CC

Centene Corporation

20 open positions available

1 location
1 employment type
Actively hiring
Full-time

Latest Positions

Showing 20 most recent jobs
CC

IT Project Management Office (PMO) Analyst

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

Support the PMO by analyzing project data, developing reports, and ensuring adherence to standards. | Requires a Bachelor's degree and 0-2 years of related experience, with skills in data analysis, process improvement, and project governance. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provide data analysis, process improvement insights, and governance support for an IT Project Management Office. This role focuses on ensuring operational excellence by driving the adoption of project management best practices and ensuring transparency across large, enterprise-wide, strategic technology initiatives. Analyze project documentation and data to identify trends, risks, and opportunities for improvement. Develop and maintain dashboards and reports to track key performance indicators (KPIs) and project health. Generate insights from documentation and data to support decision-making and identify trends. Assist in the implementation and adherence to PMO standards and practices. Conduct compliance audits on project documentation, tool adoption, and delivery effectiveness. Facilitate resolution of gaps or issues in findings resulting from analysis. Maintain and update governance policies and procedures for project and program management. Identify and recommend process improvements to enhance delivery operations. Collaborate with cross-functional teams to implement process enhancements and standardize workflows. Perform project health assessments, risk reviews, and resource planning analysis. Review project plans and financial forecasts to ensure alignment with PMO standards. Provide tool support and training for project management capabilities. Support ongoing updates to training materials and user guides. Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 0 – 2 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Or completion of a Centene-sponsored emerging talent program. 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 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.

Data analysis
Process improvement
Governance support
Project management
Dashboard/report development
Direct Apply
Posted 2 days ago
CC

Sales Support Coordinator I

Centene CorporationAnywhereFull-time
View Job
Compensation$15.58 - 26.73 hour

The Sales Support Coordinator I acts as the primary contact for assigned markets, handling onboarding, certifications, and commissions. They are responsible for resolving service issues, maintaining compliance, and ensuring timely communication with producers. | A High School diploma or GED is required, along with 2+ years of experience in customer service or an office-related area. Preferred qualifications include experience in health insurance and technical writing. | 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: Primary contact for assigned market(s) for all Sales Support functions from onboarding, certifications and commissions. Thrives in a fast paced environment, while striving toward quality resolutions for our field partners. Acts as the primary contact for assigned service issues and is responsible for fulfillment and delivery of pre-enrollment kits, enrollment and marketing supplies to producers nationally. Assists with tracking various compliance elements, e.g. license expirations, past due field evaluations, training, rapid disenrollment's, etc. Communicates the status of agent certification and re-certification with the field. Coordinates all activities required of WellCare's certification and recertification processes, e.g. generating and evaluating producer background checks, ensuring appropriate licensure and appointments, data entry, creation of producer files, and gathering of documentation required to issue WellCare approval of producers’ writing privileges. Interacts with producers via phone, internet and email. Maintains producer files to ensure compliance with organization policies and procedures, CMS requirements, and HIPAA regulations. Performs data entry functions for all producer activity and is fluent in all WellCare systems that are applicable to the field channel. Provides service resolutions within targeted SLAs and serves as first line of contact for escalated service issues. Aims to provide 1st call resolution for escalated contracting, training and communication issues. Researches and resolves compensation issues. Resolves inquiries via the Field Magic and Customer Service ticketing systems. Responds to all producer inquiries regarding service of CCP and PDP plans and works with other team members and departments as necessary to facilitate producer business workflow and commission issue resolutions. Responds to producer inquiries with timely and accurate feedback and proactively partners with internal and external team members to provide first-call, Quality resolution. Understands CMS guidelines for marketing and enrollment/disenrollment. Conducts outreach to sales partners relating to certifications, applications, events, etc. Performs special projects as assigned. Performs other duties as assigned Complies with all policies and standards Education/Experience: A High School or GED. 2+ years of experience in customer service or office related area required. 2+ years of experience in health insurance and agent certification preferred. 2+ years of experience in policy and procedure technical writing preferred. Pay Range: $15.58 - $26.73 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Customer Service
Data Entry
Compliance
Communication
Problem Solving
Technical Writing
Health Insurance
Agent Certification
Sales Support
Documentation
Research
Outreach
Service Resolution
HIPAA Regulations
CMS Guidelines
Field Support
Direct Apply
Posted 3 days ago
CC

Senior Analytics Engineer

Centene CorporationAnywhereFull-time
View Job
Compensation$85K - 158K a year

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

TypeScript
React
Node.js
Full-stack development
API development
Cloud platforms (AWS)
Data architectures
Direct Apply
Posted 3 days ago
CC

Vice President II, Strategic Business Operations

Centene CorporationAnywhereFull-time
View Job
Compensation$185K - 353K a year

Provide strategic and operational leadership, oversee high-level projects, and manage vendor and stakeholder relationships. | Requires 10+ years of management, healthcare or large-scale service industry experience, and executive-level leadership skills. | Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members. Position Purpose: Acts as a thought partner to the executive leadership team, providing vision, strategy, and operational leadership in support of organizational culture, strategic priorities, and vendor governance functions. Serves as a trusted confidant and advisor, overseeing high-level projects and initiatives, particularly focused on the execution of key performance indicators (KPIs). Plan, track, and monitor the progress of key priorities and strategic initiatives for the leadership team. Assist leadership teams with strategy development, strategic planning, and financial and vendor management planning. Partner with key stakeholders to prioritize business needs and initiatives. Navigate formal and informal organizational channels, influencing across all levels and divisions. Plan, track, and monitor the progress of key priorities and strategic initiatives for the leadership team. Manage critical aspects of deliverables, including drafting correspondence and other tasks to facilitate effective execution of top priorities. Manage communications on behalf of the leadership team. Prepare documents for internal and external audiences, including compelling presentations for company-wide meetings and external speaking engagements. Provide vendor governance including all financial, technology, RFPs, rate setting and operational processes. Identify risks and opportunities associated with future profitability and member retention. Education/Experience: Bachelor's Degree in business, communications or related field or equivalent experience required. Master's Degree in a related field preferred. 10+ years management experience 10+ years of experience in communications, health plan operations and strategy, change management, project management, or vendor management required. Prior experience in healthcare or large-scale service industry required. Experience supporting executive level management and driving interdepartmental collaboration required. Leadership experience and skills required. required. Experience with accounting practices, state reporting requirements, and rate setting activities preferred. Pay Range: $185,200.00 - $352,700.00 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.

Leadership
Strategic Planning
Vendor Management
Project Management
Communication
Direct Apply
Posted 3 days ago
CC

Finance Analyst III - Provider Network Performance

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

Support high-priority initiatives through advanced financial analysis, manage multiple projects, and provide strategic guidance to improve financial performance. | Bachelor's degree or equivalent experience, 4+ years in financial or data analysis, advanced Excel skills, healthcare experience preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. As a key member of the Provider Network Performance team, you will be at the forefront of enterprise initiatives, working directly with on projects that influence financial performance and operational efficiency. You will gain exposure to a wide range of Health Plan partners and business functions, building a deep understanding of Centene’s reimbursement landscape while developing your analytical and strategic thinking skills. Position Purpose: You will partner with key decision makers to support high-priority initiatives that align with Centene’s corporate goals and long-term vision. Conduct advanced financial analysis to distil key business insights and support data-informed decision making. Manage multiple initiatives from inception to completion, maintaining accountability across diverse markets Identify and execute cost savings opportunities in collaboration with market leaders and cross-functional teams Analyze large, complex data sets to uncover trends, outliers, and opportunities that drive financial performance Lead and facilitate regular market calls, providing strategic guidance and day-to-day support to ensure alignment with departmental objectives Coordinate with project management and leadership to monitor initiative progress, ensuring milestones and timelines are met Develop integrated revenue/expense analyses, projections, reports, and presentations Create and analyze monthly, quarterly, and annual reports and ensure financial information has been recorded accurately Identify trends and developments in competitive environments and present findings to senior management Perform financial forecasting and reconciliation of internal accounts Handle complex and high level financial analysis Present and discuss analysis with upper management Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of financial or data analysis experience. Advanced skills in Microsoft Excel. Highly preferred: Advanced Excel skills: Pivot Tables, Power BI, VLOOKUP/HLOOKUP, Excel queries Healthcare experience (Medicaid, Medicare and Marketplace) 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.

Data Analytics
Process Improvement
Workflow Optimization
Financial Reporting
Business Intelligence
Direct Apply
Posted 3 days ago
CC

Senior Analytics Engineer - DBT

Centene CorporationAnywhereFull-time
View Job
Compensation$85K - 158K a year

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

TypeScript
React
Node.js
API development
Cloud platforms (AWS)
Data architecture
Direct Apply
Posted 3 days ago
CC

Analytics Engineer II

Centene CorporationAnywhereFull-time
View Job
Compensation$74K - 133K a year

Translate business requirements into technical data models and develop analytics code, including SQL and Python, for data pipelines and reports. | Requires 2-4 years of experience in SQL, SDLC, GIT, RDBMS, Medallion Architecture, Python, and Snowflake, with a relevant bachelor's degree or equivalent experience. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Convert analytics business requirements into technical requirements through working with IT, business, and analytics partners. These requirements will then be converted into models and analytical resources for data analysts, reports, dashboards, and business users to leverage. • Requirements Gathering – Occasional lead on customer/IT calls or meetings. May be designated as the primary engineering on projects of basic to moderate complexity, while interpreting requirements. • Data Modeling – Leverages an advanced understanding of data and analytics concepts to build tables and views with a level of autonomy. Emerging ability to propose solutions with little or no direction. Model sophistication ranges from few to a moderate number of related objects. • Analytics Code Development – Utilizes code management and control. Understands SDLC processes and implements them. SQL development includes more advanced methods and constructs. Develops batch pipelines to source data. Creates test plans and converts them to automated processes. Implements gold layer (medallion architecture) objects in support of the Centene supply chain methodology. • Source Code/Documentation Management – Creates source code and documentation principles. May assume responsibility/owner for code or domain knowledge associated with a product. • Defect/Bug Investigation/Remediation – Addresses bugs and defects of a moderate to difficult nature. Understands the paths and methodologies for investigation. Emerging exposure to critical defects and bugs when confidence is high of success or if the individual owns a specific set of code or domain knowledge. May recommend alternative/optimized solutions to solve issues. • 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. 2+ years knowledge of SQL, SDLC, GIT, RDBMS, Medallion Architecture, Python, and Snowflake preferred. License/Certification: • DBT Fundamentals preferred Pay Range: $73,800.00 - $132,700.00 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
Process Optimization
Operational Efficiency
Verified Source
Posted 3 days ago
CC

Lead IT Project Manager

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

Leading and managing multiple medium to large-sized technology projects, ensuring they are completed on time, within scope and budget, and managing stakeholder relationships. | Requires 5-7 years of related experience, project management skills, and knowledge of project management tools and methodologies, with a preference for PMP certification. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Leads the management and oversight of all aspects of a technology project to ensure it is completed on time and within budget. Has overall responsibility for managing scope, cost, schedule, internal staffing, vendors, and contractual deliverables. Develops detailed project plans. Monitors project milestones and generates periodic status reports. Evaluates and manages risk. Incorporates quality measures and standards to project deliverables. Leads multiple medium to large sized projects Leads development and execution of division project initiatives Owns, track, and report on key performance metrics for leadership Works with project stakeholders to develop an objective-based comprehensive project plan as per allocated time and budget Establishes, builds rapport, and maintains relationships with stakeholders, third parties and vendors to ensure their coordination with internal resources Creates, builds, and updates project schedules, project charters, status reports and work breakdown structures Tracks and reports on financial data, performance, and status of multiple projects by leveraging project management tools and techniques; continually reviews and makes recommendations to ensure adequate availability of resources Identifies key project risks and manages them to ensure the delivery of business goals; escalates issues to management as needed Facilitates and determines the resolution of project-related conflicts including necessary corrective action(s) Ensures consistency and adherence to corporate operational standards and processes Ensures proper project closure including lessons learned Works with consultant staff performing a wide-range of project controls functions. Prepares information technology project status reports by collecting, analyzing and summarizing information and trends. Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 5 – 7 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Microsoft Office; Project Management; Root Cause Analysis; Sourcing; Stakeholder Management; Vendor Relationship Management Knowledge of Agile Software Development; Scrum (Software Development); Software Development Life Cycle Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Demonstrated analytical skills Demonstrated project management skills Demonstrates a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Ability to communicate and make recommendations to upper management Ability to drive multiple projects to successful completion 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
Stakeholder Management
Vendor Relationship Management
Risk Management
Agile/Scrum
Direct Apply
Posted 3 days ago
CC

LTSS Service Care Coordinator

Centene CorporationAnywhereFull-time
View Job
Compensation$22.5 - 38.02 hour

The LTSS Service Care Coordinator assists in developing and coordinating holistic care management activities to enable quality healthcare outcomes. They evaluate member needs, develop service plans, and provide education and resource support to members and their families. | A Bachelor's degree and 1+ years of experience with the populations served are required, or an RN with 6+ years of experience. The role involves significant travel and remote work options. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. **Applicants for this position must live in the Polk county area as the role requires approximately 75% travel for field visits. Candidates are able to work remotely from their home the remaining time. The work schedule is Monday - Friday, 8am - 5pm Central time.** Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 1+ years of experience with populations served, or RN with 6+ years of experience with population served. Pay Range: $22.50 - $38.02 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Care Coordination
Holistic Care Management
Service Plans
Member Education
Resource Support
Monitoring Care Plans
Collaboration
Documentation
Compliance
Feedback
Long-Term Care
Healthcare Providers
Community Resources
Assessment
Family Support
Cost-Effective Care
Direct Apply
Posted 3 days ago
CC

Project Manager II

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

Oversee and manage project lifecycle, coordinate cross-functional teams, and ensure project deliverables meet standards and stakeholder expectations. | Bachelor's degree, 3+ years of project management experience, proficiency with project management tools, healthcare experience preferred, PMP or CAPM certification preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure. Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures. Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans. Effectively communicate project status to all stakeholders. Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks. Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives. Provide functional and technical knowledge across multiple business and technical areas. Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation. Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics. Education/Experience: Bachelor's degree in related area or equivalent experience. 3+ years of project management experience. Experience working with and leading diverse groups and matrix managed environments. Proficient with project management tools, MS-Project or other project management software, and MS-Office applications. Healthcare experience preferred. License/Certification: PMP or CAPM certification preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act 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
Stakeholder Communication
Risk Management
Project Planning
Cross-functional Team Leadership
Direct Apply
Posted 3 days ago
CC

Care Management Support Coordinator II

Centene CorporationAnywhereFull-time
View Job
Compensation$17.5 - 27.5 hour

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

Healthcare
Managed Care
Call Center
Attention To Detail
Customer Care
Outreach
Scheduling
Documentation
Problem Solving
Communication
Social Determinants Of Health
Administrative Support
Member Support
Provider Relations
Care Coordination
Regulatory Compliance
Direct Apply
Posted 3 days ago
CC

Finance Analyst III - Provider Network Performance

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

Support high-priority initiatives by analyzing large data sets, identifying trends, and providing strategic insights to improve financial performance. | Requires 4+ years of financial or data analysis experience, advanced Excel skills, and healthcare experience preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. As a key member of the Provider Network Performance team, you will be at the forefront of enterprise initiatives, working directly with on projects that influence financial performance and operational efficiency. You will gain exposure to a wide range of Health Plan partners and business functions, building a deep understanding of Centene’s reimbursement landscape while developing your analytical and strategic thinking skills. Position Purpose: You will partner with key decision makers to support high-priority initiatives that align with Centene’s corporate goals and long-term vision. Conduct advanced financial analysis to distil key business insights and support data-informed decision making. Manage multiple initiatives from inception to completion, maintaining accountability across diverse markets • Identify and execute cost savings opportunities in collaboration with market leaders and cross-functional teams • Analyze large, complex data sets to uncover trends, outliers, and opportunities that drive financial performance • Lead and facilitate regular market calls, providing strategic guidance and day-to-day support to ensure alignment with departmental objectives • Coordinate with project management and leadership to monitor initiative progress, ensuring milestones and timelines are met • Develop integrated revenue/expense analyses, projections, reports, and presentations • Create and analyze monthly, quarterly, and annual reports and ensure financial information has been recorded accurately • Identify trends and developments in competitive environments and present findings to senior management • Perform financial forecasting and reconciliation of internal accounts • Handle complex and high level financial analysis • Present and discuss analysis with upper management Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of financial or data analysis experience. Advanced skills in Microsoft Excel. Highly preferred: • Advanced Excel skills: Pivot Tables, Power BI, VLOOKUP/HLOOKUP, Excel queries • Healthcare experience (Medicaid, Medicare and Marketplace) 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
Financial Analysis
Process Optimization
Operational Efficiency
Verified Source
Posted 3 days ago
CC

Data Engineer II

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

Develops and operationalizes data pipelines, manages data ingestion and transformation, and ensures data quality for analytics. | Requires 2-4 years of experience in data processing, programming skills in SQL, Python, or similar, and experience with large-scale data structures and cloud infrastructure. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Develops and operationalizes data pipelines to make data available for consumption (reports and advanced analytics), including data ingestion, data transformation, data validation / quality, data pipeline optimization, and orchestration. Engages with the DevSecOps Engineer during continuous integration and continuous deployment. Designs and implements standardized data management procedures around data staging, data ingestion, data preparation, data provisioning, and data destruction (scripts, programs, automation, assisted by automation, etc.) Designs, develops, implements, tests, documents, and operates large-scale, high-volume, high-performance data structures for business intelligence analytics Designs, develops, and maintains real-time processing applications and real-time data pipelines Ensure quality of technical solutions as data moves across Centene’s environments Provides insight into the changing data environment, data processing, data storage, and utilization requirements for the company and offers suggestions for solutions Develops, constructs, tests, and maintains architectures using programming language and tools Identifies ways to improve data reliability, efficiency, and quality; use data to discover tasks that can be automated Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Other: diagnosing system issues, engaging in data validation, and providing quality assurance testing Experience with Data Manipulation; Data Mining Experience with Other: • Experience working in a production cloud infrastructure Experience with one or more of the following C# (Programming Language); Java (Programming Language); Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language) Knowledge of Microsoft SQL Servers; SQL (Programming Language) 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.

Data Analytics
Process Improvement
Workflow Optimization
Dashboards
Business Intelligence
Direct Apply
Posted 3 days ago
CC

Project Manager I

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

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

Project Management
Stakeholder Communication
Cross-Functional Collaboration
Documentation and Reporting
Direct Apply
Posted 3 days ago
CC

LTSS Service Care Manager

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

Assist in developing and coordinating care plans for long-term care members, evaluate member needs, and collaborate with healthcare providers. | Requires a Bachelor's degree, 2-4 years of related experience, and RN or LCSW certification with experience in LTSS or HCBS. | 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. Work Location & Travel: This is a remote/field-based position that requires local travel for member visits up to 75% of the time. Residency Requirement: To be considered, candidates must reside in one of the following counties in North Carolina: Alexander Catawba Cleveland Cabarrus Gaston Anson Iredell Lincoln Mecklenburg Stanly Union Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs. Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a Bachelor's degree and 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. RN or LCSW required. For North Carolina Tailored Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services. 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 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.

Care management
Healthcare coordination
Member and family education
Regulatory compliance
Direct Apply
Posted 3 days ago
CC

Senior Product Manager (Software)

Centene CorporationAnywhereFull-time
View Job
Compensation$106K - 195K a year

Create and manage features supporting digital communication strategies, lead engineering and UX teams, and oversee the entire product lifecycle. | Bachelor's degree or equivalent, 4+ years in related product management or IT roles, experience in health insurance or health industry preferred. | You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: This role is a business value multiplier, focused on maximizing business gains for every IT dollar invested. Create and own features that support Digital Communication product strategy and IT delivery. Lead the direction and focus of engineering and user experience teams. Identify feature enhancements, manage associated backlog and roadmap to maximize business outcomes Lead engineering on driving out a technical design, estimates and the delivery Lead UX on driving out design and validate user flows and interfaces Define success metrics and measurement plan Responsible for the entire lifecycle of a product cradle to grave Identify and align to external dependencies Education/Experience: Bachelor’s degree in Computer Science, Economics, Marketing or equivalent experience. 4+ years of related product management experience in a health insurance, health provider, or IT industry. Pay Range: $105,600.00 - $195,400.00 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.

TypeScript
React
Node.js
API development
Cloud platforms (AWS)
Direct Apply
Posted 3 days ago
CC

Business Systems Analyst

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

Identify and implement business and technical requirements, develop and test functional software, and coordinate system improvements. | Bachelor's degree in a relevant field, minimum 3 years of analytical experience, and familiarity with automation tools and process modeling. | 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: The Business Systems Analyst identifies and presents business and technical specifications based on customer and business needs, industry best practices and available technology. Implements processes, systems and applications to meet the company’s business initiatives. Responsible for driving low to moderately complex systems requirements (6 or less participants and/or budget of less than $200K). Consults with management and staff to identify and document business needs and objectives, current operational procedures, problems, input and output requirements, data scope, usage, formatting, and security requirements. Communicates the business requirements and technical specifications to the technical/programming department. Develops, coordinates, and implements plans to test business and functional processes. Develops, tests, installs, and modifies functional software. Writes and maintains functional specifications for new or modified business systems. Creates or assists others in the writing of user documentation, instructions, and procedures. Monitors and documents post-implementation problems and revision requests. Consults and coordinates with systems analysts and programmers to design and develop automated business systems. Coordinates the implementation of technological functions to customer’s specifications. Develops, tracks and manages project plans including goals, strategy, resource scheduling, timelines, and budget. Provides end-user application support. Analyzes existing systems to determine more efficient processing methods or to identify errors. Conducts preliminary investigation for all project requests. Reviews requirements, specifications, testing plans, support and training plans to ensure they are in line with business objectives. Preferred Skills: Strong understanding of RPA tools (e.g. UiPath, Automation Anywhere, Blue Prism) Experience with Robotic Process Automation (RPA) or automation projects Experience with process modeling, requirements gathering, and stakeholder engagement Education/Experience: Bachelor’s Degree in Information Systems, Finance/Accounting, Business or other technical/analytical field or equivalent experience. Minimum 3 years analytical and data processing experience. IT experience preferred. Health Care or other applicable industry experience preferred. Pay Range: $68,700.00 - $123,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Business Process Improvement
Data Analysis
Workflow Mapping
Operational Efficiency
Direct Apply
Posted 3 days ago
CC

Grievance & Appeals Coordinator

Centene CorporationAnywhereFull-time
View Job
Compensation$19.04 - 32.35 hour

Analyze and resolve claims and authorization appeals from providers while pursuing resolutions for formal grievances from members. Prepare response letters and maintain files on individual appeals and grievances. | A high school diploma or equivalent is required, with an associate's degree preferred. Candidates should have at least 2 years of experience in grievance or appeals, claims, or related managed care 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. Work Location: This is a fully remote position; however, to be considered, candidates must currently reside in one of the following states: New York New Jersey Pennsylvania Connecticut Work Schedule: You’ll work a consistent schedule of either: 8:30 AM – 5:00 PM ET or 9:00 AM – 5:30 PM ET (both include a 1-hour lunch break) Position Purpose: Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather, analyze and report verbal and written member and provider complaints, grievances and appeals Prepare response letters for member and provider complaints, grievances and appeals Maintain files on individual appeals and grievances May coordinate the Grievance and Appeals Committee Support the pay-for-performance programs, including data entry, tracking, organizing, and researching informatio Assist with HEDIS production functions including data entry, calls to provider’s offices, and claims research. Manage large volumes of documents including copying, faxing and scanning incoming mail Performs other duties as assigned. Complies with all policies and standards. Education/Experience: High school diploma or equivalent. Associate’s degree preferred. 2+ years grievance or appeals, claims, related managed care experience, or relevant experience. Pay Range: $19.04 - $32.35 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Thanks for your interest in Centene and its subsidiary companies. We’re so glad that you’ve decided to fill out an application and take the next step to find your purpose. Also, we’re here to help support you on your candidate journey. Should you need an accommodation, please email recruiting@centene.com. Centene is committed to helping people live healthier lives. We provide access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well and be well.

Grievance Resolution
Claims Processing
Data Entry
Research
Document Management
Communication
Customer Service
Analytical Skills
Direct Apply
Posted 3 days ago
CC

Strategic Sourcing Specialist II

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

Lead supplier negotiations, develop sourcing strategies, and liaise with internal stakeholders to support procurement initiatives. | Bachelor’s degree in Business or related field, 3+ years in project management or negotiations, understanding of sourcing and procurement processes, experience with procurement tools, and healthcare experience preferred. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Note: 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. Be part of high-impact procurement teams transforming healthcare operations. Gain visibility with leadership, grow your career, and help shape procurement best practices across strategic categories. Position Purpose: Lead supplier negotiations and contracting with suppliers on behalf on internal customers. This role will be supporting our Vision, Hearing, and Provider Network Support procurement team. In this Strategic Sourcing Specialist II role, you will: Develop and execute Request for Information and Request for Proposals (RFI, RFP) to gain understanding of market dynamics and suppliers position within the market Lead pricing and contract negotiations on both tactical and strategic contracts, assisting with strategy, technique and messaging Liaise with Legal, Risk and other internal stakeholders to ensure contract language protects Centene's interests Connect with internal customers to identify business needs and develop scope of project Support business initiatives by engaging with internal business owners and suppliers, leading contract negotiations Utilize market research along with RFI and RFP results to develop sourcing strategy, identifying most productive negotiation strategy to drive value Assist in the preparation of internal negotiation strategy documents Understand SS&P strategic sourcing process and begin to recommend process improvements, and with manager support, implement changes Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in Business or related field or equivalent experience; 3+ years of experience in project management or negotiations Preferred Qualifications: General understanding of sourcing and procurement processes with soliciting, awarding, contracting, and onboarding new and existing vendors. Experience with government procurement and flow down requirements. Experience with ServiceNow, Coupa and/or other ticket management and contract lifecycle management tools. Health Care experience preferred. Strategic sourcing strategy that is tied to enterprise objectives and savings initiatives Applicants for this role have the flexibility to work remotely from home anywhere within the continental United States. Due to the needs of the business, ideal schedule is ET, CT time zones. 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.

Negotiation
Contract Management
Procurement Processes
Market Research
Direct Apply
Posted 3 days ago
CC

Sales Assistant

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

The Sales Assistant facilitates all administrative support to the sales team and ensures compliance with work instructions and processes. They serve as the day-to-day contact for assigned accounts, interacting with clients to resolve issues and promote satisfaction. | A bachelor's degree in Business Administration, Healthcare Administration, or a related field is required, along with 1+ years of relevant experience. For pharmacy roles, 1+ years of pharmacy benefits management experience is required, while non-pharmacy roles prefer sales or account management experience in healthcare. | You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Facilitates all administrative support to the sales team, and is charged with key responsibility of ensuring that all work instructions and processes as outlined in the Model Office document are followed. Serve as the day-to-day contact for assigned accounts, interacting with client contacts to facilitate problem resolution and promote high client satisfaction Work cross functionally with internal departments regarding client needs and requests, contractual obligations, work procedures, benefit change requests, and other elements of supporting assigned clients Assist the Account Executive with account renewals, benefit enrollment meetings, and overall compliance with client contracts Manage plan setup and benefit configuration of new and existing clients in PBM system Participate in new client implementation meetings, finalists meetings, conferences and tradeshows Develop contract amendments under the direction of the Account Executive Document appropriate client specific information in Salesforce.com Ability to travel Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor’s degree in Business Administration, Healthcare Administration, related field or equivalent experience. For Centene Pharmacy Services: 1+ years of pharmacy benefits management (PBM) experience required. For non-pharmacy roles: 1+ years of sales or client/account management experience in healthcare 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.

Administrative Support
Client Interaction
Problem Resolution
Sales Support
Account Management
Benefit Configuration
Salesforce.com
Contract Compliance
Client Implementation
Communication
Team Collaboration
Detail Orientation
Time Management
Travel
Documentation
Healthcare Knowledge
Direct Apply
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