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Managed care experience Remote Jobs

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11 fresh jobs found
Grievance & Appeals Coordinator I
Burr Ridge - 1333 Burr Ridge Pkwy, Ste 125 (10938), United States Centene Corporation logo Centene Corporation
Claims research Utilization Grievance Grievances Managed care experience HEDIS Appeals Medical management Health Services +14
Entry Mid Full Time
USD 64K+
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Care Manager RN
Remote-FL, United States Centene Corporation logo Centene Corporation
Compliance Documentation Managed care experience Complex Care Management Healthcare Education Digital Outreach Personalized care plans Resource support Service Assessment Foster care +29
Mid Full Time
USD 55K+
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Senior Manager, Data Analytics & Reporting
Remote-FL, United States Centene Corporation logo Centene Corporation
Reconciliation tools Managed care experience Business Objects MS Access Reconciliation Methodologies Data Mining Data Warehousing Statistical analysis +22
Senior Full Time
USD 105K+
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Supervisor, Quality Improvement
Remote-AR, United States Centene Corporation logo Centene Corporation
Effective Business Communication Lotus Notes Managed care experience Project Implementation HEDIS Quality improvement Procedures Supervisory Managed Care +28
Mid Full Time
USD 68K+
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Health Services Data Analyst – Sharp Community Medical Group – System Services Telecommuter – Day - FT
System Services-Telecommuter, United States Sharp HealthCare logo Sharp HealthCare
Monarch Managed care experience Database Development Microsoft Windows Data Reporting Spreadsheets Filing Medical management Utilization management +13
Entry Mid Full Time
USD 41K+
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Pharmacy Coordinator II
Remote-NV, United States Centene Corporation logo Centene Corporation
Formulary process Prior authorizations Grievances Managed care experience Health Plan Provider Relations Utilization Review Prior authorization Medical management +18
Mid Full Time
USD 77K+
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Project Manager V - Population Health
Remote-FL, United States Centene Corporation logo Centene Corporation
Planview Managed care experience Microsoft Visio Resourcefulness Smartsheet Clinical operations Visio Agile Methodology Supervisory +26
Senior Full Time
USD 105K+
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Senior Health Care Analyst
Remote-NJ, United States Centene Corporation logo Centene Corporation
Cost and utilization Medical claims Managed care experience Healthcare Analytics Reporting tools Trend Analysis Data Mining Financial modeling Claims +27
Senior Full Time
USD 68K+
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Medicare Program Manager IV
Remote-MO, United States Centene Corporation logo Centene Corporation
CMS bid filing Strategic Analysis Managed care experience Project Implementation Project management tools CMS Healthcare experience Cross-functional Teams Supervisory +26
Senior Mid Full Time
USD 86K+
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Medical Director, Behavioral Health Services - Washington
Remote-WA, United States Centene Corporation logo Centene Corporation
Medical care standards Behavioral health management Authorization evaluation Grievance resolution Behavioral health services Authorization requests Claims review Grievances Evidence-based practice +29
Exec Senior Full Time
USD 210K+
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Pharmacy Coordinator II
Remote-WA, United States Centene Corporation logo Centene Corporation
Formulary process Grievances Prior authorizations Managed care experience Provider Relations Cost analysis Utilization Review Medical management Prior authorization +16
Entry Mid Full Time
USD 44K+
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