatory compliance, and achievement of payment integrity goals. This role accelerates program growth by analyzing performance trends, standardizing processes, and implementing consistent review methodologies. Leveraging deep expertise in ICD-10, CPT/HCPCS coding, and clinical guidelines, the manager delivers actionable insights that shape operational strategies and drive informed decision-making. Additionally, this position cultivates a high-performance culture focused on continuous improvement, accountability, and professional development across both the team and the broader program. Monitors and optimizes business processes and systems to ensure accuracy, compliance, and integrity in billing and claims payment. Leads and mentors high-performing teams conducting advanced coding and clinical validation reviews. Develops and maintains standardized documentation that supports business objectives and ensures consistency in review methodologies and outcomes. Provides strategic leadership to review teams, fostering a culture of quality, accountability, and continuous improvement. Collaborates with cross-functional stakeholders to identify process improvement opportunities and champion innovative solutions. Directs team operations by assigning priorities, setting goals, and coordinating daily activities. Maintain transparent communication through regular one-on-one and team meetings. Establishes and oversees the end-to-end audit program lifecycle within Payment Integrity by setting strategic audit direction, managing and developing teams, and ensuring full compliance with all regulatory, contractual, and organizational requirements. Applys advanced expertise in ICD-10 coding, clinical guidelines, and Centene/Health Plan policies, incorporating updates from CMS, state regulations, and contractual obligations to guide review outcomes and operational decisions. Drives documentation initiatives that align with business objectives, ensuring consistency and identifying high-value review opportunities within the complex review roadmap. Analyzes audit trends and DRG adjustments to inform scalable program development and identify emerging review opportunities within DRG and other review types. Oversees program expansion by implementing new complex review types, facilitating cross-departmental collaboration, and integrating robust review protocols for audit operations. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Associate's Degree in health information management, Nursing, or a related field required 5+ years Managerial/Supervisory experience required 8+ years Complex medical claim review experience required 3+ years DRG review experience, Clinical Documentation Improvement experience required Proficiency ICD-10-CM/PCS, MS-DRG, APR-DRG required : Proficiency Readmission, APC, EAPG, and other review types required Licenses/Certifications: RHIA - Registered Health Information Administrator required or RHIT - Registered Health Information Technician required or: CCS-Certified Coding Specialist required or: Clinical Inpatient Coder (CIC) required or: Certified Clinical Documentation Specialist (CCDS) required or: CDIP - Clinical Documentation Improvement Professional preferred or: RN - Registered Nurse - State Licensure and/or Compact State Licensure in combination with a coding credential preferred Pay Range: $107,700.00 - $199,300.00 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.

Provide technical support and troubleshoot complex enterprise IT issues across multiple platforms. | Extensive experience in IT support, storage, networking, and virtualization with strong problem-solving and customer communication skills. | 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. Service Delivery Area: Grand Prairie, TX or Irving, TX. Hybrid/Remote Monday - Friday: 8 am - 5 pm (CST); NO Evenings, NO Weekends, NO On-Call, NO Holidays Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. • Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome • Acts as liaison and member advocate between the member/family, physician, and facilities/agencies • Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc • Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required • Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc • Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) • Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members • Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines • Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner • Performs other duties as assigned • Complies with all policies and standards • Travel is required for In-Person member assessments Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience. License/Certification: REQUIRED • Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience Preferred Experience: • 3+ years of case management, care coordination, discharge planning with adult populations (ages:18 - 65) • 2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members • Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred. NOTE: Travel is required for In-Person member assessments. Mileage Reimbursement is provided for travel. Pay Range: $27.02 - $48.55 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

Develops and supervises activities related to data integration and architecture to meet organizational needs. | Requires 6+ years of experience, management skills, and technical expertise in data modeling, architecture, and governance. | 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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Position Purpose: Plans, coordinates, develops, and supervises of all activities related to the integration of data and analytics solutions to meet the business requirements of the organization. Creates and integrates data architecture guidelines, standards, and common services to support project integration requirements. Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 6+ years of related experience, including prior management 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. Logical and Physical Modeling, and supporting methodologies (Kimball, Dimensional, Data Vault, Atomic, Relational, NoSQL) Canonical modeling and mapping Conceptual, logical, and physical modeling using Hackolade, PowerDesigner, Erwin, and/or GraphQL schema design Implementation of domain-driven design and federated governance models Semantics modeling and Ontology management for establishing AI-Ready Data Soft Skills: - Ability to lead/manage others - Collaboration and team building skills - Effectively coaches and delivers constructive feedback - Instills commitment to organizational goals - Ability to communicate and make recommendations to upper management - Effective conflict management skills - Develops and delivers effective presentations - Demonstrated negotiation skills Pay Range: $121,500.00 - $224,900.00 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.

Designs, develops, and implements complex enterprise software solutions within the M365 environment, collaborating across teams and managing application support activities. | Requires 5-7 years of related experience, with skills in M365, Power Platform, and Copilot Studio, and experience in project management and technical design. | 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: Designs, develops, and implements complex enterprise software solutions within the M365 environment including Power Platform and Copilot Studio. Collaborates closely with technical and non-technical roles such as data modelers, architects, business analysts, data stewards, and subject matter experts (SMEs) to provide design, technical analysis, development/configuration, testing, implementation, and support expertise representing the interest of the business across the enterprise. • Leads projects focused on the development of application products and services delivery from end-to-end and has broad knowledge and awareness of evolving technical and business capabilities within the M365 environment including Power Platform and Copilot Studio • Ensures that multiple products and services work together to meet business needs and add value for the customer • Cultivates and disseminates knowledge of application-usage best practices • Collaborates with Enterprise Architecture on the delivery of data and application architecture • Collaborates with relevant operational and build teams to construct testing and implementation strategies • Informs on product and services delivery progress in relation to application delivery • Oversees tier 3 application support activities including the assessment and execution of application upgrades and patches • Participates in mitigation and control activities as well as identifying and evaluating risks • Manages people and technology changes; ensuring necessary stakeholders are informed • Facilitates people management and resourcing; defining roles and responsibilities, staff reviews/appraisals, recruitment/dismissals and staff training • Serves as technical adviser to management and provides software engineering perspective on system requirements. • Creates conceptual and detailed technical design documents • 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 5 – 7 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. • * M365 • Power Platform • Copilot Studio Pay Range: $102,900.00 - $190,500.00 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

Lead healthcare data and analytics initiatives, support cloud-based healthcare platforms, and ensure data security and compliance. | Requires medical licensure, clinical practice, and utilization management experience, which are not part of your skill set. | 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: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. • Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. • Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making. • Supports effective implementation of performance improvement initiatives for capitated providers. • Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members. • Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements. • Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership. • Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. • Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. • Participates in provider network development and new market expansion as appropriate. • Assists in the development and implementation of physician education with respect to clinical issues and policies. • Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components. • Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care. • Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. • Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment. • Develops alliances with the provider community through the development and implementation of the medical management programs. • As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues. • Represents the business unit at appropriate state committees and other ad hoc committees. • May be required to work weekends and holidays in support of business operations, as needed. Education/Experience: • Medical Doctor or Doctor of Osteopathy. • Utilization Management experience and knowledge of quality accreditation standards preferred. • Actively practices medicine. • Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. • Experience treating or managing care for a culturally diverse population preferred. License/Certifications: • Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. • Board Certification in Internal or Family Medicine Specialty, preferred • Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs. Pay Range: $236,500.00 - $449,300.00 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

Lead multiple concurrent projects to improve program efficiency and service levels through strategic planning and execution. | Requires 5+ years project implementation or program management experience, preferably in managed care or prescription benefit management, with a relevant bachelor's degree. | 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: Promote increased program efficiency, service levels, and value by capturing and monitoring performance, and then identifying opportunities for improvement and strategies to realize those opportunities. Plan, organize, monitor, oversee and lead multiple, concurrent resultant projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. • Identify opportunities to increase efficiency, improve service levels and to ensure regulatory compliance through enhanced operations • Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment • Manage multiple projects through full project life cycle process 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 manage projects • Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans • Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations • Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks • Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives • Provide functional and technical knowledge regarding overall program requirements and operations Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.Pay Range: $87,700.00 - $157,800.00 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

Manage and implement healthcare compliance programs, conduct audits, and ensure adherence to federal and state regulations. | Requires 5+ years in healthcare compliance, experience with Medicaid/Medicare, and familiarity with federal and state regulatory agencies. | 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: Manage and implement strategies to ensure successful maintenance and implementation of compliance programs that meet regulatory requirements for assigned products across the entire company Ensure all Medicare and Medicaid product and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language Conduct compliance audits, develop and implement corrective action plans Perform plan risk assessments and report emerging trends, deficiencies and variances; report findings to other departments and teams as appropriate Provide required Ethics, Compliance, Risk Management, FWA, privacy, and security training for existing and new employees and as required non-employees Provide mentoring and guidance to subordinates within the department as necessary Serve as primary backup to department lead as necessary Knowledge/Experience: Bachelors’ degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred. 5+ years of compliance experience, preferably in a healthcare environment with at least 3+ years of Medicaid, Medicare or Commercial Managed Care experience. Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred. Corporate: Bachelors’ degree, CPA, CISA, JD, MHA, MBA, MIS, or similar preferred or equivalent experience. 5+ years of experience implementing business initiatives in process, risk, and control measures Pay Range: $107,700.00 - $199,300.00 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.