19 open positions available
Develop and implement internal communication strategies, create and manage content across multiple channels, and collaborate with teams to align employees with company mission. | Bachelor's degree or equivalent experience with 3+ years in communications planning, writing, and editing. | 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: Responsible to help bring company's mission, strategy, and culture to life for employees across the organization. Craft compelling content that informs, inspires, and connects for quick-turn announcements and long-term campaigns. Responsible for writing, coordinating with subject matter experts, and distributing employee communications in various media. • Develops and implements internal communication strategies aligned with business goals. • Creates and manages high-quality content (articles, newsletters, intranet, scripts and talking points, email updates, presentations) to effectively support internal communications plans. • Leverages multiple internal channels to reach diverse audiences, build culture, boost morale, and align employees with the company mission. • Collaborates with cross-functional teams to plan and influence communication approaches. • Translates complex business topics into clear, engaging stories. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor's Degree in communications, marketing, journalism, or related field, or equivalent experience required 3+ years experience in communications planning, writing, and editing required Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Support revenue and medical cost forecasting, variance analysis, month-end close, and financial reporting to drive data-driven decision-making in a healthcare environment. | Entry-level finance role requiring 0-2 years experience, bachelor's degree or equivalent, healthcare industry knowledge preferred, OneStream experience preferred, and strong Excel and analytical 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. Welcome to Centene! At Fidelis Care, our New York-based health plan, we’re seeking a finance professional for an entry-level role with opportunities to learn, grow, and make an impact in a mission-driven team. Position Purpose: • Drive product-specific revenue and medical cost forecasting and variance analysis as a core member of the Fidelis FP&A team. • Support month-end close processes and ensure accurate financial reporting aligned with enterprise performance goals. • Deliver actionable financial insights that support data-driven decision-making in a mission-oriented healthcare environment. • Compile and analyze financial information for the company. Lead various financial projects. Why This Role is Appealing: • Opportunity to support full P&L forecasting, including both revenue and medical costs, for a major New York health plan. • Direct impact on financial performance in a mission-driven organization focused on underserved populations. • Exposure to cross-functional collaboration with product, actuarial, and operations teams. • Use of modern FP&A tools like OneStream to drive enterprise-level planning and decision-making. • Join a high-impact, collaborative finance team with opportunities for growth and visibility. • Compile and analyze financial information for the company. Applicants for this role have the flexibility to work remotely from home anywhere within the Continental United States. Due to the needs of the business, ideal schedule is EST time zone. In this Finance Analyst I role, you will: • Assist in the development of integrated revenue/expense analyses, projections, reports, and presentations • Analyze monthly, quarterly, and annual reports and ensures financial information has been recorded accurately • Analyze trends and developments in competitive environments and presents findings to senior analyst and management • Assist in financial forecasting and reconciliation of internal accounts • Performs other duties as assigned • Complies with all policies and standards Highly preferred: • Healthcare industry experience preferred. • OneStream Experience. • Understanding of healthcare financial metrics including medical loss ratio (MLR), Per Member Per Month (PMPM), cost of care, and revenue risk adjustment. • Demonstrated ability to manage forecasting processes for multiple products or business line. • Strong expertise in Excel(VLOOKUP, SUMIF, Pivot tables), financial modeling, and forecasting. • Solid communication skills and ability to present data to senior leadership. • Proactive, critical thinker with strong analytical and problem-solving abilities. • Detail-oriented with a strong analytical mindset. • Collaborative, with the ability to build relationships and drive strategic impact. Education/Experience: Bachelor's degree or equivalent experience. 0-2 years of financial or data analysis experience. Pay Range: $22.79 - $38.84 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Analyze health management program data, generate complex reports, perform data cleansing and reconciliation, and assist with training junior analysts. | Bachelor's degree or equivalent, 2+ years of data/statistical analysis experience, proficiency in SQL and related data tools, and knowledge of healthcare data reporting standards. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Position Purpose: Responsible for analytical data needs. Handle complex data requests, reports, and predictive data modeling. • Analyze health management programs including: data collection, validation and outcome measurement. • Financial, pharmacy, claims, provider, and member data. • IRS, CMS, HHSC, HEDIS reporting. • Internal data cleansing and data reconciliation analysis. • Trend analysis in various functional areas of health care management. • Create and generate reports through MS-Excel, MS-Access, and SQL using Business Objects interface and direct links to core databases (ODS/EDW). • Produce reports for and interface with senior management and internal and external stakeholders. • Gather and interpret business requirements and monitor data trends to proactively identify issues. • Execute data changes and update core systems as needed. • Handle multiple projects and timelines effectively and communicate risks and issues to manager regularly. • Assist with training lower level Data Analysts. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor’s degree’s related field or equivalent experience. 2+ years of statistical analysis or data analysis experience. For Nebraska Total Care, the following is required: • Proficiency in SQL, writing complex queries, data manipulation, stored procedures, functions, and triggers, query optimization and performance tuning. • Understanding of normalization/denormalization and designing relational schemas. • Experience with MS-Excel, SQL using Visual Studio, automating jobs with Visual Studio SSIS, Power BI interface and direct links to core databases (EDW/Snowflake). • Understanding of how SFTP works. (SSH-based file transfer) • Familiarity with tools like WinSCP, FileZilla, or command-line SFTP Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Direct and oversee all training activities including development, facilitation, evaluation, and collaboration with subject matter experts to deliver effective nationwide training programs. | 8+ years of training experience preferably in managed care/insurance, bachelor's degree or equivalent, expertise in adult learning principles, training technologies, leadership skills, and willingness to travel. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. • *Fully Remote Opportunity** The ideal candidate will have: • Experience in facilitation or enterprise learning (managed care/insurance preferred) • Strong leadership and team management skills • Knowledge of adult learning principles and best practices • Skilled in virtual/in-person training and learning tech • Excellent communication and stakeholder engagement • Ability to align training with business goals and drive innovation • Willingness to travel Position Purpose: Direct and oversee all training and educational activities, assessments and evaluations, material development, and training facilitation. Identify and partner with subject matter experts to develop relevant training programs nationwide utilizing various instructional practices. • Serve on national committees representing current evidence based and/or other relevant topics • Establish and develop subject matter expertise and offer educational opportunities at the national, state and local level • Collaborate with various departments to assist with on-boarding training • Oversee and coordinate training efforts to meet training demands • Oversee training initiatives from development to facilitation • Analyze and evaluate training effectiveness and ROI and provide reports and recommendations to management • Identify and implement cost savings while maintaining effective training programs • Oversee the auditing of team results, identify gaps in training and implement improvements in training programs • Determine appropriateness of contracting with outside vendors to accomplish the organization’s training goals and objectives • Develop comprehensive training calendar for internal offering and maintain a library of external resources • Ability to travel Education/Experience: • Bachelor’s degree in related field or equivalent experience. • 8+ years of training experience, preferably in a managed care or insurance environment. • Familiarity with computer based training tools and other technology based training platforms. • Knowledge of training methodologies, adult learning styles, and evaluative methodologies in measuring impact on organization and ROI of training expenditures. Pay Range: $145,100.00 - $268,800.00 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
Lead and oversee a team to develop and execute multichannel digital and database marketing strategies including social media, web, video, email, and text campaigns to drive engagement and conversions. | 10+ years in communications or marketing with 5+ years managing teams, expertise in digital/social media, analytics, technical SEO, UI/UX design, SEM/GA360, Adobe Analytics, and Salesforce CRM/Marketing Cloud. | 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. Preference of candidate location in the NY Tri-State area Position Purpose: The Director of Digital and Database Marketing Strategy is an innovative and customer-centric leader who is responsible for developing and overseeing multichannel initiatives that help our brand connect with key stakeholders across different journeys and touchpoints. This leader has a player-coach mindset and can inspire, manage, and mentor a high-performing team in a dynamic and cross-functional environment. • Lead the creation of new initiatives to support the success of long-term digital strategies (including social media, web, video) and database marketing (text, email) • Oversee a team of five digital, social, and database marketing professionals • Lead digital communications and social media strategy, including audience development, content creation, and distribution across multiple platforms • Oversee the management and optimization of digital and social platforms, ensuring alignment with brand guidelines • Develop and manage a robust strategy for paid and organic content that is audience-centric, compelling, and aligns with business goals • Oversee creation and maintenance of web sites, including content, accessibility, design and performance • Collaborate with IT to improve the site's UX/UI, ensuring alignment with the company’s branding and goals • Conduct regular audits to identify opportunities for optimization in content, navigation, SEO, and user flow • Develop and oversee enterprise video strategy • Develop and oversee the strategy, content, and implementation of email and text campaigns • Manage and optimize databases for personalized communication, ensuring segmentation, targeting, and automation are leveraged effectively to increase engagement and drive conversions • Identify, cultivate, and manage high-level relationships with experts in the digital space, platform representatives, and/or influencers • Evaluate and oversee preparation of competitive intelligence reports, analysis reports, and reputation dashboards • Maintain cutting-edge knowledge of trends, social platforms, and key developments in the industry Education/Experience: 10+ years of experience in Communications, Marketing, or related fields and 5+ years of leadership experience/managing teams. Digital/social media, analytics, and digital marketing expertise. Experience with HTML/CSS/JavaScript, Technical SEO, UI/UX Design, SEM/GA360, Adobe Analytics, Salesforce CRM/Marketing Cloud.: Pay Range: $116,100.00 - $214,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Plan and oversee complex provider communications projects, manage project lifecycle, coordinate cross-functional teams, and communicate status to stakeholders. | Bachelor's degree or equivalent, 4+ years project/program management experience, proficiency with MS Office and project management tools, PMP/CAPM certification 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: Plan, organize, monitor, and oversee complex Provider Communications projects utilizing cross functional teams to deliver defined requirements, meet company strategic objectives and to build and maintain strong provider partnerships. • Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure • Effectively communicate project requirements, details, and relevant updates to all stakeholders. • Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks • Utilize corporate and industry standard project management tools and techniques to effectively manage projects. • Assist with establishment and maintenance of corporate project management methodology and other department procedures • Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans • Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries • Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives • Provide functional and technical knowledge across multiple business and technical areas • Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation Education/Experience: Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred. 4+ years of project management and implementation or program management experience. Proficient with MS Office applications and project management tools. Experience working with and leading diverse groups and matrix managed environments. License/Certification: PMP, PgMP, or CAPM preferred.Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Manage full project life cycle including planning, resource management, budgeting, execution, and stakeholder communication to meet strategic objectives. | Bachelor's degree or equivalent experience, 3+ years project management experience, proficiency with project management tools, PMP/CAPM certification preferred, healthcare experience preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. • Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure. • Utilize corporate and industry standard project management tools and techniques to effectively manage projects. • Assist with establishment and maintenance of corporate project management methodology and other department procedures. • Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans. • Effectively communicate project status to all stakeholders. • Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks. • Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives. • Provide functional and technical knowledge across multiple business and technical areas. • Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation. • Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics. Education/Experience: • Bachelor's degree in related area or equivalent experience. • 3+ years of project management experience. • Experience working with and leading diverse groups and matrix managed environments. • Proficient with project management tools, MS-Project or other project management software, and MS-Office applications. • Healthcare experience preferred. License/Certification: PMP or CAPM certification preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead business process and data analysis initiatives to improve healthcare operations, coordinate training, manage policy changes, and ensure successful implementation of business solutions. | Bachelor’s degree or equivalent, 6+ years in business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis, advanced Microsoft Office skills, and project management experience preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Remote Available. Position Purpose Perform and lead various analysis and interpretation to link business needs and objectives for assigned function and implement process improvements. • Lead the support of business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems • Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes • Resolve issues and identify opportunities for process redesign and improvement • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements • Evaluate risks and concerns and communicate to management • Coordinate with various business units and departments in the development and delivery of training programs • Develop, share, and incorporate organizational best practices into business applications • Oversee all changes to departmental policies and procedures, including communicating and implementing the changes • Serve as the subject matter expert on the assigned function product to ensure operational performance • Ability to travel Education/Experience Bachelor’s degree in related field or equivalent experience. 6+ years of business process or data analysis preferably in healthcare or 5+ years of HEDIS analysis. Advanced knowledge of Microsoft Applications, including Excel and Access preferred. Project management experience preferred. Enterprise PHCO Utilization Management Bachelor’s degree in related field or equivalent experience. 6+ years of business process analysis, deep understanding of managed care/utilization management data including sourcing, analysis and representation of data, understanding of and experience in clinical documentation platforms. Advanced knowledge of Microsoft Applications, including Excel and PowerPoint.” Pay Range $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Develop and manage strategic partnerships with healthcare providers to improve network performance, quality, and cost utilization through data-driven consultative account management. | Bachelor’s degree or equivalent, 3+ years in provider engagement or quality improvement, project management experience in healthcare, and proficiency with HEDIS, cost, and utilization metrics. | 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. • **NOTE: For this role we are seeking candidates who live in Sacramento, San Joaquin, or Stanislaus CA*** Position Purpose: Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic implementation of new initiatives for performance improvement. • Serve as primary contact for providers and act as a liaison between the providers and the health plan ensuring a coordinated effort in improving financial and quality performance • Triages provider issues as needed and coordinates response with internal matrix partners • Manages Network provider performance for assigned territory through a consultative/account management approach • Evaluates provider performance and develops strategic plan to improve performance to achieve provider and market goals • Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc. • Leveraging data, presents detailed HBR analysis and quality performance; develops reports for Joint Operating Committee meetings (JOC); manages comprehensive action plans to drive performance improvement • Develop proficiency in tools and value based performance (VBP) and educate providers on use of tools and interpretation of data • Coaches new and less experienced Provider Engagement Account Managers • Ability to travel within assigned territory up to 4 days a week • Performs other duties as assigned • Complies with all policies and standards • Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices. • Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. • Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets. Education/Experience: Bachelor’s degree in related field or equivalent experience. Three or more years of provider engagement account management and /or provider quality improvement experience. Project management experience at a medical group, IPA, or health plan setting. Strong communication and presentation skills Proficient in HEDIS/Quality measures, cost (i.e. MLR analysis) and utilization metrics. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead compliance projects and reporting for Medicare Dual Eligible Special Needs Plans (D-SNP), develop policies, conduct audits, and liaise with regulatory agencies. | Bachelor's degree or equivalent, 4+ years compliance/regulatory experience, project management skills, and knowledge of Medicare, D-SNP, and state regulations. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. • *Fully Remote Opportunity** The ideal candidate will have: • Deep knowledge of the Medicare Advantage program, with hands-on experience in Dual Eligible Special Needs Plans (D-SNPs) (compliance, product, or operations). • Research skills to track and review policy and regulatory changes. • Project management experience leading compliance projects, including policy, procedure, and training development. • Strong attention to detail to ensure accurate compliance reporting and record-keeping. • Analytical ability to identify, analyze, and interpret compliance-related data and spot potential risks. Position Purpose: Partners with leadership in maintaining Centene Corporation's Compliance with Duals (D-SNP) Program requirements. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies for the D-SNPs. • Responds to external requests for information required by the organization for its Duals and SMAC regulatory filings. • Manages Duals (and Medicare with D-DSNP specific or separate) compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies. • Leads Duals compliance projects or implementations. • Reviews and synthesizes Duals regulatory requirements and create policy and/or position statements. • Partners with leadership to manage annual SMAC assessment and tracking of caps. • Communicate Duals (state and federal) requirements to internal and external clients. • Provides development guidance and leads the identification, implementation, and maintenance of Duals and overlapping Medicare compliance policies, procedures and work instructions. • Leads the identification, analysis, and resolution of Duals compliance issues. • Maintains and reviews D-SNP regulatory documentation necessary to maintain corporate standards. • Partners with leadership in developing, producing and conducting Duals compliance training programs. • Perform periodic compliance audits, risk assessments and conducts related to ongoing Duals compliance monitoring activities. • Partners with Duals Manager and health plans in managing relationships with regulatory agencies and seek to confirmation and clarification of D-SNP requirements and implementations where needed. • Performs interim Duals Compliance manager responsibilities to include supporting the health plan compliance officer with D-SNP specific responsibilities. Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. • Serves as a company-wide resource and liaison on Duals policies, SMAC items and provisions, communications, workflow, and quality improvements initiatives. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: • Bachelor's Degree Law or related field; or, equivalent experience required • 4+ years Compliance and/or regulatory affairs required • Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Medicare, D-SNP, and state regulations required Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead database system design and architecture, ensure 24/7 uptime, optimize administration tasks, oversee EDI teams, and maintain documentation and operational procedures. | Bachelor's degree or equivalent with 5-7 years experience, knowledge of AWS, Go, Java, .NET or C#, and healthcare transactions including X12 EDI. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads in the development and creation of database system designs and architectures in line with the organization's technical needs. Maintains documentation of diagrams, processes, procedures, troubleshooting guides, and change management logs. Ensures that the designs are implemented so that database systems achieve 100% uptime with 24/7/365 operational availability. • Maintains a deep understanding of IT technology , including applications integration with high transaction DB transactions for reporting and real-time applications, queuing/messaging systems, cloud technologies and Healthcare EDI. • Will work directly for leadership overseeing multiple EDI teams and technologies, teamed with complimenting technical and business process architects who drive architecture standards, development and implementation within EDI Development teams. • Develops proposed systems which meet the required database and interface specifications, based upon identified business needs • Optimizes database administration tasks including configuration management, backup/recovery, performance tuning, monitoring, and space management • Resolves critical problems across various tiers in the database systems • Leads and communicates software development initiatives and plans related database changes including database upgrades and data migrations • Remains abreast of current technology to provide both business and technical solutions based on business needs and specifications and deploys them into the production infrastructure following change management procedures • Leads and directs the efforts to monitor, test, analyze and evaluate the existing infrastructure environment and optimize it based on resiliency, technological advancements, and cost • Produces documentation on operational run books, business and technical solutions, and overall technology concepts • Researches, identifies, designs and implements database upgrades and refresh programs • Ensures that standard operating procedures are well documented in accordance with required standards and protocols • Reviews trend analysis and determines best in class solutions regarding hardware and software resource management • Performs other duties as assigned • Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 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. • * Edifecs • AWS, • Go, Java, .NET or C# experience • Healthcare transactions experience including X12 Pay Range: $119,100.00 - $220,500.00 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
Oversee and support D-SNP compliance functions including regulatory adherence, audits, investigations, training, and stakeholder collaboration. | 5+ years Medicare/D-SNP audit and compliance experience, 2+ years managing contract implementation, strong regulatory knowledge, and leadership 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. • *Fully Remote Opportunity** The ideal candidate will have: • Expertise in Dual Eligible Special Needs Plans (D-SNPs) (compliance, product, and operations). • Experience in Medicare Managed Care and D-SNP compliance programs (audits, risk, regulations). • Background in procurement and implementation • Strong analytical, problem-solving, and critical-thinking skills. • Solid audit experience • Hands-on experience with CMS Program Audits (including SNP) and training development. • Ability to work with regulators and present to agencies. • Excellent organizational and communication skills. • Proven leadership experience. Position Purpose: Oversees and supports the Dual Eligible Special Needs Plans (D-SNP) compliance functions. Ensures adherence to federal, state, and local regulatory requirements and contractual obligations. Responsible for leading the review and interpretation of regulatory guidance and D-SNP contract requirements, ensuring they are accurately understood and applied. It also involves managing internal monitoring and auditing activities to ensure alignment with the organization's compliance program, policies, and procedures. Leads internal investigations related to D-SNP compliance issues, developing and implementing corrective action plans, and contributing to the development and execution of compliance strategies and communications. Serves as key point of contract during external audits and regulatory reviews involving D-SNP contracts, ensuring timely and accurate responses and follow-up. • Manages approval and submission of timely and accurate D-SNP State Medicaid Agency (“SMAC”) contract and regulatory required report deliverables not limited to MMCM, CFR and state regulations. • A strategic partner and trusted advisor for Company employees and leaders on D-SNP audit and monitoring issues, serving as a model in promoting a culture of integrity, accountability, and compliance. • Conducts periodic assessments to ensure compliance against SMAC and regulatory requirements. Leads the development, review, revision, and presentation of regulatory and compliance policies, including the D-SNP training. • Leverages investigative finding and emerging trends to generate actionable insights and communicate insights to business and compliance stakeholders. Drives the development of scalable, sustainable risk mitigation strategies that align with organizational goals and regulatory expectations. • Proactively identifies and initiates compliance investigations by leveraging risk assessments, data analysis, and emerging industry trends to uncover and address potential areas of compliance risk. • Conducts regulatory and compliance investigations, prepares high-quality written reports, and presents findings as appropriate to business and cross-functional stakeholders. • Actively represents the organization in regulatory and industry forums, including state-led meetings specific to D-SNPs, as well as integrated Medicaid and D-SNP sessions. Partner with Health Plan leadership to coordinate participation and ensure consistent Duals Compliance representation and alignment across all relevant engagements. • Supports responses to Request for Proposals (RFPs) and new business implementations by completing assigned compliance deliverables accurately and within established timelines. Partners with Health Plan teams to ensure responses appropriately reflect Medicaid-specific requirements for Duals plans and align with applicable federal and state D-SNP regulations. Ensures all contributions support the organization’s broader Duals strategy and compliance objectives. • Participates in new Duals business implementations not limited to RFP that include D-SNP program, including the identification and tracking of required Dual deliverables such as state reporting, validation of D-SNP operational requirements based on D-SNP model and requirements beyond D-SNP regulations or state specific program requirements applicable to the D-SNP. • Designs, implements and improves processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and SMAC requirements. • Creates and deliver Duals compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: • Bachelor's Degree Healthcare Administration, Compliance, or related field, or equivalent experience required • 5+ years experience in Medicare and/or D-SNP audit and compliance, including conducting risk assessments aligned with SMAC contract and regulatory requirements, interpreting MMCM guidance, and developing and executing auditing, monitoring, and reporting processes required • 2+ years Overseeing implementation of contract requirements required • Proven ability to manage corrective action plans, implement compliance policies and procedures, and design and deliver effective training and education program required • Medicare manage health experience required • D-SNP SMAC, regulatory requirements or operations experience required Pay Range: $116,100.00 - $214,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Manage D-SNP compliance functions including contract review, audits, monitoring, corrective actions, regulatory reporting, and training delivery. | Bachelor's degree or equivalent, 4+ years in compliance with experience in D-SNP SMAC, Medicare managed care, auditing, corrective actions, and training. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. • *Fully Remote Opportunity** The ideal candidate will have: • Expertise in Dual Eligible Special Needs Plans (D-SNPs) (compliance, product, and operations). • Experience in Medicare Managed Care and D-SNP compliance programs (audits, risk, regulations). • Strong analytical, problem-solving, and critical-thinking skills. • Hands-on experience with CMS Program Audits (including SNP) and training development. • Ability to work with regulators and present to agencies. • Excellent organizational and communication skills. • Proven leadership experience. Position Purpose: Manage the Dual compliance department functions, including but not limited to, regulatory and D-SNP contract review and interpretation, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and maintain compliance with federal, state, and local regulatory, contractual and legal requirements. • Manage approval and submission of timely and accurate D-SNP State Medicaid Agency (“SMAC”) contract and regulatory required report deliverables not limited to MMCM, CFR and state regulations. • Oversee all SMAC updates including creating new and updating existing SMACs with CMS, Health Plans, States and consultants/vendors. • Conduct periodic assessments to ensure compliance against SMAC and regulatory requirements. • Oversee creation and implementation of corrective action plans to reduce or eliminate risk resulting from non-compliance with DSNP regulatory requirements or performance deficiencies. • Collaborate with CMS, States, Product and Strategy, where applicable, to maintain/improve regulator satisfaction specific to member/provider experience and compliance with regulatory requirements. • Manage composition and delivery of inquiries and responses to state regulatory agency about D-SNP inquiries. Submission may be done in collaboration with Health Plan. • Actively engage in regulatory forums to include not limited to dedicated state meetings specific to the _DSNP. Some D-SNP meetings may be integrated with Medicaid forums. Coordinate attendance with Health Plan to ensure dedicated Duals Compliance is present. • Support responses to “request for proposals” (RFPs) and new business implementations by completing assigned compliance tasks timely and accurately. Collaborate with Health Plan to ensure responses address where appropriate the Duals plan from Medicaid specific requirements. Ensure responses align with D-SNP federal and state requirements as well as support Duals strategy. • Participate in new Duals business implementations, including the identification and tracking of required SMAC deliverables such as state reporting and requirements beyond D-SNP regulations or state specific program requirements applicable to the D-SNP. • Design, implement and improve processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and SMAC requirements. • Create and deliver Duals compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: • Bachelor's Degree Health Care Administration, Compliance or related field or equivalent experience required • 4+ years experience in compliance to include risk assessment against contract and regulatory requirements, creation and execution of auditing, monitoring and reporting processes, administration of correction action plans, implementation of written policies and procedures, developing and delivering compliance training and education required • Experience with D-SNP SMAC, regulatory requirements and/or operations required • Medicare managed health experience required Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Plan, organize, monitor, and oversee complex enterprise-wide projects focusing on quality execution and governance across multiple business lines. | 4+ years project management experience, preferably in healthcare, BA/BS degree required, PMP or similar certification preferred, proficient in MS Office and project management tools. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: As Project Manager within the Enterprise's Quality Improvement team, you will plan, organize, monitor, and oversee complex enterprise wide projects across all lines of business utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. These projects can focus on quality execution and governance. • This is a fully remote role. • Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, facilitating project execution, deployment and closure. • Utilize corporate and industry standard project management tools and techniques to effectively manage projects. • Assist with establishment and maintenance of corporate project management methodology and other department procedures. • Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans. • Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries. • Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks. • Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives. • Provide functional and technical knowledge across multiple business and technical areas. • Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation. Education/Experience: • Bachelor's degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master's degree preferred. • 4+ years of project management and implementation or program management experience. Proficient with MS Office applications and project management tools. • Experience working with and leading diverse groups and matrix managed environments. • Project management experience within healthcare industry (i.e. - managed care, insurance, payor) preferred. License/Certification: PMP, PgMP, or CAPM preferred. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Develop and execute internal communications strategies and programs, partner with stakeholders to produce content, and provide guidance on best practices. | Bachelor's degree and 5+ years of communications, public relations, or marketing experience required. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: We’re looking for a nimble, creative, and strategic communicator to join our internal communications team. You’ll help bring our company’s mission, strategy, and culture to life for employees across the organization. From quick-turn announcements to long-term campaigns, you’ll partner with stakeholders across the organization to develop and execute internal communication strategies. • Develops, executes and measures internal communications strategy and programs for Centene • Partners with internal teams/clients to identify stories to share enterprise wide and produce the content in collaboration • Provides guidance and counsel to internal teams/client on internal communications best practices and strategy • Participates, and leads as assigned, corporates communications integrated campaigns by contributing to overall strategy and communications deliverables • Writes, edits and disseminates messages across organization, including intranet content, newsletters, email messages, talking points, and presentations • Assists with establishing and maintaining the internal communications department’s strategic vision, objectives and policies and procedures • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor's Degree in Communications, Journalism, Public Relations, related field or equivalent experience required. 5+ years communications, public relations, or marketing experience required Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Analyze integrated healthcare data sets to support business initiatives, improve clinical outcomes, and lead problem-solving efforts across business units. | Bachelor’s degree or equivalent experience, 4+ years in business process or data analysis, preferably with healthcare, analytics delivery, project management, or IT 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. Remote Available. Position Purpose: Evaluate data and insights from extensive and integrated data sets to enable data-driven decision making to reduce overall cost of care and improve clinical outcomes for members. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights. • Support business initiatives through data analysis, identification of implementation barriers, and development of documentation and project planning • Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation • Identify ways to enhance performance management and operational reports • Support identification of and incorporate organizational best practices into business applications and processes • Lead problem solving and coordination efforts between various business units • Assist with formulating and updating departmental policies and procedures • Serve as a subject matter expert on assigned functions, products, or analytic domains in support of strategic objectives • Provide process and requirements guidance to junior analysts • 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. Master's degree preferred. 4+ years of experience in business process, data analysis, or requirements analysis. Healthcare, analytics delivery, project management, and/or IT experience preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Analyze and interpret complex datasets to deliver insights that influence business decisions and improve clinical outcomes, develop and troubleshoot scripts and reports, and communicate findings to stakeholders. | Bachelor’s degree or equivalent experience with 4+ years in data management and analysis, working knowledge of SQL, and preferred experience in public health or related fields. | 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. Experience in public health (epidemiology, biostatistics), population health, social determinants of health, data science, social science, or geospatial/ROI/financial analysis preferred. Working knowledge of SQL/querying languages. 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. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Lead and implement organizational change management initiatives including communication, training, coaching, and resistance management plans while collaborating with senior leadership and project teams. | Bachelor's degree or equivalent experience, 3 years of change management experience, strong knowledge of OCM operations and project/program management. | 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: Direct implementation of large, cross-functional organizational change management initiatives. Collaborate with senior management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals. • Gather information from senior leadership to understand changes to processes, systems and technologies. Analyze the impact to employees and create change management strategies and plans to manage the people side of change • Design and implement actionable organizational change management plans including communication plans, training and coaching plans, sponsor roadmaps, and resistance management plans • Develop and apply a set of targeted, actionable OCM plans, including communication plan, coaching plan, sponsor roadmap, resistance management plan and training plans ensuring alignment to the department’s objectives • Drive planning and execution of communication plans to all levels of organization to ensure support, awareness and engagement with change initiatives • Monitor communication flows to reduce misinformation, analyze feedback, measure effectiveness, and report progress to senior leadership • Create and manage metric tracking systems to measure utilization and adoption • Identify and manage resistance by evaluating potential enhancements to technology, training plans, or communication plans and resources. Recommend and implement corrective action plans • Conduct readiness assessments, evaluate results, and present findings to stakeholders • Collaborate with project plans to integrate change management activities within project teams and support project implementation Education/Experience: Bachelor’s degree in Business Administration or related field or equivalent experience. Master’s degree preferred. 3 years of change management experience. In-depth knowledge of Change Management operations, policies, procedures, standards and existing technology and systems environments. Project and program management experience. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Develop and implement digital experience strategies to improve member engagement, satisfaction, and business outcomes through cross-functional collaboration and data-driven insights. | Bachelor's degree and 2-4 years of experience in digital strategy, product or UX design, with desired skills in data analysis, digital marketing, and project management. | 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: Responsible for developing and optimizing digital experiences that enhance member, caregiver, and provider engagement, improve satisfaction, and drive business outcomes. Collaborate with cross-functional teams to develop and implement digital strategies that drive customer acquisition and retention, streamline interactions, optimize access to care, and improve quality. Your expertise will be essential in leveraging digital technologies to create seamless, omni-channel, personalized experiences for members, providers, and other stakeholders. • Digital Strategy Development: Develop and execute digital experience strategies aligned with the company’s goals and objectives, focusing on enhancing customer satisfaction, improving health outcomes, and driving operational efficiency. • Domain / Channel-Specific Strategies: Research and define strategies focused on specific sub-categories of the overall digital experience, e.g., Mobile, Outreach, Care Management, etc. • Cross-functional Collaboration: Organize forums to engage stakeholders across the organization, including LOBs, Marketing, Customer Service, and Quality, to align digital experience priorities with business objectives and regulatory requirements. • Data and Insights: Leverage data and insights to understand member and provider perception, behavior, engagement levels, and outcomes. Use data-driven insights to refine digital strategies, optimize user experiences, establish KPIs and measure the impact of digital initiatives. • Customer Experience: Partner with Experience Insights and Management teams to understand the end-to-end customer journeys, the key moments that matter, associated pain points and opportunities for improvement. Develop strategies to optimize experiences at each touch point. • Industry Trends: Monitor industry trends, competitor activities, and stakeholder feedback to identify opportunities for innovation and improvement. • Storytelling and Socializing: Create the artifacts needed to make the Strategy research, recommendations and roadmaps come to life visually, tailoring the story to each LOB. • Personalization and Segmentation: Develop strategies for personalizing omni-channel experiences based on member demographics, health profiles, behavior and preferences. Implement segmentation strategies to target specific member segments with relevant content and services. • Vendor Assessment: Evaluate and recommend digital health tools and digital technologies, such as CMS and CRM platforms, telehealth tools, remote monitoring devices, and population health management capabilities. Participate in external vendors conversations to assess capabilities and product fit for identified gaps/needs. • Performs other duties as assigned • Complies with all policies and standards Education/Experience: A Bachelor's degree Requires 2 – 4 years of related experience in digital strategy, product or UX design Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 4+ years in digital strategy, product or UX design required. Technical Skills: • One or more of the following skills are desired. • Experience with one or more of the following Data Analysis; Data Visualization; Digital Brand Engagement; Digital Content; Digital Design; Digital Marketing; Digital Media; Project Management; Project Risk Management 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 • Demonstrated analytical skills • Demonstrated project management skills • Demonstrates a high level of accuracy, even under pressure • Demonstrates excellent judgment and decision making skills • Ability to communicate and make recommendations to upper management • Ability to drive multiple projects to successful completion Pay Range: $85,300.00 - $158,100.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
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