CC

Centene Corporation

20 open positions available

1 location
1 employment type
Actively hiring
full-time

Latest Positions

Showing 20 most recent jobs
CC

Healthcare Analytics Data Analyst III - SQL, R Studio/Python, Power BI

Centene CorporationAnywherefull-time
View Job
Compensation$69K - 124K a year

Analyze integrated datasets to extract value that influences business decisions. Collaborate with stakeholders to develop solutions and deliver insights to improve clinical outcomes and reduce costs of care. | Bachelor's degree in a related field is required, with a Master's preferred. Candidates should have 4+ years of experience with large databases and healthcare analytics 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. 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. “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.” Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

SQL
R Studio
Python
Power BI
Data Analysis
Data Mining
Statistical Techniques
Trend Analysis
Root-Cause Analysis
Data Visualization
Healthcare Analytics
Data Management
Data Verification
Process Enhancements
Automation
Communication
Direct Apply
Posted 1 day ago
CC

IT Program Manager II

Centene CorporationAnywherefull-time
View Job
Compensation$101K - 187K a year

Lead and manage multiple large, complex enterprise IT programs from initiation to completion, ensuring delivery within scope, schedule, cost, and quality commitments. | Bachelor's degree, 4-6 years related experience, PMP certification preferred, experience with project and risk management, and ability to communicate with upper 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: Provides overarching leadership and guidance on related large programs and projects (both waterfall and agile) with a view to improve the project performance and consistency of delivery. Sources project managers and scrum masters and provides oversight and remediation to troubled projects. Delivers, measures, and manages project performance in addition to providing input and collaboration on interdependencies within the projects and other programs. Plans, controls, and manages the delivery of multiple large, complex enterprise IT programs to meet the agreed business needs, acquiring and utilizing the necessary resources Plan, manage, and implement programs from initiation to final operational stage including lessons learnt Evaluate, align, and integrate technical and business requirements and project plans to establish the program framework Manages multiple project scopes and successful execution within technical, schedule, cost, and quality commitments Provides direction to the project teams in areas of customer concerns, potential changes in scope, and risk assessment Coordinates program management reviews, preparing and publishing program management metrics and reports; maintain metrics for projects' quality, technical performance, and delivery Coordinates all risks and requirements of the projects by planning, controlling, and integrating all projects and measuring all elements to ensure the requirements and goals are successfully achieved Provide insight and recommendations during project execution and implementation to remediate issues Review and assess vendor statements of work and estimates Determines, monitors, reviews, and reports on all program attributes including program costs, operational budgets, staffing requirements, resources, quality, and risks Provides periodic project updates (Program Status Report) of current situation relating to milestones and problem/high risk areas (e.g., technical, cost, and schedule); provide updates to the IT leadership team and the business units Shares knowledge and develops team capabilities to strengthen understanding of IT and enterprise industry and business issues and best practices Identifies areas for improvement, share lessons learnt across the firms’ IT project teams, and encourage others to do the same Communicates regularly with functional and IT leaders to ensure enterprise alignment and support Establishes client relationships Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired Experience with Microsoft Office Experience with Project Management Experience with Risk Management Experience with Other: developing, monitoring and managing project budgets and schedules Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Intermediate - Ability to communicate and make recommendations to upper management Intermediate - Ability to drive multiple projects to successful completion License/Certification: Certified Project Management Professional (PMP)-PMI preferred Pay Range: $100,900.00 - $186,800.00 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.

Project Management
Risk Management
Budget Management
Schedule Management
Microsoft Office
PMP Certification
Direct Apply
Posted 1 day ago
CC

Senior Learning Management System Analyst

Centene CorporationAnywherefull-time
View Job
Compensation$Not specified

Lead strategic planning, maintenance, and improvement initiatives for Workday learning systems. Serve as the senior subject matter expert, managing data and reporting while ensuring high standards of data integrity and customer support. | A bachelor's degree in Business, Human Resources, or a related field is required, along with 5+ years of experience in learning management systems or data analysis. Strong technical acumen and project management skills are preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Summary: Lead strategic planning, maintenance and improvement initiatives for Workday learning systems. ***The Senior Learning Management System Analyst position is fully remote. Candidates will be considered nationally. *** Responsibilities: Serve as the senior subject matter expert for Workday learning systems, providing thought leadership, support and continuing operations of the system to best serve the learning needs of the organization Manage Workday data, serving as the lead resource for learning system reporting. Maintain a high standard of data integrity, quality assurance and customer support Identify and recommend operational and analytical improvements that provide business analytics and intelligence Set, control and maintain system access and permission levels for all system users Create complex enrollments, ability to manage roles and permissions in a matrixed organization. Manage feeds to and from learning systems Lead the design, development, testing, implementation, upgrading, and innovation of our learning systems. Leads and manages strategic learning systems projects Collaborate with peers across the Centene enterprise to research complex issues and partners with other departments toward resolution Foster collaboration and provides learning system guidance and leadership to other learning administrators on the team Change champion and educator on Workday processes, best practices and enhancements Support the technical delivery of design and development of eLearning courses, virtual simulations, assessments, evaluations and other learning content as appropriate Collaborate with the HRIS team and other learning organizations to identify, troubleshoot, and resolve all issues within our learning systems Define, develop, maintain, and lead the adoption of documented learning processes, procedures and practices Education/Experience: Bachelor’s degree in Business, Human Resources, related field or equivalent experience. 5+ years of learning management systems experience, systems, application administration or data analysis. Strong technical acumen, including experience a variety of learning systems preferred. Proficient project management skills preferred. 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.

Workday Learning Systems
Data Management
Quality Assurance
Customer Support
Project Management
Learning System Reporting
Operational Improvements
Collaboration
E-Learning Design
Technical Delivery
Process Documentation
Analytical Skills
Thought Leadership
System Administration
Role Management
Change Management
Direct Apply
Posted 2 days ago
CC

Utilization Review Clinician - ABA

Centene CorporationAnywherefull-time
View Job
Compensation$55K - 99K a year

Evaluate and review ABA services for medical appropriateness, perform prior authorization reviews, analyze behavioral health data, interact with providers, educate members, and contribute to process improvements. | Requires a nursing or bachelor's degree with 2-4 years related experience, independent clinical licensure (e.g., LCSW, LMHC, LPC, LMFT, LMHP, RN, BCBA), and behavioral health clinical knowledge with ABA experience. | 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: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines. • Must reside in AZ • Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards • Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria • Analyzes BH member data to improve quality and appropriate utilization of services • Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services • Provides education to members and their families regrading ABA and BH utilization process • Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies • Performs other duties as assigned • Complies with all policies and standards Must reside in AZ Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience. License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required. Master’s degree for behavioral health clinicians preferred. Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred. License/Certification: • LCSW- License Clinical Social Worker required or • LMHC-Licensed Mental Health Counselor required or • LPC-Licensed Professional Counselor required or • Licensed Marital and Family Therapist (LMFT) required or • Licensed Mental Health Professional (LMHP) required or • RN - Registered Nurse - State Licensure and/or Compact State Licensure required or • Board Certified Behavior Analyst (BCBA) required • Independent licensure with ABA experience and BCBA preferred. Pay Range: $26.50 - $47.59 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

Applied Behavioral Analysis (ABA)
Behavioral Health Utilization Review
Clinical Appropriateness Evaluation
Prior Authorization Review
Member Care Analysis
Healthcare Provider Interaction
Process Improvement
Education and Communication
Verified Source
Posted 2 days ago
CC

Data Science Analyst Intern (Undergraduate - Summer 2026)

Centene CorporationAnywherefull-time
View Job
Compensation$18 - 26 hour

Support daily production activities and develop AI/ML models to improve business efficiency. Train team members and create thorough documentation of the development process. | Must be enrolled in an undergraduate program at an accredited university or college. A high school diploma or equivalent is required. | You could be the one who changes everything for our 28 million members as an Intern at Centene. During this 12-week program, you'll learn more about Centene and how we're transforming the health of the community, one person at a time. Position Purpose: Follow protocols and chain of command as I will be the first point of contact. Support daily production activities as needed, develop at least one AI/ML model that can help the business with efficiency or cost savings, train team members once a week with knowledge sharing sessions, perform code & design walk-thru as the model is developed, create thorough documentation of BRD, design, development, audit, deployment, maintenance process with proper Visio flow diagrams illustrating each stage and overall picture, present to leadership on a high level and low-level walk-thru sessions at mid and end stages. Location: Can work in any of the 50 US States. Remote(summer): 40/hrs. a week, 12 week program (May-August2026) Pay Range :$18-26/hr. 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. Learn various job functions within the Managed Care industry and explore various career opportunities Apply academic knowledge and learn new skills by contributing to various projects Research various legal, regulatory, and other topics within functional area and industry Attend training and development presentations to enhance professional competencies Performs other duties as assigned Complies with all policies and standards Education/Experience: High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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.

AI/ML Model Development
Documentation
Knowledge Sharing
Code Walk-Through
Design Walk-Through
Presentation Skills
Research
Compliance
Direct Apply
Posted 2 days ago
Centene Corporation

Business Analyst III – Workforce Management

Centene CorporationAnywherefull-time
View Job
Compensation$70K - 90K a year

Analyze business needs, support initiatives through data analysis and process improvement, coordinate training, and serve as subject matter expert for assigned functions. | Bachelor's degree, 4-6 years business process or data analysis experience preferably in healthcare, project management experience preferred, knowledge of healthcare claims systems and advanced Excel preferred. | Job Description: • Perform various analysis and interpretation to link business needs and objectives for assigned function • Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems • Identify and analyze user requirements, procedures, and problems to improve existing processes • Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations • Identify ways to enhance performance management and operational reports related to new business implementation processes • Coordinate with various business units and departments in the development and delivery of training programs • Develop, share, and incorporate organizational best practices into business applications • Diagnose problems and identify opportunities for process redesign and improvement • Formulate and update departmental policies and procedures • Serve as the subject matter expert on the assigned function product to ensure operational performance • Ability to travel • Performs other duties as assigned Requirements: • Bachelor’s degree in related field or equivalent experience • 4-6 years of business process or data analysis experience, preferably in healthcare • Project management experience preferred • 4+ years of business process analysis (i.e. documenting business process, gathering requirements) • Experience in healthcare industry, preferably with managed care techniques and administrative philosophy • Experience in claims coding analysis or medical claim review/research preferred • Knowledge of Amisys claims payment system and Business Objects preferred • Strong proficiency preferred in Excel and advanced data analysis techniques • Experience partnering with director-level and senior leadership, presenting workforce plans, and telling a clear story through data to inform business decisions highly preferred • Familiarity with systems such as Xcelys, Amisys, and Facets preferred Benefits: • competitive pay • health insurance • 401K and stock purchase plans • tuition reimbursement • paid time off plus holidays • flexible approach to work with remote, hybrid, field or office work schedules

Business process analysis
Data analysis
Project management
User acceptance testing
Process improvement
Training coordination
Policy formulation
Verified Source
Posted 2 days ago
CC

Manager, HEDIS Operations (Non-Clinical)

Centene CorporationAnywherefull-time
View Job
Compensation$86K - 155K a year

Oversee HEDIS data accuracy, reporting, and improvement initiatives while managing clinical quality metrics and collaborating with stakeholders. | Bachelor's degree and 4+ years of HEDIS or healthcare management experience with advanced knowledge of HEDIS specifications. | 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 Opportunity Position Purpose: Oversee and ensure HEDIS data accuracy and reporting, including investigations, auditing, and improvement opportunities. Collaborate with internal and external stakeholders to ensure HEDIS and CAHPS initiatives are fully integrated throughout the organization, maximizing opportunity to improve outcomes for members. Oversee activities, resources, methods, and procedures to achieve improvement in HEDIS measures Formulate and ensure compliance with HEDIS technical specifications, policies, operating procedures, and goals in compliance with internal and external guidelines Provide comprehensive analysis of HEDIS measures, barriers, and opportunities and present results of improvement efforts and ongoing performance measures to senior management Manage all clinical quality metrics and HEDIS processes and results Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities Oversee all HEDIS projects to include assignment of nurses, adherence to plan timelines, and vendor oversight for timeliness and quality Ensure compliance for all quality audits and maintain all data and process controls Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in Business Administration, Health Care Administration, Health-Related field, or equivalent experience. 4+ years of HEDIS project management or healthcare management experience. Advanced working knowledge of HEDIS technical specifications. Quality improvement experience preferred. Master’s degree preferred. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

HEDIS data management
Project management
Quality improvement
Stakeholder collaboration
Data analysis
Process improvement
Direct Apply
Posted 2 days ago
CC

Compliance Analyst

Centene CorporationAnywherefull-time
View Job
Compensation$55K - 99K a year

Maintain and implement compliance programs, conduct regulatory research and audits, respond to regulatory inquiries, and assist in compliance training and policy execution. | Bachelor's degree or equivalent experience, 1+ years in compliance or regulatory affairs, knowledge of HIPAA and state regulations, and experience with marketplace compliance programs 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: Assist in maintaining Centene Corporation's Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Respond to external requests for information required by the organization for its regulatory filings. Respond to inquiries from state and federal regulatory agencies. Monitor pending legislation and regulations affecting Centene Corporation services. Maintain database and other reference materials related to legislative and regulatory issues and compliance. Communicate state and federal requirements to internal and external clients. Conduct regulatory research and analysis of current or proposed business practices. Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions. Assist in the identification, analysis, and resolution of compliance issues. Maintain and reviews regulatory documentation necessary to maintain corporate standards. Assist in developing, producing and conducting compliance training programs. Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities. Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members. Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed. Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred and may be considered in lieu of experience. 1+ years of related experience in compliance, privacy and/or regulatory affairs. Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations. Experience with marketplace compliance programs preferred. Pay Range: $55,100.00 - $99,000.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Compliance
Regulatory Affairs
HIPAA Knowledge
Regulatory Research
Compliance Auditing
Policy Development
Data Analysis
Business Analysis
Effective Presentations
Direct Apply
Posted 2 days ago
CC

Senior Compensation Analyst

Centene CorporationAnywherefull-time
View Job
Compensation$86K - 155K a year

The Senior Compensation Analyst serves as a subject-matter expert on compensation projects and supports management and recruiters on compensation policies and processes. They lead end-to-end compensation projects, conduct market analyses, and ensure compliance with wage and hour laws. | A bachelor's degree in Business, Finance, Human Resources, or a related field is required, along with 4-6 years of experience in human resources and compensation. Advanced Excel skills and experience with compensation applications are strongly preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Serves as subject-matter expert on compensation related projects and provides support to management, recruiters and People Business Partners (PBPs) on compensation philosophy, policies, programs and processes. Implement and administer compensation programs such as labor market trend analysis job description oversight, compliance to state and federal laws and regulations and the annual compensation planning cycle. Acts as a Project Lead on moderate to complex department projects and compensation system implementations, enhancements or upgrades. Leads end-to-end compensation projects (inclusive of project management towards timeline, key stakeholders, requirements, recommendations, implementation and change management), Drives job architecture initiatives in partnership with PBPs, Project Management and people leader teams to design career framework, job profiles, job descriptions, compensation alignment, implementation, system changes and change management. Leads end-to-end annual compensation planning process, inclusive of requirements, vendor management, testing, change management, and application of pay-for-performance. Works with HR Systems (Workday, MarketPay, JDXpert, HRSoft) to ensure compensation related systems are updated and reflect appropriate program design, inclusive of requirement creation and UAT. Plans, develops, implements and administers compensation programs to maintain competitive practices. Proactively identifies and recommends improvements and efficiencies around compensation processes and programs, including departmental downstream impacts, resolutions and options. Partners with PBPs and internal clients to understand business needs, job requirements and organizational design to evaluate jobs. Leads change management initiatives, inclusive of training, reference guides, frequently asked questions (FAQs), talking points, and other communication materials. Applies project management principles, including project purpose, current gaps, specific goal, project scope, key drivers of success, dependencies, assumptions, and risks. Conducts market and trend analyses through salary survey input and market intelligence/research on an ad hoc and annual basis. Conducts compensation activities including job evaluation, market pay analysis, internal equity analysis, cost projections, data audit and analysis, implementation, training and communication strategies. Assists with the creation and revision of job descriptions. Ensures compensation programs and job classifications comply with applicable wage and hour laws. Updates and maintains wage and salary surveys, salary matrix, salary job structure and benchmarking studies. Acts as a liaison and subject matter expert when working with client groups and other functional areas within the People Team on projects or issues that proactively address the needs of the business. Provides effective problem solving and communication with all internal and external customers to ensure requests are handled efficiently. Provides training and onboarding to new compensation analysts and administrators. Performs special projects and other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in Business, Finance, Human Resources or related field required. 4-6 years of human resources and compensation experience, inclusive of labor market analysis, job description creation, state and federal regulations oversight, and compensation program administration. Advanced Excel skills required. Experience with compensation applications such as Workday, HRSoft, Marketpay/Payscale and JDXpert strongly preferred. Experience driving job architecture design and implementation strongly preferred. Licenses/Certifications: CCP Certification from World at Work preferred Pay Range: $86,000 - $154,700 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.

Compensation Analysis
Project Management
Job Evaluation
Market Pay Analysis
Data Audit
Change Management
Excel
Workday
HRSoft
MarketPay
JDXpert
Job Architecture
Compliance
Training
Communication
Problem Solving
Direct Apply
Posted 2 days ago
CC

Data Analyst III SQL, SSRS

Centene CorporationAnywherefull-time
View Job
Compensation$69K - 124K a year

Lead complex data projects, build and automate reports, provide advanced analytical support, ensure compliance with reporting requirements, and mentor other analysts. | Bachelor's degree or equivalent, 4+ years in data/statistical analysis, proficiency in SQL and SSRS, knowledge of SSIS and healthcare data 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: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. • Model data, build and automate reports using MS Excel, Access, SQL, Visual Studios SSRS and SSIS, PowerBI, and/or other data warehouse analytical tools. • Construct and assure automation for all developed reports. • Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, vision/dental or medical, external reporting. • Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources. • Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management. • Develop reports and deliverables for management. • Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis. • Assist with training and mentoring other Data Analysts. • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Highly preferred: Proficient skills in SQL and SSRS. Knowledge of SSIS (Visual Studios) for moving data. Ideal having knowledge in Powershell or other scripting languages. Knowledge in a report scheduler ideally Active Batch.. Knowledge in the different areas of Healthcare (credentialing, claims, authorizations, telephonics, quality) 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

Data Analysis
SQL
SSRS
SSIS
PowerBI
Report Automation
Healthcare Data
Project Management
Verified Source
Posted 2 days ago
CC

Data Analyst III SQL, SSRS

Centene CorporationAnywherefull-time
View Job
Compensation$69K - 124K a year

Responsible for the analytic data needs of the business unit, handling complex data projects and leading other Data Analysts. Develops and automates reports while providing advanced analytical support for various business operations. | Requires a bachelor's degree in a related field or equivalent experience, along with 4+ years of statistical or data analysis experience. Proficiency in SQL and SSRS is highly preferred, along with knowledge of healthcare data. | 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 analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. Model data, build and automate reports using MS Excel, Access, SQL, Visual Studios SSRS and SSIS, PowerBI, and/or other data warehouse analytical tools. Construct and assure automation for all developed reports. Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, vision/dental or medical, external reporting. Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources. Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management. Develop reports and deliverables for management. Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis. Assist with training and mentoring other Data Analysts. Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Highly preferred: Proficient skills in SQL and SSRS. Knowledge of SSIS (Visual Studios) for moving data. Ideal having knowledge in Powershell or other scripting languages. Knowledge in a report scheduler ideally Active Batch.. Knowledge in the different areas of Healthcare (credentialing, claims, authorizations, telephonics, quality) Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

SQL
SSRS
Data Analysis
Data Modeling
MS Excel
MS Access
PowerBI
SSIS
Data Quality Audits
Healthcare Knowledge
Project Management
Automation
Statistical Analysis
Mentoring
Reporting
Data Extraction
Direct Apply
Posted 2 days ago
CC

Business Analyst II

Centene CorporationAnywherefull-time
View Job
Compensation$55K - 99K a year

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

Business Process Analysis
Project Management
User Acceptance Testing
Data Analysis
Agile Methodology
Healthcare Industry Knowledge
CRM Systems
Stakeholder Engagement
Direct Apply
Posted 2 days ago
CC

Project Manager IV

Centene CorporationAnywherefull-time
View Job
Compensation$86K - 155K a year

Plan, manage, and oversee complex projects while supporting PMO governance, aligning projects with organizational strategy, and mentoring team members. | Bachelor's degree or equivalent, 7+ years project management experience, PMP certification preferred, healthcare or managed care experience preferred, proficiency with MS Office, and leadership experience managing cross-functional teams. | 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: The Project Manager will be responsible for planning, managing, and overseeing complex projects while supporting efforts to establish and maintain a Project Management Office (PMO) governance framework. This role involves aligning projects with organizational strategy, standardizing processes, and leveraging cross-functional teams to deliver defined requirements that meet company strategic objectives. The Project Manager will also assist in mentoring team members and perform duties as a senior team member of the PMO, ensuring best practices are implemented across all initiatives. *Note: This is a fully remote role. 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. Manage the full project life cycle, including review of various sources to assess requirements, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure. Provide input to operating models; corporate functional and information system models, performance metrics, expected outcomes and plan impacts, as appropriate. Ensure alignment of project objectives with organizational goals by applying standardized frameworks, managing prioritization within the project scope, and driving consistent delivery and compliance. Drive successful project delivery by optimizing resource allocation, managing capacity, and monitoring performance to ensure initiatives meet business objectives and deliver measurable value. 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 and external agencies 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 related field or equivalent experience. 7+ years of project management experience with departmental specific projects. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Proficient with MS-Office applications. Healthcare experience; managed care experience preferred. License/Certification: PMP certification preferred. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Project Management
PMP Certification
Cross-functional Team Leadership
Budget Management
Stakeholder Engagement
CRM Implementation
Process Improvement
Risk Management
Microsoft Office Suite
Direct Apply
Posted 2 days ago
CC

IT Data Analyst II

Centene CorporationAnywherefull-time
View Job
Compensation$62K - 112K a year

Analyze and integrate data from multiple sources, perform data quality assurance, develop and troubleshoot reports, and present insights to stakeholders. | Bachelor's degree or equivalent with 2-4 years experience, proficiency in SQL and data analysis, and familiarity with data processing tools and Agile development. | 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: Integrates, conforms, profiles and maps data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines moderately complex data to optimize the efficiency and quality of the data being collected, resolves data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. • Interprets and analyzes data from multiple sources including claims, provider, member, and encounters data. Identifies and assesses the business impact of trends • Develops, executes, maintains, and troubleshoots moderately complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools • Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers • Manages multiple intermediate, variable tasks and data review processes with limited supervision within targeted timelines and thrives in a demanding, quickly changing environment • Provides business solution architecture and implementation validation • Engages in data profiling and source to target mapping. • Works on moderately complex data integration from disparate sources. • Applies expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products • Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners • Engages with customers and business partners to gather requirements and validate results • Presents 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: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 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.” Technical Skills: • One or more of the following skills are desired • Experience with Big Data; Data Processing • Experience with Data Manipulation; Data Mining • Experience with one or more of the following Programming Tools; Python (Programming Language); SQL (Programming Language) • Experience with Agile Software Development • Experience with Medicare preferred • Experience with Snowflake preferred Soft Skills: • Intermediate - Seeks to acquire knowledge in area of specialty • Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions • Intermediate - Ability to work independently Pay Range: $62,400.00 - $112,400.00 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

Data Analysis
SQL
Data Profiling
Root Cause Analysis
Business Process Improvement
Data Mining
Reporting
Stakeholder Communication
Workflow Optimization
Verified Source
Posted 3 days ago
CC

Business Analyst III Workforce Management

Centene CorporationAnywherefull-time
View Job
Compensation$69K - 124K a year

Analyze business needs, improve processes, support implementations, coordinate training, and serve as subject matter expert for assigned functions. | Bachelor's degree or equivalent, 4-6 years business process/data analysis experience preferably in healthcare, project management experience preferred, knowledge of claims systems and workforce management preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. 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: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the assigned function product to ensure operational performance Ability to travel Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Bachelor’s degree in related field or equivalent experience. 4-6 years of business process or data analysis experience, preferably in healthcare. Project management experience preferred. Bachelor’s degree in related field or equivalent experience. 4+ years of business process analysis (i.e. i.e. documenting business process, gathering requirements). Experience in healthcare industry, preferably with managed care techniques and administrative philosophy. Experience in claims coding analysis or medical claim review/research preferred. Knowledge of Amisys claims payment system and Business Objects preferred. Demonstrated experience in workforce management, forecasting, and capacity planning, with the ability to quantify staffing needs for large operational teams (500+ employees). Strong proficiency preferred in Excel and advanced data analysis techniques, including identifying trends, performing root cause analysis, and translating complex data into clear, actionable insights. Experience partnering with director-level and senior leadership, presenting workforce plans, and telling a clear story through data to inform business decisions highly preferred. Familiarity with systems such as Xcelys, Amisys, and Facets preferred, as well as experience supporting vendor management activities. “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.” Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Business Process Analysis
Data Analysis
Project Management
User Acceptance Testing
Stakeholder Collaboration
Process Improvement
Training Development
Workforce Management
Excel Advanced Analysis
Direct Apply
Posted 3 days ago
CC

Business Analyst II Provider Data, SQL

Centene CorporationAnywherefull-time
View Job
Compensation$55K - 99K a year

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

Business process analysis
Data analysis
User acceptance testing
Project management
Stakeholder coordination
Policy and procedure formulation
Direct Apply
Posted 3 days ago
CC

Data Analyst III SQL Snowflake SSIS

Centene CorporationAnywherefull-time
View Job
Compensation$69K - 124K a year

Lead complex data projects, provide advanced analytical support, develop reports, ensure compliance with reporting requirements, and mentor other analysts. | Bachelor's degree or equivalent, 4+ years of data/statistical analysis experience, healthcare experience preferred, strong skills in SQL, SSIS, Snowflake, and Power BI. | 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. Candidates must be able to work Pacific Time Zone hours of 8am to 5pm. Position Purpose: Responsible for analytic data needs of the business unit. Handle complex data projects and acts as a lead for other Data Analysts. • Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting • Extract, load, model, and reconcile large amounts of data across multiple system platforms and sources • Review data to determine operational impacts and needed actions; elevate issues, trends, areas for improvement and opportunities to management • Develop reports and deliverables for management • Model data using MS Excel, Access, SQL, and/or other data ware house analytical tools • Ensure compliance with federal and state deliverable reporting requirements by performing data quality audits and analysis • Assist with training and mentoring other Data Analysts • Performs other duties as assigned • Complies with all policies and standards Education/Experience: Bachelor’s degree in related field or equivalent experience. 4+ years of statistical analysis or data analysis experience. Healthcare experience preferred. Experience managing projects or heavy involvement in project implementation. Strong SQL, SSIS, Snowflake and Power BI experience highly 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

Data analysis
Statistical analysis
SQL
SSIS
Snowflake
Power BI
MS Excel
Data modeling
Data visualization
Healthcare data
Compliance
Verified Source
Posted 3 days ago
CC

IT Data Analyst II

Centene CorporationAnywherefull-time
View Job
Compensation$62K - 112K a year

Integrate, profile, and map data while ensuring data quality and collaborating with business and ETL developers to optimize systems and provide data-driven insights. | Bachelor's degree or equivalent experience with 2-4 years in data analysis, proficiency in SQL and Python, experience with data manipulation, and ability to communicate findings to non-technical stakeholders. | 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: Integrates, conforms, profiles and maps data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines moderately complex data to optimize the efficiency and quality of the data being collected, resolves data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Interprets and analyzes data from multiple sources including claims, provider, member, and encounters data. Identifies and assesses the business impact of trends Develops, executes, maintains, and troubleshoots moderately complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers Manages multiple intermediate, variable tasks and data review processes with limited supervision within targeted timelines and thrives in a demanding, quickly changing environment Provides business solution architecture and implementation validation Engages in data profiling and source to target mapping. Works on moderately complex data integration from disparate sources. Applies expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners Engages with customers and business partners to gather requirements and validate results Presents 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: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 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.” Technical Skills: One or more of the following skills are desired Experience with Big Data; Data Processing Experience with Data Manipulation; Data Mining Experience with one or more of the following Programming Tools; Python (Programming Language); SQL (Programming Language) Experience with Agile Software Development Experience with Medicare preferred Experience with Snowflake preferred Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Pay Range: $62,400.00 - $112,400.00 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.

SQL
Data Analysis
Data Profiling
Data Mining
Python
Excel
Business Intelligence
Root Cause Analysis
Data Integration
Stakeholder Communication
Direct Apply
Posted 3 days ago
CC

Business Analyst II

Centene CorporationAnywherefull-time
View Job
Compensation$55K - 99K a year

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

Business Analysis
Data Analysis
User Acceptance Testing
SQL
Teradata
Snowflake
Project Management
Performance Management
Operational Reporting
Problem Solving
Policy Formulation
Process Improvement
Direct Apply
Posted 3 days ago
CC

RN Care Manager, Mother Baby, OB,GYN

Centene CorporationAnywherefull-time
View Job
Compensation$55K - 99K a year

Develop and facilitate complex care management activities including personalized care plans, member education, and coordination with providers to ensure high-quality healthcare outcomes. | Requires a nursing degree and 2-4 years of related experience with a valid RN licensure. | 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: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families. • Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome • Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs • Identifies problems/barriers to care and provide appropriate care management interventions • Coordinates 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 • Provides ongoing follow up and monitoring of 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 / unmet needs • Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate • Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services • May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources • Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators • Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits • Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner • Other duties or responsibilities as assigned by people leader to meet business needs • Performs other duties as assigned. • Complies with all policies and standards. Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience. License/Certification: • RN - Registered Nurse - State Licensure and/or Compact State Licensure 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

Care Management
Member Needs Assessment
Care Plan Development
Provider Collaboration
Resource Coordination
Telephonic Outreach
Regulatory Compliance
Education and Training
Verified Source
Posted 3 days ago

Ready to join Centene Corporation?

Create tailored applications specifically for Centene Corporation with our AI-powered resume builder

Get Started for Free

Ready to have AI work for you in your job search?

Sign-up for free and start using JobLogr today!

Get Started »
JobLogr badgeTinyLaunch BadgeJobLogr - AI Job Search Tools to Land Your Next Job Faster than Ever | Product Hunt