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Contract Negotiator I
Remote-TX, United States

Centene Corporation

Provider experience Contract Compliance Adjudication Guidelines Contract Analysis Claims Adjudication Provider Relations Health Plan Healthcare administration +21

Entry Mid Full Time

USD 55K+

Senior, Software Engineer, Mobile
(USA) Sunnyvale III - 840 W California CA Sunnyvale Home Office, United States

Function UI Testing MVVM-C UI Testing Reactive Programming Computer Engineering SDK OOP Classification UI Design +22

Senior Full Time

USD 117K+

Senior, Software Engineer, Mobile
(USA) Sam's Home Office AR Bentonville Home Office, United States

Function UI Testing MVVM-C Reactive Programming Computer Engineering SDK OOP Classification UI Design Technical Guidance +21

Senior Full Time

USD 90K+

Utilization Review/Appeals Clinician - ABA
Remote-FL, United States

Centene Corporation

ABA services Autism spectrum disorder Medical appropriateness Clinical Standards Applied Behavioral Analysis Behavioral Analysis Healthcare Provider Interaction Applied Behavior Analysis Treatment plans +28

USD 52K+

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

Centene Corporation

Medical appropriateness Healthcare Collaboration Clinical Review Treatment plans Guidelines Utilization Regulatory Guidelines Discharge planning Health Services +22

USD 52K+

Director, Utilization Management
Remote-MO, United States

Centene Corporation

Policy procedures UM Training and Onboarding Ncqa standards Provider experience Utilization NCQA Healthcare Regulations Health Services +30

Exec Senior Full Time

USD 131K+

Lead Data Analyst Healthcare Analytics
Remote-MO, United States

Centene Corporation

Cost and utilization Large databases Payment Integrity Stored Procedures Data verification Query optimization Indexing Microsoft Power BI Clinical outcomes +59

Senior Full Time

USD 86K+

Supervisor, Patient Care
Remote-FL, United States

Centene Corporation

Quality audits Call center Operations Customer Care Audits Call Center Statistics Health Insurance Patient care Quality Assurance +12

Senior Mid Full Time

USD 77K+

Director, Provider Payment Innovation, Provider Network Management
Remote-NV, United States

Centene Corporation

Provider network strategy Value-based payment strategies Healthcare contract negotiation Provider network management Network strategy Provider education Network development Guidelines Cost Optimization +37

Exec Senior Full Time

USD 132K+

Customer Service Advocate IV
Remote-WA, United States

Centene Corporation

Training materials Corrective Actions Customer Care Contact center Quality Standards Procedures Training Development Root Cause Analysis Confidentiality +19

USD 76K+

Manager, Category Management
Remote-OH, United States

Centene Corporation

Strategic sourcing Financial Performance Category management Risk assessments Financial Sourcing Contract management Procurement Health Insurance +17

USD 86K+

Program Manager II - Vendor Management
Remote-FL, United States

Centene Corporation

Data-driven recommendations Project documentation Project Execution Project management tools Quality Standards Requirements Gathering Procedures Audits Coordination +25

USD 68K+

Care Manager (RN)
Remote-TX, United States

Centene Corporation

Home outreach Social determinants Personalized care plans Digital Outreach Complex Care Management Resource support Service plan Telephonic Outreach Social Determinants of Health +27

USD 55K+

Care Manager (State)
Remote-CA, United States

Centene Corporation

Treatment options Substance Use Disorders Home visits Personalized care plans Substance use Complex Care Management Service plan Telephonic Outreach Healthcare outcomes +28

USD 52K+

Care Management Support Coordinator II
Remote-TX, United States

Centene Corporation

Social determinants Social Determinants of Health Inbound Calls Guidelines Regulatory Guidelines Customer Care Health Plan Community Resources Referrals +20

Entry Mid Full Time

USD 55K+

Sr Data Analyst - PowerBI
Remote-FL, United States

Centene Corporation

Business solution architecture Python programming Data Profiling Soft Agile software development Health outcomes HEDIS PowerBi Data Mining +40

Senior Mid Full Time

USD 73K+

Manager, Strategic Sourcing
Remote-MO, United States

Centene Corporation

Procurement law Vendor Evaluation Contract Compliance Strategic sourcing Category management Cross-functional Teams Financial Contracting Sourcing +20

USD 86K+

Provider Relations Specialist II - Bilingual Spanish
Remote-PR, United States

Centene Corporation

Managed care experience Provider Relations Financial Performance Health Plan Credentialing Project Coordination Financial Claims processing Contracting +16

USD 55K+

Quality Improvement Auditor (Clinical)
Remote-NY, United States

Centene Corporation

Case reviews Service utilization Medical record audits Clinical recommendations Clinical Audits Performance Data Quality of care Utilization Performance Measurement +25

USD 55K+

Broker Sales Support Specialist
Remote-CA, United States

Centene Corporation

Provider management Health Plan Contracting Health Insurance Access Flexibility Insurance Teams Benefits +10

Entry Full Time

USD 64K+

Care Manager (RN)
Remote-AZ, United States

Centene Corporation

Home outreach Social determinants Personalized care plans Digital Outreach Complex Care Management Resource support Service plan Telephonic Outreach Social Determinants of Health +27

USD 55K+

Claims Escalation Response Specialist III
Remote-FL, United States

Centene Corporation

Claims payment Provider experience Data Tracking Adjudication Claims Adjudication Customer Care Contact center Trend Analysis Issue Resolution +20

Senior Mid Full Time

USD 68K+

Brand Standards, Guest Experience & Food Safety Advisor
USA-Remote Worker-West Virginia, United States

CRM Technology Guest experience Brand protection Brand standards Workplace safety Product quality Multilingual Foodservice Hospitality industry +27

USD 45K+

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

Centene Corporation

Health management systems Health management Medicaid regulations Clinical Review Guidelines Utilization Medical necessity Discharge planning Health Services +20

USD 52K+

Non-Emergent Medical Transportation Manager
Remote-NV, United States

Centene Corporation

Transportation strategy Member access Health administration Medical Services Health Plan Audits Network Health care Nursing +15

USD 68K+

Senior Manager, Healthcare Analytics
Remote-FL, United States

Centene Corporation

Claims pricing Large databases Microsoft powerbi Data verification Payment Integrity Stored Procedures Claims payment Query optimization Microsoft Power BI +64

Senior Full Time

USD 105K+

Field Service Technician
USA-Remote Worker-Iowa, United States

Chemical feed equipment Industrial environment Process monitoring equipment Chemistry tests Process monitoring Chemical Industry Wastewater treatment systems Cooling towers Water Technology +35

USD 46K+

Brand Standards, Guest Experience & Food Safety Advisor
USA-Remote Worker-Montana, United States

CRM Technology Guest experience Brand protection Brand standards Workplace safety Product quality Multilingual Foodservice Hospitality industry +27

USD 47K+

Manager, Commercial Products (Plan Design)
Remote-IL, United States

Centene Corporation

Demographic analysis Cross-Functional Project Management Regulatory filings Healthcare Industry Knowledge Performance Indicators Triage Key Performance Indicators Pricing strategy Competitive Intelligence +35

Senior Full Time

USD 105K+

Senior Director, Provider Relations
Remote-NY, United States

Centene Corporation

Network transformation Network performance Quality Metrics Utilization HEDIS Provider Relations Performance Improvement Financial CMS +23

Senior Full Time

USD 145K+

Territory Service and Sales Representative
USA-Remote Worker-Missouri, United States

Mobile phone apps Mechanical service Corrective maintenance Technology use Classroom training Digital Learning Mechanical experience Equipment Installation Personal protection equipment +28

Entry Mid Full Time

USD 57K+

Health Coach - Wellness
Remote-CA, United States

Centene Corporation

Wellness Plans Telephonic assessments Chronic Condition Management Care Plan Development Member engagement Accreditation Standards Health coaching Health Assessments Wellness Programs +19

USD 95K+

Data Analyst II Healthcare Analytics
Remote-MO, United States

Centene Corporation

Large databases Data verification Clinical outcomes Visualization Tools Healthcare Analytics Actuarial science Actuarial Healthcare administration Trend Analysis +40

USD 55K+

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims billing Claims reimbursement Cost and utilization Network performance Provider education Utilization Provider engagement HEDIS Provider Relations +29

USD 55K+

Data Analyst III Medical Economics
Remote-FL, United States

Centene Corporation

Claims pricing Large databases Microsoft powerbi Data verification Claims payment Microsoft Power BI Clinical outcomes Statistical techniques Utilization +57

Senior Mid Full Time

USD 68K+

Care Manager (RN)
Remote-ME, United States

Centene Corporation

Home outreach Social determinants Digital Outreach Personalized care plans Complex Care Management Resource support Service plan Telephonic Outreach Social Determinants of Health +27

USD 55K+

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

Centene Corporation

Education provision Medical appropriateness Healthcare Collaboration Clinical Review Treatment plans Guidelines Utilization Regulatory Guidelines Discharge planning +23

USD 52K+

Account Executive
Remote-CA, United States

Centene Corporation

Broker relations CMS regulations Report Preparation Healthcare Knowledge Marketplace CMS Procedures Territory Management Reports +17

Exec Mid Full Time

USD 86K+

Field Service Technician
USA-Remote Worker-Virginia, United States

Process monitoring equipment Chemical feed equipment Process monitoring Chemistry tests Chemical Industry Wastewater treatment systems Cooling towers Water Technology Classroom training +33

Entry Mid Full Time

USD 38K+

Provider Network Specialist II
Remote-NJ, United States

Centene Corporation

Provider performance metrics Credentialing documentation Health information exchange Milestone documentation Contracting duties Educational outreach Health plan provider orientations Managed care experience Provider network management +31

USD 55K+

Patient Care Advocate
Remote-MI, United States

Centene Corporation

HEDIS measures Performance Data Quality Initiatives Provider experience Health administration ICD-10 Coding Disease Management Health coaching Telephonic Outreach +37

USD 52K+

Finance Analyst II
Remote-IA, United States

Centene Corporation

Utilization Financial Forecasting Advanced Excel Reconciliation Financial Strategic initiatives Claims Managed Care Reports +18

Entry Mid Full Time

USD 55K+

Pest Control Technician
USA-Remote Worker-New York, United States

Pest certification Pest Prevention Business licensing Flexible scheduling Handheld Computerized Equipment Pest Control Pest Elimination Field training Personal protection equipment +19

Entry Full Time

USD 39K+

Pest Control Technician
USA-Remote Worker-Florida, United States

Pest certification Pest Prevention Business licensing Flexible scheduling Handheld Computerized Equipment Pest Control Pest Elimination Field training Personal protection equipment +19

Entry Full Time

USD 33K+

Data Analyst II Medical Economics
Remote-FL, United States

Centene Corporation

Claims pricing Large databases Data verification Claims payment Clinical outcomes Utilization Visualization Tools Healthcare Analytics Risk Adjustment +50

USD 55K+

Data Analyst III Healthcare Analytics
Remote-MO, United States

Centene Corporation

Claims pricing Large databases Microsoft powerbi Data verification Claims payment Microsoft Power BI Clinical outcomes Utilization Visualization Tools +56

Senior Mid Full Time

USD 68K+

Provider Engagement Account Manager
Remote-HI, United States

Centene Corporation

Consultative account management Demographic information changes Claims Submission Cost and utilization Quality measures Network performance Provider education Utilization Provider engagement +31

USD 55K+

Senior Data Analyst
Remote-MO, United States

Centene Corporation

Business solution architecture Java programming Programming concepts Python programming C programming Data Profiling Soft Agile software development Health outcomes +46

Senior Mid Full Time

USD 73K+

Senior Data Engineer - IDMC
Remote-MI, United States

Centene Corporation

Cloud Concepts IDMC Performance Data Snowpark Data Pipeline Optimization Real-time processing Data preparation Soft Utilization +50

Senior Mid Full Time

USD 85K+

Quality Improvement Specialist
Remote-IL, United States

Centene Corporation

Intervention Development Performance Data RN licensure Member Outreach URAC Member education Internal Auditing Focus Groups Health administration +42

USD 55K+

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