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Remote Jobs with Flexible approach Benefits

271 fresh jobs found

Eligibility Representative II
Remote-FL, United States

Centene Corporation

Membership reconciliation Eligibility processing Reconciliation Procedures Supervision Data Entry Health Insurance Customer Support Flexibility +9

Entry Mid Full Time

USD 53K+

Member Contract Development Analyst III
Remote-MO, United States

Centene Corporation

Policy Maintenance Legislation Analysis Regulatory research Health Plan Contract Development Policy analysis Risk assessments CMS Cross-functional Teams +27

Senior Full Time

USD 68K+

Care Manager (RN) - Northern NJ
Remote-NJ, United States

Centene Corporation

Complex Care Management Care Plan Development Resource Coordination Personalized care plans Resource support Service Assessment Foster care Social Determinants of Health Service plans +23

USD 55K+

Customer Service Advocate IV
Remote-FL, United States

Centene Corporation

Customer Care Contact center Quality Standards Procedures Training Development Root Cause Analysis Confidentiality Health Insurance Metrics +17

USD 76K+

Authorization Specialist II
Remote-GA, United States

Centene Corporation

Healthcare eligibility Authorization processes Authorization requests Insurance coverage Medical management Referrals Prior authorization Health Services Procedures +14

Entry Mid Full Time

USD 55K+

Care Manager Transition of Care
Remote-NM, United States

Centene Corporation

Transition of care Post-discharge assessments Transition support Care/service planning Medication review Home outreach Treatment plans Digital Outreach Quality of care +22

USD 55K+

Senior Contract Negotiator
Remote-TX, United States

Centene Corporation

Financial Performance Evaluation Contracting Strategy Health Plan Contract Compliance Provider Relations Healthcare administration Contracting Business administration Collections +13

Senior Mid Full Time

USD 68K+

Financial Systems Analyst I
Remote-MO, United States

Centene Corporation

Concur administration Source to pay processes Enterprise resource planning Financial Systems Issue Resolution Information systems Data integrity Business Intelligence Data Entry +17

Entry Mid Full Time

USD 55K+

Contract Coordinator
Remote-TX, United States

Centene Corporation

Emptoris MS Access Credentialing Healthcare experience Spreadsheets MS Word Contracting MS Excel Administrative Support +18

Entry Full Time

USD 77K+

Business Technical Analyst, Lead
Remote-TN, United States

Centene Corporation

EDI 837 Project tracking UAT Technical Analysis Methodologies EHR SAS Public health Advanced Excel +30

Senior Full Time

USD 105K+

Patient Care Advocate
Remote-NY, United States

Centene Corporation

Provider experience Quality Initiatives NCQA Risk Adjustment Health administration HEDIS Provider Relations Telephonic Outreach Psychology +32

USD 95K+

Contract Negotiator I
Remote-TX, United States

Centene Corporation

Provider experience Health Plan Contract Analysis Claims Adjudication Contract Compliance Provider Relations Healthcare administration Contracting Claims +19

Entry Mid Full Time

USD 55K+

Contract Negotiator II
Remote-TX, United States

Centene Corporation

Provider experience Health Plan Contract Analysis Claims Adjudication Contract Compliance Provider Relations Healthcare administration Contracting Claims +20

USD 55K+

Care Coordinator II
Remote-MS, United States

Centene Corporation

Service assessments Education on Benefits Member Outreach Home visits Referrals Care Coordination Care management Healthcare services Regulatory +13

Entry Mid Full Time

USD 55K+

Remote Medical Director - New York
Remote-NY, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Remote Medical Director - Texas
Remote-TX, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Lead People Services Talent Coordinator
Remote-MO, United States

Centene Corporation

Resume mining Interview scheduling Recruiting systems Candidate Sourcing Administrative Support Data Entry Logistics Scheduling Talent Acquisition +8

Senior Mid Full Time

USD 47K+

Application Development Engineer II
Remote-IL, United States

Centene Corporation

Pega robotics SOA components Service interfaces Service messages Data access logic Business logic UiPath UI/UX Process Flows +22

USD 73K+

Account Manager I
Remote-FL, United States

Centene Corporation

Health care consulting Call tracking Logging Procedures Health care Health Insurance Access Benefits Troubleshooting +6

USD 55K+

Clinical Review Nurse - Concurrent Review
Remote-NC, United States

Centene Corporation

Health management systems Health management Medicaid regulations Clinical Review Acute care Discharge planning Medical necessity Medical Records Medical management +17

USD 52K+

Contract Administrator II
Remote-MO, United States

Centene Corporation

Team Track Contract Language Revision Dual Eligible Programs Healthcare Provider Contracts Emptoris Regulatory research Contracting Business administration Contract management +19

USD 68K+

Community Resource Coordinator II
Remote-MI, United States

Centene Corporation

In-person outreach Non-clinical assessments Member support Community education Health Plan Health Assessments Home visits Health education Community outreach +16

Entry Mid Full Time

USD 55K+

Finance Analyst II
Remote-MO, United States

Centene Corporation

Provider Contracts Interpretation Reimbursement Knowledge Financial Forecasting Reconciliation Network Health Insurance Financial analysis Flexibility Forecasting +9

Entry Mid Full Time

USD 55K+

Program Manager - Social Work
Remote-FL, United States

Centene Corporation

Managed healthcare Private duty nursing Operational reporting Project Implementation Provider engagement Medical Services Home Health Healthcare administration Social Work +19

USD 86K+

Business Analyst II ( SQL, Healthcare)
Remote-FL, United States

Centene Corporation

Business Process Improvement Business solutions User Acceptance Testing Procedures Performance Management Health Insurance Best Practices Access Benefits +11

USD 55K+

LTSS Service Care Manager
Remote-TX, United States

Centene Corporation

Holistic care Service coordination Resiliency Health Assessments Quality of care Resource support Long Term Care Foster care Service Assessment +31

USD 52K+

Data Analyst IV
Remote-FL, United States

Centene Corporation

Data quality audits Quality audits Project Implementation MS Access HEDIS Analytical tools Healthcare experience Data Warehousing Audits +26

Senior Full Time

USD 86K+

Senior Care Manager (RN)
Remote-NY, United States

Centene Corporation

Complex Care Management Service coordination Service plans Healthcare outcomes Care Plans Healthcare benefits Referrals Patient Education Community Resources +25

Senior Mid Full Time

USD 73K+

Remote Medical Director
Remote-MO, United States

Centene Corporation

Clinical quality improvement Provider network development Medical management programs Government programs Health care quality Health financing Personnel management Health administration Accreditation Standards +37

Exec Senior Full Time

USD 231K+

Quality Improvement Coordinator II-2
Remote-AZ, United States

Centene Corporation

Credentialing reviews Medical record audits Best practices identification Cphq Clinical Initiatives Complaint Resolution Corrective action plans Healthcare quality Credentialing +24

USD 66K+

Pharmacy Operations Specialist II
Remote-FL, United States

Centene Corporation

Benefit setup Formularies Formulary management Medicare part d Pharmacy operations Managed care experience UAT Pharmacy Technician Power Automate +32

USD 55K+

Denial Specialist II
Remote-TX, United States

Centene Corporation

Medical record information Denials process EMR documentation Medical management Health Services Data Collection Regulatory Health Insurance Clinical +8

Entry Full Time

USD 40K+

Senior Manager, DevSecOps Engineering
Remote-MO, United States

Centene Corporation

Coding practices Security Controls Business solutions Scripting Languages Health outcomes Security Engineering Automation tools CloudFormation Vulnerability Management +44

Senior Full Time

USD 119K+

Provider Data Management Specialist I
Remote-FL, United States

Centene Corporation

Provider data management Administrative Tasks Prior authorization Network Databases Database Management Managed Care Data Entry Health care +14

USD 38K+

Denial Specialist III
Remote-TX, United States

Centene Corporation

Correspondence management Denials process EMR documentation Triage Medical management Health Services Data Collection Regulatory Health Insurance +9

Senior Mid Full Time

USD 44K+

Staff Vice President, Network Development & Hospital Contracting
Remote-FL, United States

Centene Corporation

Value-based contracting Provider communication Provider experience Provider education Provider engagement Network development Network management Health Systems Provider Relations +19

Senior Full Time

USD 182K+

Care Navigator - Behavioral Health
Remote-KS, United States

Centene Corporation

Psychosocial support Clinical licensure Resource support Healthcare Access Service Assessment Foster care Healthcare outcomes Service plans Healthcare benefits +22

Entry Mid Full Time

USD 76K+

Business Analyst III
Remote-FL, United States

Centene Corporation

Software Enhancement Process redesign Operational performance Business Process Analysis Business solutions Data migration Training Programs User Acceptance Testing Procedures +23

Senior Mid Full Time

USD 68K+

RN - Manager, Pediatric Utilization Management
Remote-FL, United States

Centene Corporation

Private duty nursing UM Pediatric care Accreditation Standards Medical Services Home Health Accreditation Healthcare operations Clinical Review +26

Senior Mid Full Time

USD 85K+

Manager, Complex Care Management / Transition of Care
Remote-OK, United States

Centene Corporation

Transition of care Healthcare leadership Complex Care Management Member Outreach Provider experience Health Plan Healthcare outcomes Medical management Care Coordination +27

Senior Mid Full Time

USD 100K+

Medical Director, Behavioral Health Services - Washington
Remote-WA, United States

Centene Corporation

Medical care standards Behavioral health management Authorization evaluation Grievance resolution Behavioral health services Authorization requests Claims review Grievances Evidence-based practice +29

Exec Senior Full Time

USD 210K+

Grievance & Appeals Coordinator I
Remote-AZ, United States

Centene Corporation

Grievance resolution Grievances Managed care experience Appeals Medical management Health Services Claims management Claims Managed Care +10

USD 38K+

Associate Actuary - Risk Adjustment
Remote-MO, United States

Centene Corporation

Probability VBA Risk Adjustment Actuarial SAS Mathematics Statistics Health Insurance Coding +14

USD 86K+

Senior Clinical Review Nurse - Prior Authorization
Remote-WI, United States

Centene Corporation

Medical appropriateness Medicare regulations Authorization process Health management systems Authorization requests Clinical reviews Health management Medicaid regulations Clinical Information +21

Senior Mid Full Time

USD 108K+

Authorization Specialist II
Remote-CA, United States

Centene Corporation

Authorization processes Healthcare eligibility Authorization requests Insurance coverage Medical management Referrals Health Services Procedures Prior authorization +12

Entry Mid Full Time

USD 55K+

Data Scientist II - Shiny
Remote-CA, United States

Centene Corporation

R-Shiny Health management MS SQL Server SAP HANA Teradata DB2 Statistical modeling Predictive Modeling Data Mining +28

USD 86K+

Regulatory Operations Analyst II - IDR Operations
Remote-MO, United States

Centene Corporation

ACA requirements Issue advocacy Legislative Research Regulatory Interpretation Regulatory Analysis Healthcare Regulations Commercial Insurance Policy analysis CMS +19

USD 95K+

Director, Market Technology Lead - Business Relationship Management
Remote-MO, United States

Centene Corporation

Business Relationship Management Technology Management Requirements Elicitation Health outcomes Solution Design Operational Efficiency Business Analysis Health Insurance Stakeholder engagement +10

Senior Full Time

USD 157K+

Business Analyst II (HEDIS and Quality Regulatory Reporting)
Remote-MO, United States

Centene Corporation

Operational reporting HEDIS Business solutions User Acceptance Testing Procedures Statistical analysis Regulatory Business Analysis Performance Management +14

USD 55K+

Staff Vice President, Risk Adjustment
Remote-KY, United States

Centene Corporation

Audit Processes Risk Adjustment HEDIS Financial Forecasting Financial Operations Actuarial Strategic initiatives Supervisory Quality improvement +21

Senior Full Time

USD 182K+

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