FreshRemote.Work

Sign in

Remote Jobs with Flexible approach Benefits

100 fresh jobs found

Community Resource Coordinator III-2
Pittsburgh - 5 Penn Ctr West (10367), United States

Centene Corporation

Evidence-based guidance Community resource connection Community education In-person outreach Member support Non-clinical assessments Telephonic Outreach Social Determinants of Health Health education +7

Senior Mid Full Time

USD 66K+

Pharmacy Technician (Drug Information)
Remote-CA, United States

Centene Corporation

Pharmacy operations Databases Health Insurance Regulatory Managed Care Outreach Data & Analytics Regulatory Compliance Access +7

Entry Full Time

USD 52K+

Clinical Review Nurse - Prior Authorization
Remote-OK, United States

Centene Corporation

Authorization requests Health management systems Medical appropriateness Medicaid regulations Clinical Review Medical necessity Health Services Medical management Clinical knowledge +11

USD 93K+

Care Manager Transition of Care
Remote-MO, United States

Centene Corporation

Transition support Care/service planning Medication review Post-discharge assessments Medical Services Treatment plans Telephonic Outreach Social Work Care management +15

USD 54K+

Manager, Automation Engineering
Remote-MO, United States

Centene Corporation

Automation framework design Chef Puppet Predictive Analytics Data Mining Conflict Management Configuration Management Team building Infrastructure as Code +23

USD 116K+

Eligibility Representative I
Remote-CA, United States

Centene Corporation

Supervision Health Insurance Access Insurance Business Education

Entry Full Time

USD 52K+

Data Analyst II Healthcare Analytics
Remote-MO, United States

Centene Corporation

Data verification Healthcare Analytics Healthcare administration Actuarial science Trend Analysis Data Mining Quantitative analysis Claims Contracting +33

USD 54K+

Data Analyst III Healthcare Analytics
Remote-MO, United States

Centene Corporation

Quality measures Process Enhancement Data verification Healthcare Analytics Risk Adjustment Microsoft Power BI Healthcare administration HEDIS Actuarial science +42

Senior Mid Full Time

USD 67K+

Account Coordinator
Remote-AZ, United States

Centene Corporation

Healthcare experience Issue Resolution Client Relations Health Insurance Customer Support Access Insurance Account management Business +6

USD 63K+

Lead Contracts Coordinator
Remote-TX, United States

Centene Corporation

Provider data management Statistical reporting MS Access Credentialing CMS Healthcare Knowledge MS Word Contracting Contract management +13

Senior Mid Full Time

USD 93K+

Manager, Data Engineering
Remote-MO, United States

Centene Corporation

Metadata Strategy Cloud-based Data Processes Non-relational databases Master Data Management Agile software development Relational databases Conflict Management Team building Data Pipelines +29

USD 98K+

Complaints and Issues Specialist II
Remote-MO, United States

Centene Corporation

Complaint Resolution Medicare Knowledge Grievances Report generation Appeals Claims Confidentiality Health Insurance Regulatory +13

Entry Mid Full Time

USD 53K+

Senior Technology Business Development Writer
Remote-MO, United States

Centene Corporation

Core processing systems Regulatory assessment Technology writing OneDrive Visual Communication Market Assessment Adobe InDesign Adobe Photoshop Process Flows +33

Senior Mid Full Time

USD 72K+

Transition Specialist
Remote-MO, United States

Centene Corporation

Transition planning Education materials development Member assessment Care Plans Metrics Tracking Social Work Care Coordination Care management Healthcare services +9

USD 50K+

Retention Field Representative - Brooklyn (Cantonese, Mandarin)
Remote-NY, United States

Centene Corporation

Facets Cantonese Home visits Mandarin Medical management Health Services Health Insurance Databases Regulatory +13

Entry Mid Full Time

USD 44K+

Quality Program Strategist II
Remote-MO, United States

Centene Corporation

CAHPS Policy compliance HEDIS Performance Improvement Cross-functional Teams Quality improvement Training Development Clinical Experience RN +14

USD 67K+

Supervisor, Benefit Configuration
Remote-CA, United States

Centene Corporation

Benefit design System enhancement UAT testing Workload management Staff Supervision Health Insurance Databases Regulatory Access +7

Senior Mid Full Time

USD 67K+

Project Manager IV
Remote-FL, United States

Centene Corporation

Planview Microsoft Visio Project documentation Healthcare experience Smartsheet Utilization management Care management Health Insurance Microsoft PowerPoint +15

Senior Full Time

USD 84K+

Care Manager (RN)
Remote-TX, United States

Centene Corporation

Clinical Nursing Care Plans Personalized care plans Resource support Service plans Digital Outreach Foster care Service Assessment Healthcare benefits +21

USD 54K+

Clinical Review Clinician - Appeals
Remote-MO, United States

Centene Corporation

Appeals process Clinical data analysis Interdepartmental Collaboration Ncqa standards Medicaid regulations Appeals Clinical Review Medical necessity Medical Records +17

USD 50K+

Manager, Strategic Sourcing
Remote-MO, United States

Centene Corporation

Procurement law Vendor Evaluation Strategic sourcing Category management Cross-functional Teams Contracting Financial modeling Contract management Health Insurance +9

USD 84K+

Project Coordinator II
Remote-IL, United States

Centene Corporation

Report Preparation Administrative Tasks Project Coordination Health Insurance Logistics Access Insurance Business Education +3

USD 93K+

Information Risk Analyst II
Remote-MO, United States

Centene Corporation

IT controls design Archer GRC Quantitative analysis Data Protection Confidentiality Auditing Health Insurance Information Technology Risk Assessment +19

Entry Mid Full Time

USD 67K+

Pediatric Care Manager, RN (ECC)
Remote-FL, United States

Centene Corporation

Education facilitation Healthcare outcomes Home outreach Pediatric care Care Plans Personalized care plans Resource support Compliance Documentation Digital Outreach +20

USD 54K+

Senior Trainer
Remote-MO, United States

Centene Corporation

E-Learning Performance Evaluation Claims processing Instructional Design Curriculum Development Claims Auditing Health Insurance Managed Care +13

Senior Full Time

USD 67K+

Senior Manager, Vendor Management Contact Center Operations
Remote-FL, United States

Centene Corporation

Inter-departmental Communication Contact Center Operations Operational strategy Performance monitoring Training Development Call Center Health Insurance Regulatory Vendor Management +10

Senior Full Time

USD 83K+

Authorization Specialist II
Remote-CA, United States

Centene Corporation

Authorization processes Authorization requests Medical management Health Services Medical terminology Utilization management Health Insurance Data Entry Access +4

Entry Mid Full Time

USD 53K+

Bilingual Customer Service Advocate I
Remote-NC, United States

Centene Corporation

Health Insurance Multitasking Bilingual Access Relationship Management CRM Insurance Education Customer service +2

Entry Full Time

USD 30K+

Utilization Review Clinician - Behavioral Health
Remote-NC, United States

Centene Corporation

Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Clinical Review Utilization Review Discharge planning Medical management Health Services +12

USD 50K+

Provider Engagement Account Manager
Remote-KY, United States

Centene Corporation

Consultative account management Quality measures Cost and utilization Network performance Provider engagement Provider Relations Provider education HEDIS Performance Improvement +14

USD 54K+

Data Analyst IV
Remote-FL, United States

Centene Corporation

Data Quality Audits MS Access HEDIS Data Reporting Analytical tools Healthcare experience MS Excel Data Quality Statistical analysis +17

Senior Full Time

USD 84K+

Data Analyst I Healthcare Analytics
Remote-MO, United States

Centene Corporation

Data verification Healthcare Analytics Healthcare administration Actuarial science Trend Analysis Data Mining Root Cause Analysis Statistical analysis Mathematics +25

Entry Mid Full Time

USD 54K+

Clinical Review Nurse - Prior Authorization
Remote-CA, United States

Centene Corporation

Medical necessity analysis Authorization requests Medicare regulations Medical appropriateness Health management systems Medicaid regulations Clinical Review Medical necessity Health Services +12

USD 93K+

Lead Application Development Engineer
Remote-MO, United States

Centene Corporation

Secure SDLC Legacy code Coding standards Site Reliability Engineering Enterprise Architecture Containerization Technical Aptitude .Net Enterprise Software +23

Senior Mid Full Time

USD 98K+

Business Analyst III (MH/BH/SUD)
Remote-MO, United States

Centene Corporation

Healthcare Standards Microsoft Applications Business solutions Microsoft Access User Acceptance Testing Training Development Health Insurance Business Analysis Performance Management +12

Senior Mid Full Time

USD 67K+

Senior Data Analyst - SQL
Remote-MO, United States

Centene Corporation

Programming concepts Data Profiling VBA Data manipulation Data Mining SAS Quantitative analysis Data Integration Data Quality +24

Senior Mid Full Time

USD 72K+

Clinical Review Nurse - Prior Authorization (RN)
Remote-CA, United States

Centene Corporation

Authorization requests Medical appropriateness Health management systems Medicaid regulations Clinical Review Medical necessity Medical management Health Services Utilization management +11

USD 93K+

Senior Provider Engagement Network Specialist (State)
Remote-CA, United States

Centene Corporation

Contract loading Network reporting Financial responsibility interpretation Provider data issues Provider information system Contract rate interpretation Claims payment Grievances Provider engagement +11

Senior Full Time

USD 50K+

Community Resource Coordinator III
Remote-TX, United States

Centene Corporation

In-person outreach Community resource connection Member support Non-clinical assessments Policy compliance Telephonic Outreach Social Determinants of Health Health education Community Resources +7

Senior Mid Full Time

USD 66K+

Business Transformation Manager
Remote-MO, United States

Centene Corporation

Strategy mapping Financial optimization Customer Journey Mapping Process Flows Organizational Change Management Gap Analysis Benchmarking Risk Analysis Training Development +20

USD 103K+

Project Manager I
Remote-CA, United States

Centene Corporation

Project documentation Cross-functional Team Leadership Project management tools Healthcare experience Healthcare Knowledge Stakeholder communication Health Insurance Budget management Access +8

Entry Mid Full Time

USD 54K+

Pharmacy Technician - Clinical Services (MTM)
Remote-FL, United States

Centene Corporation

Drug Utilization Review Evidence-based drug selection Medication therapy management Pharmacy operations Compliance Documentation Telephonic Outreach Clinical services Call center Operations Utilization Review +14

Entry Full Time

USD 52K+

Data Analyst III (SQL, SAS)
Remote-CA, United States

Centene Corporation

Data Quality Audits MS Access HEDIS Analytical tools Healthcare experience SAS Data Quality MS Excel Statistical analysis +17

Senior Mid Full Time

USD 67K+

Care Manager (RN)
Remote-NC, United States

Centene Corporation

Care Plans Personalized care plans Resource support Service plans Digital Outreach Foster care Service Assessment Healthcare benefits Telephonic Outreach +16

USD 54K+

Grievance & Appeals Coordinator I
Remote-AZ, United States

Centene Corporation

HEDIS production Grievance Resolution Grievances HEDIS Appeals Medical management Health Services Claims management Health Insurance +6

Entry Mid Full Time

USD 36K+

Senior Provider Engagement Account Manager
Remote-CA, United States

Centene Corporation

Cost and utilization Value based performance Quality measures Consultative account management Network performance Provider engagement Provider Relations HEDIS Provider education +15

Senior Mid Full Time

USD 67K+

Senior Pharmacy Resolution Specialist
Remote-CA, United States

Centene Corporation

Pharmacy operations Medical management Healthcare experience Health Insurance Call Center Managed Care Insurance Education Customer service +2

Senior Mid Full Time

USD 63K+

Data Engineer II
Remote-MO, United States

Centene Corporation

Real-time processing Data pipeline optimization Data Validation Data manipulation Data ingestion Microsoft SQL Server Data Transformation Data Mining Orchestration +19

USD 61K+

Compliance Officer, Oklahoma Complete Health
Remote-OK, United States

Centene Corporation

Internal Audits Audit Processes Healthcare Regulations Compliance management CMS Policy Development Health Insurance Contract management Regulatory +12

Senior Full Time

USD 142K+

Supervisor, Authorization
Remote-FL, United States

Centene Corporation

Authorization processes Medical management Health Services Medical terminology Health Insurance Team Management Onboarding Change Management Access +10

USD 61K+

Remote Jobs in North America Remote Jobs in Europe Remote Jobs in Asia/Pacific Remote Jobs in South America Remote Jobs in Africa Remote Jobs in Middle East Full Time Remote Jobs Part Time Remote Jobs Contract Remote Jobs Internship Remote Jobs Temporary Remote Jobs Freelance Remote Jobs Mid-Level Remote Jobs Senior-Level Remote Jobs Entry-Level Remote Jobs Exec-Level Remote Jobs Lead-Level Remote Jobs Junior-Level Remote Jobs

Remote Jobs with GBP > 80K in Salary Remote Jobs with CAD > 80K in Salary Remote Jobs with PHP > 60K in Salary Remote Jobs with PHP > 40K in Salary Remote Jobs with PHP > 80K in Salary Remote Jobs with PHP > 100K in Salary Remote Jobs with PHP > 140K in Salary Remote Jobs with PHP > 120K in Salary Remote Jobs with PHP > 300K in Salary Remote Jobs with PHP > 160K in Salary Remote Jobs with PHP > 240K in Salary Remote Jobs with PHP > 260K in Salary Remote Jobs with PHP > 220K in Salary Remote Jobs with PHP > 280K in Salary Remote Jobs with PHP > 180K in Salary Remote Jobs with PHP > 200K in Salary Remote Jobs with EUR > 80K in Salary Remote Jobs with CAD > 100K in Salary Remote Jobs with GBP > 100K in Salary Remote Jobs with CAD > 120K in Salary