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Remote Jobs with Flexible approach Benefits

357 fresh jobs found

Care Coordinator
Remote-FL, United States

Centene Corporation

Education on Benefits Guidelines Service assessments Member Outreach Home visits Care Coordination Referrals Care management Regulatory requirements +15

Entry Mid Full Time

USD 55K+

Healthcare Vendor Analyst
Remote-MO, United States

Centene Corporation

Analytical support Stakeholder mapping Tracking Data Reporting Performance monitoring Contract management Risk Assessment Vendor Management Assessment +18

Entry Mid Full Time

USD 55K+

Claims Research Specialist
Remote-MO, United States

Centene Corporation

Medicaid benefits Claims billing Claims research Government programs Claims payment Provider Relations Payment Processing Health Plan Referrals +15

USD 77K+

Sr Data Analyst - PowerBI
Remote-FL, United States

Centene Corporation

Data Profiling Soft Agile software development HEDIS Health outcomes PowerBi Data Mining Quantitative analysis Data Integration +38

Senior Mid Full Time

USD 73K+

Quality Improvement Coordinator II
Remote-FL, United States

Centene Corporation

Medical record audits Clinical Initiatives Cphq Corrective action plans Healthcare quality Quality of care Utilization Credentialing Medical Records +27

USD 66K+

Program Manager II - Provider Delegation
Remote-MO, United States

Centene Corporation

Business process documentation Process documentation Project Execution Healthcare Knowledge Quality Standards Procedures Health care Health Insurance Clinical +17

USD 68K+

Remote Medical Director
Remote-MO, United States

Centene Corporation

Claims review Health financing Medical management programs Provider network development Health care quality Government programs Clinical quality improvement Health administration Personnel management +40

Exec Mid Full Time

USD 231K+

Senior Director, Operational Strategy & Excellence
Remote-MO, United States

Centene Corporation

Reporting models Process excellence Operational Execution Operational strategy Business Transformation Healthcare administration Data Reporting Key Performance Indicators PMP +30

Senior Full Time

USD 145K+

Utilization Review Clinician - ABA
Remote-AZ, United States

Centene Corporation

ABA services Autism spectrum disorder Guidelines Medical appropriateness Behavioral Analysis Healthcare Provider Interaction Clinical Standards Applied Behavior Analysis Treatment plans +29

USD 95K+

Finance Analyst III - Medicare
Remote-MO, United States

Centene Corporation

Financial Advanced Excel Managed Care Medicare Power BI Health Insurance Financial analysis Microsoft Excel Flexibility +13

Senior Mid Full Time

USD 68K+

Contract Negotiator I
Remote-MO, United States

Centene Corporation

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

Entry Mid Full Time

USD 55K+

Senior Vendor Business Technical Analyst
Remote-MO, United States

Centene Corporation

Database Solutions VB.NET Corrective Actions System Analysis HEDIS ASP.NET Medical management Issue Resolution Health Services +28

Senior Mid Full Time

USD 86K+

Senior Marketplace Member Liaison HICS
Remote-AR, United States

Centene Corporation

Case work Aca Guidelines Quality review Commercial Insurance Marketplace CMS Procedures Managed Care +16

Senior Mid Full Time

USD 52K+

Senior Vice President, Network Development & Contracting
Remote-IL, United States

Centene Corporation

Contracting management Provider contracts Network strategy Contract Analysis Provider Contracting Network development Network Operations Contract negotiations Provider Relations +29

Exec Senior Full Time

USD 221K+

Workforce Real-Time Management Analyst I
Remote-NY, United States

Centene Corporation

Contact Center Management Real-time Analytics Guidelines Workforce management Contact center Customer Care Resource Allocation Scheduling Health Insurance +13

Entry Mid Full Time

USD 44K+

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

Centene Corporation

Guidelines Medical appropriateness Healthcare Collaboration Treatment plans Substance abuse Clinical Review Discharge planning Utilization Utilization Review +21

USD 52K+

Care Manager (RN)
Remote-KY, United States

Centene Corporation

Service planning Resource Coordination Complex Care Management Personalized care plans Resource support Service Assessment Foster care Service plans Healthcare outcomes +25

USD 55K+

Supervisor, Quality Improvement
Remote-CT, United States

Centene Corporation

Effective Business Communication Lotus Notes Managed care experience Project Implementation HEDIS Effective Communication Quality improvement Procedures Supervisory +28

USD 68K+

Senior Care Manager
Remote-NY, United States

Centene Corporation

Member education Quality care Treatment options Service coordination Substance Use Disorders Healthcare Coordination Home visits Social determinants Complex Care Management +38

Senior Full Time

USD 73K+

Authorization Specialist II
Remote-MO, United States

Centene Corporation

Healthcare eligibility Authorization processes Guidelines Authorization requests Insurance coverage Researching Adjudication Insurance Knowledge Utilization +19

Entry Mid Full Time

USD 55K+

Pharmacy FWA Investigator I
Remote-FL, United States

Centene Corporation

Pharmacy fraud Audit experience Retail Pharmacy Data Sources Pharmacy Technician Corrective action plans Government programs Claims analysis Health Plan +32

Entry Mid Full Time

USD 44K+

Business Analyst IV Configuration Testing
Remote-MO, United States

Centene Corporation

Configuration Testing Structured Testing Provider reimbursement methodologies Managed Care Information Process redesign Claims payment Operational performance Reimbursement methodologies Business Process Analysis +32

Entry Mid Full Time

USD 86K+

Business Analyst IV Configuration Testing Lead
Remote-MO, United States

Centene Corporation

Provider reimbursement methodologies Structured Testing Managed Care Information Process redesign Testing Strategies Claims payment Operational performance Reimbursement methodologies Business Process Analysis +34

Senior Mid Full Time

USD 86K+

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

Centene Corporation

Data Sources Project Implementation Statistical techniques Regulatory reporting Dashboard Development Healthcare experience Statistical analysis Data Modeling Regulatory +23

Senior Mid Full Time

USD 68K+

Contract Negotiator I
Remote-IA, United States

Centene Corporation

Healthcare Programs Guidelines Provider experience Contract Analysis Contract Compliance Claims Adjudication Adjudication Provider Relations Healthcare administration +20

Entry Mid Full Time

USD 55K+

Compliance Internal Auditor
Remote-FL, United States

Centene Corporation

Audit planning Internal Auditing Internal Audits Accounting Principles Public Accounting Audits Risk mitigation Health care Auditing +19

Entry Mid Full Time

USD 55K+

LTSS Service Care Manager
Remote-FL, United States

Centene Corporation

Gerontology Holistic care Geriatrics Pediatrics Long Term Care Healthcare Coordination Quality of care Resource support Service Assessment +31

USD 52K+

Insurance Verification Specialist
Remote-FL, United States

Centene Corporation

Financial responsibility determination Coordination of benefits Prior authorizations Patient Communication Claims resolution Clinical Information Insurance Verification Medical Billing Prior authorization +16

Entry Mid Full Time

USD 30K+

Program Manager IV
Remote-MO, United States

Centene Corporation

Telephony modernization IVR technology Managed care experience IVR Project Implementation Strategic Analysis Telephony Project management tools PMP +32

Senior Mid Full Time

USD 86K+

Team Assistant
Remote-NY, United States

Centene Corporation

Clerical duties Provider Relations Audits Administrative Support Data Entry Health Insurance Flexibility Access Benefits +6

Entry Full Time

USD 64K+

Senior Strategy Manager
Remote-FL, United States

Centene Corporation

Health care compliance Corporate Development Competitive analysis Consultation Business strategy Health care Business administration Medicare Regulatory +19

Senior Full Time

USD 86K+

Quality Outreach Coordinator
Remote-FL, United States

Centene Corporation

Quality Initiatives Healthcare outcomes Healthcare Compliance Medical terminology Coordination Managed Care Data Entry Outreach Health Insurance +7

USD 64K+

Business Analyst I - Claims
Remote-MT, United States

Centene Corporation

Amisys Claims Configuration Teradata Business Process Analysis Microsoft Applications Health Plan Microsoft Access Business solutions User Acceptance Testing +24

Entry Mid Full Time

USD 95K+

Business Analyst III
Remote-MO, United States

Centene Corporation

Software Planning Software Enhancements Business implementation Process redesign Implementation processes Operational performance Business Process Analysis Business solutions User Acceptance Testing +28

Senior Mid Full Time

USD 68K+

Project Manager III
Remote-IL, United States

Centene Corporation

Project documentation Healthcare administration Project Execution Project management tools Cross-functional Team Leadership Quality Standards Requirements Gathering PMP Stakeholder communication +21

Senior Mid Full Time

USD 86K+

Care Manager (RN)
Remote-MI, United States

Centene Corporation

Resource Coordination Complex Care Management Personalized care plans Care Planning Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

USD 55K+

Data Scientist II
Remote-MO, United States

Centene Corporation

SAP HANA Data Sources Teradata Health management MS SQL Server DB2 Statistical modeling Predictive Modeling Data Mining +31

USD 86K+

Supervisor, PBS Digital Processing
Remote-MO, United States

Centene Corporation

Quality Metrics Procedures Service Delivery Human Resources Workday Health Insurance Metrics Team Leadership Flexibility +8

USD 68K+

Senior Market and Operations Manager
Remote-MO, United States

Centene Corporation

Provider experience Community relations Operational reporting Problem identification Operational performance Utilization Provider Relations Healthcare administration Financial Performance +38

Senior Full Time

USD 105K+

Data Analyst III, Value Based Payment Initiatives
Long Island City - 25-01 Jackson Ave (10936), United States

Centene Corporation

Quality performance analysis Population health management Quality performance Analytical support Health management Project Implementation Healthcare Delivery Health Systems Utilization +32

Senior Mid Full Time

USD 68K+

Senior Vice President, Enterprise Platforms
Remote-MO, United States

Centene Corporation

Business Technology Solutions Data-driven recommendations Technology Platforms Competitor Analysis IT Operations Financial Performance Business solutions IT Infrastructure Methodologies +44

Exec Senior Full Time

USD 350K+

Clinical Review Therapist - Physical Health
Remote-TX, United States

Centene Corporation

Therapy regulations Best Practice Standards Therapy Services Healthcare provider collaboration Guidelines Durable Medical Equipment Documentation standards Clinical reviews Clinical Training +20

USD 108K+

Inside Sales Representative II
Remote-FL, United States

Centene Corporation

Telemarketing Medical Sales Sales Reporting Referrals Cold Calling Marketing Strategy Nursing Outreach Prospecting +16

Entry Mid Full Time

USD 64K+

Project Manager II (Hedis)
Remote-TX, United States

Centene Corporation

Project lifecycle management Cross-Functional Team Management Project documentation Project Management Software HEDIS Project Execution MS Project Project management tools Quality Standards +24

USD 68K+

Senior Data Engineer -
Remote-FL, United States

Centene Corporation

Data Staging Data Destruction Data Provisioning Data Pipeline Optimization SSAS Real-time processing SSRS Data preparation Soft +44

Senior Mid Full Time

USD 85K+

Senior Director, Drivers of Health (Medicare)
Remote-MO, United States

Centene Corporation

Managed care operations Data-Driven Strategy Health Equity Healthcare administration Population health Subject matter expertise Communication Strategies Social Determinants of Health Value-based care +34

Senior Full Time

USD 145K+

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

Centene Corporation

Member Outreach Provider experience Quality care Ncqa standards NCQA Healthcare outcomes Data Reporting Policy Development Audits +26

Senior Mid Full Time

USD 100K+

Remote Marketplace Medical Director
Remote-MO, United States

Centene Corporation

Claims review Medical management programs Provider network development Government programs Health care quality Health financing Clinical quality improvement Personnel management Health administration +39

Exec Mid Full Time

USD 231K+

Program Manager (Provider Engagement)
Remote-OH, United States

Centene Corporation

Clinical improvements Managed healthcare Value-based contracting Health care operations Provider engagement Risk Adjustment Provider Relations Utilization Health Plan +31

USD 86K+

Customer Service Advocate I
Remote-FL, United States

Centene Corporation

CRM applications Contact center Tracking Customer Care Performance Tracking Quality Standards Bilingual (Spanish) Multitasking Bilingual +15

Entry Full Time

USD 32K+

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