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Remote Jobs with Workplace flexibility Benefits

156 fresh jobs found

Provider Network Specialist II
Remote-NJ, United States

Centene Corporation

Provider performance metrics Health information exchange Contracting duties Health plan provider orientations Credentialing documentation Educational outreach Quality performance Provider network management Managed healthcare +30

USD 55K+

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims reimbursement Claims billing Cost and utilization Claims Submission Network performance Provider education Utilization Provider Relations Provider engagement +30

USD 55K+

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

Centene Corporation

Drug Utilization Review Medication therapy management Pharmacy operations Pharmacy Technician Utilization Inbound Calls Telephonic Outreach Clinical services Tracking +28

Entry Full Time

USD 52K+

Health Benefit Rep - Brooklyn (Russian, Uzbek)
Remote-NY, United States

Centene Corporation

Enrollment process Needs analysis Tracking Healthcare Knowledge Referrals Community Engagement Network Care management Managed Care +17

USD 77K+

Senior Manager, Ethics & Compliance
Remote-MO, United States

Centene Corporation

Managed care experience Government relations Regulatory Analysis Compliance requirements Regulatory Guidance Healthcare Compliance Regulatory requirements Managed Care Medicaid +14

Senior Full Time

USD 105K+

Manager, Quality Improvement
Remote-IL, United States

Centene Corporation

Report Preparation Healthcare Management Appeals Clinical Experience Supervisory Procedures Quality improvement Quality Management Managed Care +20

USD 86K+

Care Manager (RN) - Gloucester, Camden, and/or Burlington County
Remote-NJ, United States

Centene Corporation

Home visits Social determinants Personalized care plans Complex Care Management Resource support Service Assessment Social Determinants of Health Foster care Service plan +28

USD 55K+

Care Manager (RN) - Warren, Morris, and/or Sussex County
Remote-NJ, United States

Centene Corporation

Home visits Social determinants Personalized care plans Complex Care Management Resource support Care Planning Service Assessment Social Determinants of Health Foster care +29

USD 55K+

Senior Accountant
Remote-MO, United States

Centene Corporation

Treasury Functions Claims Liability Computerized accounting Recordkeeping Accounting Systems Technical Accounting Analytical tools General Ledger Public Accounting +23

Senior Mid Full Time

USD 68K+

Claims Escalation Response Specialist III
Remote-FL, United States

Centene Corporation

Provider experience Claims payment Claims Adjudication Data Tracking Adjudication Contact center Customer Care Trend Analysis Issue Resolution +21

Senior Mid Full Time

USD 68K+

Forecasting Analyst II
Remote-FL, United States

Centene Corporation

Web tools Utilization Report Preparation Guidelines Contact center Customer Care Resource Management Predictive Analytics Reports +15

USD 95K+

Care Manager (RN)
Remote-FL, United States

Centene Corporation

Home outreach Digital Outreach Social determinants Personalized care plans Complex Care Management Resource support Foster care Social Determinants of Health Service Assessment +28

USD 55K+

Quality Outreach Coordinator
Remote-NJ, United States

Centene Corporation

Quality Initiatives Healthcare outcomes Medical terminology Coordination Managed Care Data Entry Outreach Health Insurance Access +6

USD 64K+

Provider Data Management Specialist I
Remote-KS, United States

Centene Corporation

Third party liability Provider data management Administrative Tasks Prior authorization Health care Database Management Network Managed Care Reports +16

USD 64K+

Snowflake Data Engineer II
Remote-TX, United States

Centene Corporation

Data provisioning Data reliability Data destruction Data efficiency Data Pipeline Optimization Programming concepts Performance Data Python programming Real-time processing +50

USD 62K+

Capacity Planning Analyst II
Remote-FL, United States

Centene Corporation

Workforce metrics Performance Data Utilization Guidelines Contact center Customer Care Workforce Planning Capacity planning Resource Management +17

USD 95K+

Senior Care Navigator
Remote-FL, United States

Centene Corporation

Psychosocial support Clinical licensure Pediatric care Personalized care plan Care Plan Development Quality care Resource support Healthcare Coordination Service Assessment +27

Senior Mid Full Time

USD 95K+

Quality Improvement Coordinator II
Remote-AZ, United States

Centene Corporation

Program enhancements Medical record audits Clinical Initiatives Cphq Healthcare quality Corrective action plans Utilization Quality of care Healthcare experience +27

USD 66K+

Program Manager IV - Regulatory Change Management
Remote-MO, United States

Centene Corporation

Managed care experience Training materials Project Implementation Strategic Analysis Project management tools Healthcare experience Cross-functional Teams PMP Supervisory +31

Senior Mid Full Time

USD 86K+

Escalation Response Specialist III
Remote-MO, United States

Centene Corporation

Provider experience Claims payment Escalation management Claims Adjudication Adjudication Contact center Customer Care Issue Resolution Problem Resolution +23

Senior Mid Full Time

USD 68K+

Communications Specialist
Remote-MO, United States

Centene Corporation

Disease Management Event Coordination Tracking Journalism Graphic Design SharePoint Content Creation Health Insurance MS Office +9

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 +41

USD 55K+

Autism Clinical Care Analyst
Remote-LA, United States

Centene Corporation

Treatment plan evaluation Behavioral health expertise Insurance funding knowledge Autism spectrum disorder Applied Behavioral Analysis Applied Behavior Analysis Behavioral Analysis Treatment plans Behavior Analysis +16

Entry Mid Full Time

USD 68K+

Availity Process Owner
Remote-MO, United States

Centene Corporation

Operational Execution Cost Containment Business Process Healthcare Industry Knowledge Appeals Business Process Improvement PMP Six Sigma Stakeholder Collaboration +30

USD 105K+

Project Manager II
Remote-MO, United States

Centene Corporation

Project documentation Training materials Project Management Software Contact center Project Execution MS Project Project management tools Healthcare experience Cross-functional Teams +27

USD 68K+

Quality Practice Advisor
Remote-OK, United States

Centene Corporation

Performance Data Cphq Medical record documentation Risk Adjustment Coding Provider education Guidelines Provider Relations ICD-9 NCQA +26

USD 95K+

Care Manager (RN) - Hudson and/or Bergen County
Remote-NJ, United States

Centene Corporation

Digital Outreach Home visits Social determinants Personalized care plans Complex Care Management Resource support Foster care Social Determinants of Health Service Assessment +27

USD 55K+

Associate Quality Practice Advisor
Remote-MO, United States

Centene Corporation

Performance Data Medical Record Review Cphq Member education Health care quality Medical record documentation Health administration Healthcare quality Data Sources +48

USD 95K+

Care Manager (RN)
Remote-NY, United States

Centene Corporation

Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health Service plan Healthcare outcomes +27

USD 55K+

Program Manager II - Medical Management
Remote-CA, United States

Centene Corporation

Mental Health Parity Managed care experience UM Business process documentation Compliance Documentation Compliance requirements Project Implementation Business Process Medical management +35

USD 68K+

Pharmacy Operations Specialist I
Remote-FL, United States

Centene Corporation

Pharmacy Claims Processing Quality process improvement Pharmacy operations Training materials Pharmacy Claims Pharmacy Technician UAT Medicare part d Power Automate +30

USD 44K+

Care Manager (RN) - Morris, Warren, and/or Sussex County
Remote-NJ, United States

Centene Corporation

Home visits Digital Outreach Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health +26

USD 55K+

Care Manager (RN) - Hudson County
Remote-NJ, United States

Centene Corporation

Resource Coordination Home visits Personalized care plans Social determinants Complex Care Management Resource support Foster care Service Assessment Social Determinants of Health +30

USD 55K+

Sales Assistant III - Commercial Groups
Remote-CA, United States

Centene Corporation

Data Tracking Proposal Development Managed Care Underwriting Sales Support Investigation Health Insurance Coding Sales Strategy +12

Senior Mid Full Time

USD 77K+

LTSS Service Care Manager (RN)
Remote-KS, United States

Centene Corporation

Holistic care management Service authorization Hemophilia Holistic care Treatment options Personalized care plans Clinical Guidelines Quality of care Care Planning +31

USD 52K+

Care Coordinator II
Remote-AR, United States

Centene Corporation

Service assessments Education on Benefits Member Outreach Home visits Service coordination Guidelines Service plan Regulatory Guidelines Health Plan +17

USD 55K+

Senior Director, Contact Center Operations
Remote-FL, United States

Centene Corporation

Desktop transformation CRM Implementation Contact Center Operations Contact center Customer Care Training Programs Transformation Regulatory requirements Partnerships +25

Senior Full Time

USD 157K+

Director, Quality Improvement
Remote-MO, United States

Centene Corporation

Medicare Stars Provider Satisfaction Technological Tools Policy Formulation HOS CAHPS Guidelines Healthcare operations NCQA +24

Exec Senior Full Time

USD 116K+

Provider Data Management Analyst I
Remote-FL, United States

Centene Corporation

Provider data management Claims payment Healthcare operations Provider Relations Credentialing Claims processing Contracting Claims Managed Care +18

Entry Full Time

USD 38K+

Supervisor, Claims
Remote-FL, United States

Centene Corporation

Medical claims Cost control Researching Marketplace Financial Supervisory Procedures Claims processing Claims +22

USD 55K+

Provider Data Management Specialist I
Remote-FL, United States

Centene Corporation

Third party liability Provider data management Administrative Tasks Prior authorization Database Management Health care Network Managed Care Data Entry +17

USD 38K+

Director Product Management
Remote-GA, United States

Centene Corporation

Service Design Health outcomes Soft Digital Experience Design Strategy Backlog Management Digital products Tracking Cross-functional Teams +41

Exec Senior Full Time

USD 157K+

Manager, Care Management
Remote-MI, United States

Centene Corporation

Clinical administration Family care planning Member Outreach Provider experience Clinical Data Management Quality care Care Planning Healthcare outcomes Clinical Data +31

USD 100K+

Member Advocate I
Remote-NY, United States

Centene Corporation

Member advocacy Member education Grievances Guidelines Health Plan Customer Care Health care Advocacy Medicaid +11

USD 38K+

Accounting Assistant - In Office
Remote-FL, United States

Centene Corporation

Basic math Reconciliation Accounts Payable Accounts Receivable Microsoft Outlook Medicare Reports Databases Health Insurance +18

Entry Mid Full Time

USD 30K+

Commissions Specialist
Remote-CA, United States

Centene Corporation

Commissions processing Data compilation General Ledger Reconciliation Accounts Payable Accounts Receivable Network Reports Health Insurance +12

USD 53K+

Care Manager (RN) (State)
Remote-CA, United States

Centene Corporation

Digital Outreach Social determinants Personalized care plans Complex Care Management Resource support Foster care Social Determinants of Health Service Assessment Healthcare outcomes +26

USD 52K+

Supervisor, Care Management (RN)
Remote-FL, United States

Centene Corporation

Member Outreach Provider experience Digital Outreach Member engagement Pediatrics Quality care Telephonic Outreach Performance Evaluation RN +18

USD 85K+

Grievance & Appeals Coordinator I
Remote-AZ, United States

Centene Corporation

Claims research Grievance resolution Managed care experience Grievances Researching HEDIS Organizing Appeals Medical management +16

Entry Mid Full Time

USD 64K+

Customer Service Advocate II - Outbound
Remote-AZ, United States

Centene Corporation

Outbound Calls CRM applications Contact center Customer Care Tracking Performance Tracking Quality Standards Audits Claims +18

Entry Mid Full Time

USD 55K+

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