Centene Jobs in the United States
Centene
$56200 - $101000
Florissant, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department.
Centene
$56200 - $101000
Columbia, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department.
Centene
$56200 - $101000
Jefferson City, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department.
Centene
$56200 - $101000
Saint Louis, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department.
Centene
$56200 - $101000
Kansas City, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department.
Centene
$55100 - $99000
Murfreesboro, TN
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$231900 - $440500
Jefferson City, MO
Lead a team of medical directors and supervise MD’s responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care aligned with bet practice promoting safety, quality and cost of care outcomes. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$231900 - $440500
Florissant, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Centene
$231900 - $440500
Saint Louis, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Centene
$107700 - $199300
Pompano Beach, FL
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Works with capability owners, ensuring that cryptographic controls are effectively implemented to protect sensitive data and ensure compliance with regulatory and contractual obligations.
Centene
$107700 - $199300
West Palm Beach, FL
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Works with capability owners, ensuring that cryptographic controls are effectively implemented to protect sensitive data and ensure compliance with regulatory and contractual obligations.
Centene Medicare
$48300 - $82400
Staten Island, NY
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations.
Centene
$55100 - $99000
Knoxville, TN
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$231900 - $440500
Kansas City, MO
Lead a team of medical directors and supervise MD’s responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care aligned with bet practice promoting safety, quality and cost of care outcomes. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$107700 - $199300
Miami Beach, FL
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Works with capability owners, ensuring that cryptographic controls are effectively implemented to protect sensitive data and ensure compliance with regulatory and contractual obligations.
Centene
$55100 - $99000
Jackson, TN
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$55100 - $99000
Memphis, TN
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$231900 - $440500
Kansas City, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Centene
$231900 - $440500
Jefferson City, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Centene
$231900 - $440500
Columbia, MO
Lead a team of medical directors and supervise MD’s responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care aligned with bet practice promoting safety, quality and cost of care outcomes. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$107700 - $199300
Tallahassee, FL
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Works with capability owners, ensuring that cryptographic controls are effectively implemented to protect sensitive data and ensure compliance with regulatory and contractual obligations.
Centene
$231900 - $440500
Columbia, MO
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Centene
$107700 - $199300
Hialeah, FL
See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Works with capability owners, ensuring that cryptographic controls are effectively implemented to protect sensitive data and ensure compliance with regulatory and contractual obligations.
Centene
$231900 - $440500
Saint Louis, MO
Lead a team of medical directors and supervise MD’s responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care aligned with bet practice promoting safety, quality and cost of care outcomes. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$55100 - $99000
Johnson City, TN
Value-Based Care Model: Focuses on value-based care model initiatives, collaborating with physicians to identify and align to performance-based agreements that incentivize better patient outcomes, cost-efficiency, and quality care. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene
$231900 - $440500
Florissant, MO
Lead a team of medical directors and supervise MD’s responsible for utilization management and appeals functions to ensure members receive medically necessary, evidence-based care aligned with bet practice promoting safety, quality and cost of care outcomes. See Centene Terms & Conditions at https://www.centene.com/terms-conditions.html and Privacy Policy at https://www.centene.com/privacy-policy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions.
Centene Corporation
Olympia, WA
We're Hiring: Remote Behavioral Medical Directors** Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace. + Actively practices medicine **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
Centene Corporation
Olympia, WA
Position Purpose:** Centene's Detection Engineering team drives threat-informed defense by designing, implementing, and continuously improving high-fidelity detections across endpoint, identity, network, cloud, and SaaS telemetry. As a Senior Detection Engineer, you will lead complex detection initiatives, architect coverage strategies, and mentor engineers while partnering closely with SOC/CSMT, CSIRT, Threat Intelligence, and platform owners.
Centene Corporation
Olympia, WA
Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome + Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care + Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans + Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner + May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate + Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators + May perform on-site visits to assess member's needs and collaborate with providers or resources, as appropriate + May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits + Other duties or responsibilities as assigned by people leader to meet the member and/or business needs + Performs other duties as assigned. (some flexibility)** + **Must live in King County, WA - Central/North (Seattle, Tukwila, SeaTac, Burien, Renton)** + **50%-75% travel within King County** + **Coordinate care for high-risk members; connect to health plan benefits and community resources** + **Address barriers to care (housing, transportation, food insecurity, etc.)** + **Conduct phone outreach to members** + **Visit members at home and in community settings (hospitals, shelters, provider offices, etc.)** **Position Purpose:** Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes.
Centene Corporation
Olympia, WA
Experience with Washington State Medicaid and/or the Washington State Health Care Authority (HCA) is strongly preferred.***** **Position Purpose:** Interacts extensively with the behavioral health leadership and cross functional associates within the organization to develop and implement long range behavioral health program strategies. Candidate Education: Required A Bachelor's Degree in counseling, social work, psychology, nursing, or related human service field + Project leads behavioral health and/or behavioral health home program development and integration activities both internally and externally.
Centene Corporation
TACOMA, WA
Responsible for tracking, reporting, and ensuring the completion of action items resulting from internal and external assessments / findings related to accreditation + Communicates with multi-level stakeholders, providing guidance to reduce risk within the organization and collaborates with senior management to identify risk issues and address appropriately as needed + Analyzes data and implements action for the purpose of improving accreditation management at the service and facility level **Education/Experience:** Bachelor's degree in Business, related field or equivalent experience. + Identifies, documents, and assesses compliance risks and works collaboratively with key functions across the organization to drive organizational change to improve quality and ensure compliance with the accrediting body (i.e., NCQA) + Serves as the primary point of contact for accreditation and regulatory activities.