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Remote Jobs with Workplace flexibility Benefits

318 fresh jobs found

Clinical Reviewer II (Special Investigation Unit)
Remote-MO, United States

Centene Corporation

Provider Billing Billing practices Claims analysis Information Management Provider education Medical necessity Appeals Medical Coding Medical Records +25

USD 55K+

Senior Business Systems Analyst
Remote-OH, United States

Centene Corporation

837 X12 UAT Health outcomes User Acceptance Testing IT services Claims Procedures Mathematics Statistics +22

Senior Mid Full Time

USD 85K+

Quality Practice Advisor
Remote-OK, United States

Centene Corporation

Risk Adjustment Coding Cphq Documentation standards Medical record documentation Provider education ICD-9 NCQA HEDIS Risk Adjustment +23

USD 52K+

Care Navigator
Remote-NV, United States

Centene Corporation

Psychosocial support Clinical licensure Healthcare Coordination Resource support Service Assessment Foster care Healthcare outcomes Service plans Healthcare benefits +25

Entry Mid Full Time

USD 44K+

Director, Medical and Scientific Affairs Operations - Remote
Center Valley, PA, US, 18034-0610

Olympus Corporation of the Americas

Financial Acumen Analytical thinking Business Acumen Strategic Thinking Stakeholder engagement Data Visualization PowerPoint Time Management Innovation +8

Exec Senior Full Time

USD 137K+

Senior Business Intelligence Engineer
Remote-TX, United States

Centene Corporation

Statistical Process Controls Analytical Techniques Microsoft Visio Health outcomes Enterprise Architecture Risk Analysis Quantitative analysis Visio Microsoft Azure +33

Senior Mid Full Time

USD 85K+

Escalation Response Specialist IV - Claims
Remote-FL, United States

Centene Corporation

Customer Care Contact center Claims handling CMS Issue Resolution Claims Problem Resolution Root Cause Analysis Medicare +16

USD 76K+

Inside Sales Representative
Remote-AZ, United States

Centene Corporation

Health insurance knowledge Telephonic enrollment Lead tracking SFDC Call Center Medicare Health Insurance Flexibility Access +5

Entry Mid Full Time

USD 64K+

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

Centene Corporation

Home visits Complex Care Management Digital Outreach Resource support Personalized care plans Service Assessment Foster care Healthcare outcomes Service plans +24

USD 55K+

Medical Review Specialist III
Remote-NC, United States

Centene Corporation

Peer-to-peer processes ICD-10 codes Medical Review Clinical services Call Center Experience Prior authorization ICD-10 Medical management Health Services +14

Senior Mid Full Time

USD 76K+

Business Analyst II (UAT)
Remote-MO, United States

Centene Corporation

Implementation processes UAT Business solutions User Acceptance Testing Procedures Coordination Business Analysis Health Insurance Performance Management +15

USD 55K+

Lead Application Development Engineer
Remote-OK, United States

Centene Corporation

Soft Application Support Technical Analysis Health outcomes Enterprise Architecture Technical Aptitude SQL Server .Net Application Development +28

Senior Mid Full Time

USD 100K+

Medical Director
Remote-OH, United States

Centene Corporation

Substance Use Disorders Medical management programs Clinical quality improvement Health care quality Utilization Provider network development Government programs Health financing Accreditation Standards +45

Exec Senior Full Time

USD 221K+

Program Manager II
Remote-CA, United States

Centene Corporation

Program Oversight Business process documentation Project Execution Quality Standards Cross-functional Teams Resource Management Stakeholder communication Procedures Health care +16

USD 68K+

Medical Director
Remote-IL, United States

Centene Corporation

Substance Use Disorders Medical management programs Clinical quality improvement Health care quality Utilization Provider network development Government programs Health financing Accreditation Standards +44

Exec Senior Full Time

USD 221K+

Eligibility Representative I-1
Remote-CA, United States

Centene Corporation

Audits Supervision Health Insurance Flexibility Access Benefits Insurance Business Education

Entry Full Time

USD 30K+

Member Contract Development Analyst III
Remote-MO, United States

Centene Corporation

Health insurance products Policy maintenance Legislation Analysis Regulatory research Contract Development Policy analysis Health Plan Risk assessments CMS +30

Senior Full Time

USD 68K+

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

Centene Corporation

Electronic data entry Managed care experience Healthcare Collaboration Medical appropriateness Utilization Treatment plans Substance abuse Call Center Experience Clinical Review +32

USD 52K+

Senior Business Systems Analyst
Remote-PA, United States

Centene Corporation

Flow Charts Soft UAT Health outcomes Waterfall User Acceptance Testing IT services Requirements Gathering Claims processing +26

Senior Mid Full Time

USD 85K+

Clinical Review Clinician - Appeals
Remote-MO, United States

Centene Corporation

Appeals processing Interdepartmental Collaboration Clinical data analysis Medicaid regulations Ncqa standards Clinical reviews Utilization NCQA Clinical Review +25

USD 52K+

Application Development Engineer II
Remote-SC, United States

Centene Corporation

SOA components Service interfaces Data access logic Business logic Service messages Process Flows Security management UI/UX HEDIS +27

USD 73K+

Provider Engagement Administrator II
Remote-NJ, United States

Centene Corporation

Claims reimbursement Claims billing Cost and utilization Network performance Utilization Provider education Provider engagement HEDIS Provider Relations +27

USD 55K+

Lead Infrastructure Security Engineer
Remote-CA, United States

Centene Corporation

Machine Learning Algorithms Infrastructure Security Data cleansing Data Lake Data Strategy Health outcomes Predictive Modeling Software architecture Advanced Analytics +65

Senior Mid Full Time

USD 100K+

Care Manager (RN)
Remote-LA, United States

Centene Corporation

Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes Service plans +25

USD 55K+

Manager, Category Management
Remote-OH, United States

Centene Corporation

Procurement law Financial Performance Strategic sourcing Category management KPI development Risk assessments Financial Sourcing Contract management +18

USD 86K+

Senior Incident Response Analyst
Remote-MO, United States

Centene Corporation

Wiz Wiz Defend Threat actor techniques Incident Triage Cloud cybersecurity Enterprise detection Indicators of compromise MS Defender CrowdStrike +41

Senior Mid Full Time

USD 85K+

Lead Cloud Platform Engineer
Remote-MI, United States

Centene Corporation

Firewall concepts Swarm Cloud Deployment Manager Cloud foundry Cloud formation Erlang Puppet Amazon Web Services Health outcomes +45

Senior Mid Full Time

USD 100K+

Care Manager (RN)
Remote-AR, United States

Centene Corporation

Education facilitation Home outreach Compliance Documentation Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care +26

USD 55K+

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

Centene Corporation

Health management systems Medicaid regulations Health management Utilization Clinical Review Medical necessity Acute care Discharge planning Medical Records +19

USD 52K+

Application Development Engineer II
Remote-NM, United States

Centene Corporation

Service interfaces Business logic Data access logic SOA components Service messages Process Flows Security management Hibernate UI/UX +24

USD 73K+

Data Analyst IV
Remote-MO, United States

Centene Corporation

Data quality audits Data design Analytical support Data Aggregation Quality audits Data verification Report development MS Access Project Implementation +36

Senior Full Time

USD 86K+

Remote Medical Director - South Carolina
Remote-SC, United States

Centene Corporation

Utilization Medical management programs Clinical quality improvement Health care quality Government programs Provider network development Health financing Personnel management Accreditation Standards +39

Exec Mid Full Time

USD 221K+

Pediatric Care Manager, RN (ECC)
Tampa-200 W. Waters Ave. (10971), United States

Centene Corporation

Pediatric care Home outreach Complex Care Management Digital Outreach Personalized care plans Resource support Service Assessment Foster care Healthcare outcomes +25

USD 55K+

Patient Care Advocate
Remote-AR, United States

Centene Corporation

Member advocacy Provider experience Quality Initiatives Health administration HEDIS NCQA CPT coding Health coaching Risk Adjustment +34

USD 52K+

Senior Business Technical Analyst - SAS/Python
Remote-FL, United States

Centene Corporation

Database Solutions Corrective Actions System Analysis Data Extraction Adjudication Medical management Issue Resolution Financial Health Services +29

Senior Mid Full Time

USD 86K+

Provider Engagement Account Manager
Remote-OK, United States

Centene Corporation

Cost and utilization Network performance Quality measures Utilization Provider education Provider engagement HEDIS Provider Relations Health Plan +28

USD 55K+

Director, Project Management
Remote-MO, United States

Centene Corporation

Implementation processes Operating Models Government programs Project Management Software Cross-functional Coordination MS Project PMP Project Planning Health care +19

Exec Senior Full Time

USD 116K+

Manager, Provider Relations
Remote-OK, United States

Centene Corporation

Health delivery systems Provider contracts Provider Contracting Staff management Provider Relations Health Plan Credentialing Quality Standards Supervisory +16

USD 86K+

Member Relationship Liaison
Remote-MO, United States

Centene Corporation

Telephonic Education Provider outreach Provider experience Client satisfaction Health Plan CMS Medical management Health Services Problem Resolution +18

USD 55K+

Project Coordinator II.
Remote-CA, United States

Centene Corporation

Compliance monitoring Report Preparation Administrative Tasks Project Coordination Coordination Scheduling Logistics Health Insurance Flexibility +9

USD 95K+

IAM Analyst II
Remote-MO, United States

Centene Corporation

SailPoint IdentityNow SailPoint IIQ Technical Design Documentation QTest Sailpoint Interoperability High Availability Health outcomes Alteryx +38

USD 60K+

Senior Manager, Provider Communications
Remote-MO, United States

Centene Corporation

Provider engagement Value-based care Journalism Healthcare experience Engagement Health care Managed Care Health Insurance Governance +13

Senior Full Time

USD 86K+

Transition Specialist
Remote-IN, United States

Centene Corporation

Education Materials Transition planning Transition of care Member assessment Health care services Metrics Tracking Education and Training Care Plans Training Programs +20

USD 52K+

Director, Auditing, Monitoring & Oversight (Marketplace)
Remote-MO, United States

Centene Corporation

Oversight tools Executive Reporting Audit readiness Government programs Health administration Compliance requirements Healthcare Regulations Compliance management Health Plan +37

Exec Senior Full Time

USD 116K+

Care Management Support Coordinator II
Remote-OK, United States

Centene Corporation

Record keeping Customer Care Health Plan Social Determinants of Health Referrals Community Resources Problem Resolution Procedures Regulatory requirements +17

Entry Mid Full Time

USD 55K+

Behavioral Health Service Mgr-BH Medication Monitoring
Remote-OK, United States

Centene Corporation

Behavioral health services Mental health resources Utilization Data Monitoring Clinical Nursing Quality of care Foster care Evidence-based practices Discharge planning +32

USD 95K+

Care Manager - Atlantic and/or Ocean County
Remote-NJ, United States

Centene Corporation

Substance Use Disorders Treatment options Complex Care Management Home visits Healthcare Education Substance use Digital Outreach Personalized care plans Substance Use Disorder +30

USD 55K+

Data Scientist II - Shiny
Remote-CA, United States

Centene Corporation

R-Shiny SAP HANA Health management Teradata MS SQL Server DB2 Statistical modeling Predictive Modeling Data Mining +29

USD 86K+

Director, Infrastructure Portfolio & Financials
Remote-NY, United States

Centene Corporation

Lean thinking Financial Forecasting Infrastructure Management Health outcomes Conflict Management Methodologies PMP Technical Guidance Issue Resolution +44

Exec Senior Full Time

USD 157K+

Workforce Analyst II
Remote-FL, United States

Centene Corporation

Workforce management Procedures Scheduling Health Insurance Performance Metrics Metrics MS Office Forecasting Flexibility +11

Entry Mid Full Time

USD 55K+

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