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Remote Jobs with Workplace flexibility Benefits

359 fresh jobs found

Business Analyst III Claims Configuration
Remote-MO, United States

Centene Corporation

Provider reimbursement methodologies Managed Care Information Structured Testing Claims Configuration Business implementation Implementation processes Process redesign Operational reporting Reimbursement methodologies +38

Senior Mid Full Time

USD 68K+

Care Management Support Coordinator II
Remote-FL, United States

Centene Corporation

Bilingual Spanish and English Social determinants Regulatory Guidelines Guidelines Social Determinants of Health Customer Care Health Plan Community Resources Referrals +18

Entry Mid Full Time

USD 55K+

Quality Practice Advisor
Remote-MO, United States

Centene Corporation

Medical record documentation Cphq Risk Adjustment Coding Provider education Documentation standards NCQA HEDIS Provider Relations ICD-9 +25

USD 52K+

Senior Director, Business Operations
Remote-MO, United States

Centene Corporation

Enrollment processes Call center Operations ROI Analysis Billing Systems Systems Integration Payment Processing CMS Business Processes Business Operations +28

Senior Full Time

USD 145K+

Pharmacy Resolution Specialist
Remote-MO, United States

Centene Corporation

Coverage determination Authorization requests Pharmacy benefits Claims resolution Guidelines Prior authorization Medical management Health Services Quality Standards +15

Entry Mid Full Time

USD 53K+

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

Centene Corporation

Member Outreach Ncqa standards Provider experience Quality care NCQA Healthcare outcomes Data Reporting Policy Development RN +28

Senior Mid Full Time

USD 100K+

Operations Auditor
Remote-AR, United States

Centene Corporation

Corrective Actions Accreditation Information systems Procedures Data integrity Managed Care Auditing Risk Assessment Audit +13

USD 44K+

Foster Care - Care Navigator
Remote-IL, United States

Centene Corporation

Health behavioral science Psychosocial support Clinical licensure Service planning Personalized care plan Member education Compliance Documentation Healthcare Access Quality care +31

USD 44K+

Finance Analyst IV
Remote-CT, United States

Centene Corporation

Report development OneStream Financial Forecasting Utilization Variance analysis Reconciliation Medical management Financial Strategic initiatives +22

Entry Mid Full Time

USD 86K+

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

Centene Corporation

Personalized care plan Quality care Service coordination Complex Care Management Service plan Healthcare Coordination Healthcare outcomes Service plans Healthcare benefits +29

Senior Mid Full Time

USD 73K+

Senior Medicare Communications Compliance Specialist
Remote-FL, United States

Centene Corporation

Health care administration Medicare Compliance Regulatory Analysis Medicare part d Health administration Guidelines Project leadership Project Coordination Public health +22

Senior Full Time

USD 68K+

Quality Improvement Specialist I
Remote-AR, United States

Centene Corporation

Health Services Quality improvement Procedures Coordination Reports Database Management Databases Regulatory Audit +11

USD 44K+

Quality Program Strategist II
Remote-NY, United States

Centene Corporation

Performance goals HOS CAHPS Quality performance Cphq HEDIS Health Plan Clinical Experience Cross-functional Teams +29

USD 68K+

Quality Improvement Coordinator - Behavioral Health
Remote-WA, United States

Centene Corporation

Complaints resolution Appeals management Quality Initiatives CDP Grievances Clinical quality improvement Clinical Nursing Clinical Quality Program Evaluation +28

USD 66K+

Care Manager Transition of Care
Remote-UT, United States

Centene Corporation

Care/service planning Post-discharge assessments Medication review Transition support Transition of care Continuum of care Treatment plans Medical Services Service plan +25

USD 55K+

Senior Director, IT Program Management
Remote-MO, United States

Centene Corporation

Agile Management IT Program Management IT controls Vendor Relationship Management Financial data analysis Soft Health outcomes Software development life cycle Marketplace +43

Senior Full Time

USD 185K+

Care Coordinator II
Remote-AR, United States

Centene Corporation

Service assessments Education on Benefits Referral management Member Outreach Home visits Service plan Service Assessment Regulatory Guidelines Guidelines +18

USD 55K+

Data Analyst IV
Remote-OH, United States

Centene Corporation

Data quality audits Analytical support Quality audits MS Access Project Implementation HEDIS Data Warehouse Analytical tools Clinical Data +32

Senior Full Time

USD 86K+

Medical Director
Remote-IL, United States

Centene Corporation

Health financing Health care quality Medical management programs Substance Use Disorders Provider network development Clinical quality improvement Government programs Clinical Quality Substance use +45

Exec Senior Full Time

USD 221K+

LTSS Service Care Manager
Remote-FL, United States

Centene Corporation

Holistic care management Member education Holistic care Compliance Documentation Service plan Quality of care Resource support Foster care Service Assessment +22

USD 52K+

Accreditation Specialist II
Remote-FL, United States

Centene Corporation

Continuous quality improvement Process Implementation Accreditation Standards HEDIS NCQA Accreditation Tracking Medical management Health Services +23

USD 68K+

Data Analyst III
Remote-FL, United States

Centene Corporation

Data quality audits Analytical support Quality audits MS Access Project Implementation HEDIS Analytical tools Clinical Data Healthcare experience +30

Senior Mid Full Time

USD 68K+

Application Development Engineer II
Remote-NM, United States

Centene Corporation

SOA components Service messages Data access logic Business logic Service interfaces Security management Process Flows Hibernate Soft +29

USD 73K+

Data Analyst IV (HEDIS, SQL)
Remote-CA, United States

Centene Corporation

Data quality audits Analytical support Quality audits MS Access Project Implementation Healthcare Analytics HEDIS Analytical tools Clinical Data +30

Senior Full Time

USD 86K+

Contract Implementation Analyst
Remote-IA, United States

Centene Corporation

TPA Contract implementation Provider information system Provider contracts Amisys UAT Government programs Claims payment Claims analysis +25

Entry Mid Full Time

USD 44K+

Care Manager (RN)
Remote-OH, United States

Centene Corporation

Home outreach Digital Outreach Personalized care plans Complex Care Management Service plan Resource support Social determinants Foster care Service Assessment +26

USD 55K+

Quality Improvement Specialist II
Remote-FL, United States

Centene Corporation

Quality Initiatives Ncqa standards Report generation HEDIS NCQA Data Reporting Medical Records Report Writing Quality improvement +23

USD 55K+

Senior Digital Experience Product Manager
Remote-MO, United States

Centene Corporation

Service Blueprinting Omni-channel strategy User Story Development Digital Product Management Soft Digital Experience Backlog Management Digital products Health outcomes +38

Senior Full Time

USD 100K+

Medicare Sales Compliance Specialist
Remote-MO, United States

Centene Corporation

Health care administration Medicare Compliance Health administration Medicare part d Regulatory Analysis Corrective Actions CMS Audits Public health +20

USD 55K+

Provider Data Coordinator I
Remote-AZ, United States

Centene Corporation

Large databases Administrative Support Network Reports Managed Care Databases Medicaid Medicare Health Insurance +13

Entry Mid Full Time

USD 38K+

Senior Accountant - Contract Invoicing
Remote-TX, United States

Centene Corporation

Claims Liability Treasury Functions Contract research Computerized accounting Recordkeeping Accounting Systems Researching Technical Accounting General Ledger +29

Senior Mid Full Time

USD 68K+

Project Manager II - Medicaid
Remote-NY, United States

Centene Corporation

TCS letters CCA Project documentation Training materials Facets Project Management Software Project Execution MS Project Project management tools +25

USD 68K+

Principal Quality Engineer, Post Market Surveillance - Remote
Center Valley, PA, US, 18034-0610

Olympus Corporation of the Americas

FDA QSR Post market surveillance EU MDR CAPA Quality Engineering Medical device industry ISO 13485 Regulatory Affairs Visio +11

Senior Full Time

USD 111K+

Risk Adjustment Specialist II (non-clinical)
Remote-IA, United States

Centene Corporation

Claims knowledge Risk Adjustment Coding Medical record documentation Provider education Health administration ICD-10 Coding Guidelines Risk Adjustment Health Plan +26

USD 95K+

Pharmacy Operations Coordinator I
Remote-AZ, United States

Centene Corporation

Formulary setup Pharmacy operations Claims analysis Pharmacy Technician Program development Medical management Health Services Claims Coordination +13

USD 64K+

Billing Operations Specialist
Remote-FL, United States

Centene Corporation

Health plan call center Call Center Experience Health Plan Collections Call Center Business administration Medicare Billing Health Insurance +12

USD 64K+

Program Manager I
Remote-IL, United States

Centene Corporation

Drug Utilization Review Business process documentation Business Process Utilization Project Execution Utilization Review Process documentation Cross-functional Coordination Requirements Gathering +19

Entry Mid Full Time

USD 95K+

Senior Compliance Corrections Specialist - Medicare
Remote-MO, United States

Centene Corporation

GRC tool Corrective action plans Corrective Actions Healthcare Compliance Trend Analysis Coordination Root Cause Analysis Managed Care Health care +18

Senior Full Time

USD 68K+

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

Centene Corporation

Case reviews Clinical auditing Clinical recommendations Medical record audits Clinical Audits Quality of care Utilization Performance Measurement Electronic Medical Records +24

USD 55K+

Medicare Retention Performance Manager
Remote-FL, United States

Centene Corporation

Leadership Presentations Member Experience Performance Indicators KPI development Key Performance Indicators Reports Medicare Performance Management Health Insurance +13

USD 68K+

Senior Business Intelligence Engineer
Remote-MO, United States

Centene Corporation

Statistical Process Controls Service Design Analytical Techniques Microsoft Visio Soft Health outcomes Enterprise Architecture Risk Analysis Quantitative analysis +42

Senior Mid Full Time

USD 85K+

Sr Business Systems Analyst - AWS
Remote-IL, United States

Centene Corporation

Health care payer business functions System documentation Call center Operations Corrective Actions User Training Health outcomes IT services Data processing Procedures +24

Senior Mid Full Time

USD 85K+

Senior Business Technical Analyst
Remote-FL, United States

Centene Corporation

ASP Database Solutions VB.NET System Analysis Corrective Actions ASP.NET Medical management Healthcare Knowledge Health Services +34

Senior Mid Full Time

USD 86K+

Quality Practice Advisor
Remote-ME, United States

Centene Corporation

Healthcare Standards Medical record documentation Risk Adjustment Coding Cphq Provider education Documentation standards HEDIS NCQA ICD-9 +25

USD 52K+

Provider Engagement Account Manager
Remote-FL, United States

Centene Corporation

Demographic information changes Cost and utilization Quality measures Network performance Provider education Provider engagement HEDIS Utilization Provider Relations +29

USD 55K+

Outbound Customer Service Advocate II
Remote-FL, United States

Centene Corporation

CRM applications Contact center Customer Care Tracking Performance Tracking Quality Standards Claims Audits Outreach +17

Entry Mid Full Time

USD 55K+

Care Coordinator II
Remote-MS, United States

Centene Corporation

Education on Benefits Service assessments Member Outreach Home visits Service plan Service Assessment Regulatory Guidelines Guidelines Care Coordination +17

Entry Mid Full Time

USD 55K+

Senior Manager, Vendor Management
Remote-MO, United States

Centene Corporation

Researching Healthcare Management Guidelines Health Plan Performance monitoring Quality improvement Procedures Contracting Business administration +24

Senior Full Time

USD 105K+

Senior Care Manager
Remote-NY, United States

Centene Corporation

Treatment options Personalized care plan Substance Use Disorders Member education Home visits Substance use Quality care Complex Care Management Service plan +40

Senior Full Time

USD 73K+

Eligibility Representative I
Remote-CA, United States

Centene Corporation

Audits Supervision Health Insurance Flexibility Access Benefits Insurance Business Education

Entry Full Time

USD 30K+

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