CenteneNewDirector, Provider Data & Analytics CenteneDirector, Provider Data & AnalyticsAtlanta, GA$113,100–$209,100 / yearPosition Purpose: Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as: encounter reporting development and submission, network development reporting, provider data reporting and data comparisons for start up and ongoing operations, extractions for directory submissions, maintenance of data among multiple systems for integrity, operational scorecards, and other reporting and data requirements as defined by the plan. Oversee Provider Data Department including provider set up forms, maintenance of provider records and audit provider data records as well as management of all coordinator staff.
Centene Corporation GroupBusiness Analyst IV - Integration Quality & User Acceptance Testing (UM) Centene Corporation GroupBusiness Analyst IV - Integration Quality & User Acceptance Testing (UM)MO$87,700–$157,800 / yearPerform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements. Highly preferred that candidate has experience in Business Analysis, UAT, or Quality roles, as well as supporting integration testing and data/interface validation.
Centene Corporation GroupBusiness Analyst IV - Integration Quality & User Acceptance Testing (CM) Centene Corporation GroupBusiness Analyst IV - Integration Quality & User Acceptance Testing (CM)MO$87,700–$157,800 / yearPerform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements. Highly preferred that candidate has experience in Business Analysis, UAT, or Quality roles, as well as supporting integration testing and data/interface validation.
Centene Corporation GroupBusiness Analyst IV - Integration Quality & User Acceptance Testing (LTSS) Centene Corporation GroupBusiness Analyst IV - Integration Quality & User Acceptance Testing (LTSS)MO$87,700–$157,800 / yearPerform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements. Highly preferred that candidate has experience in Business Analysis, UAT, or Quality roles, as well as supporting integration testing and data/interface validation.
Centene Corporation GroupSenior Manager, Marketing Centene Corporation GroupSenior Manager, MarketingFLRemote$87,700–$157,800 / yearOversee the writing, design and production of member and provider materials including newsletters, educational materials, handbooks, directories, manuals, member ID cards, promotional advertising, and website content while maintaining Corporate brand and style guidelines and state compliance requirements. Own end‑to‑end AEP readiness and execution across assigned lines of business, materials, and workstreams, ensuring all outputs are delivered on time, accurate, and compliant with regulatory, operational, and business requirements, while serving as the single point of accountability for AEP delivery from intake through final fulfillment.
Centene Corporation GroupClinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-TX, TXRemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
Centene Corporation GroupSenior Manager, Marketing Centene Corporation GroupSenior Manager, MarketingTXRemote$87,700–$157,800 / yearOversee the writing, design and production of member and provider materials including newsletters, educational materials, handbooks, directories, manuals, member ID cards, promotional advertising, and website content while maintaining Corporate brand and style guidelines and state compliance requirements. Own end‑to‑end AEP readiness and execution across assigned lines of business, materials, and workstreams, ensuring all outputs are delivered on time, accurate, and compliant with regulatory, operational, and business requirements, while serving as the single point of accountability for AEP delivery from intake through final fulfillment.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthLaredo, TX$30.58–$55.09 / hourPreferred Education/Experience: Master's degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred. Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthAustin, TX$30.58–$55.09 / hourPreferred Education/Experience: Master's degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred. Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members.
Centene Corporation GroupDental Operations Manager Centene Corporation GroupDental Operations ManagerCAPosition Purpose: The Dental Operations Manager is responsible for managing, directing and supporting the dental operations for our Medi-Cal, Healthy Families and Medicare members. The director is also responsible for ensuring compliance with our Department of Health Services (DHS) and Healthy Families MRMIB contracts.
Centene Corporation GroupClinical Extern Centene Corporation GroupClinical ExternColumbia, SCPosition Purpose: Observe preceptors and participate in various projects to learn and develop skills related to the Managed Care industry. Develop clinical knowledge and skills by learning about various processes and functions within the Managed Care industry.
Centene Corporation GroupSenior Manager, Marketing Centene Corporation GroupSenior Manager, MarketingMORemote$87,700–$157,800 / yearOversee the writing, design and production of member and provider materials including newsletters, educational materials, handbooks, directories, manuals, member ID cards, promotional advertising, and website content while maintaining Corporate brand and style guidelines and state compliance requirements. Own end‑to‑end AEP readiness and execution across assigned lines of business, materials, and workstreams, ensuring all outputs are delivered on time, accurate, and compliant with regulatory, operational, and business requirements, while serving as the single point of accountability for AEP delivery from intake through final fulfillment.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthMission, TX$30.58–$55.09 / hourPreferred Education/Experience: Master's degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred. Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthCedar Park, TX$30.58–$55.09 / hourPreferred Education/Experience: Master's degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred. Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthLubbock, TX$30.58–$55.09 / hourPreferred Education/Experience: Master's degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred. Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthMidland, TX$30.58–$55.09 / hourPreferred Education/Experience: Master's degree in area of specialty therapy and 5+ years of experience providing therapy services in-patient, outpatient, home health, and/or managed care settings preferred. Expands therapy specialty knowledge and works with senior management to identify areas of improvement with therapy services and/or durable medical equipment for members.
Centene Corporation GroupClinical Extern Centene Corporation GroupClinical ExternCAPosition Purpose: Observe preceptors and participate in various projects to learn and develop skills related to the Managed Care industry. Develop clinical knowledge and skills by learning about various processes and functions within the Managed Care industry.
Centene Corporation GroupSenior Application Architect Centene Corporation GroupSenior Application ArchitectRemote-IL, ILRemote$102,900–$190,500 / yearLeadership Responsibilities: Leads application architecture vision for services using AWS Serverless technology stacks with a core focus on security, resiliency, scalability, supportability, and performance. Integration and Collaboration: Investigates and advises on third-party integrations to develop requirements and architecture associated with external interfaces, protocols, and interoperability with other applications.
Centene Corporation GroupSenior Application Architect Centene Corporation GroupSenior Application ArchitectRemote-PA, PARemote$102,900–$190,500 / yearLeadership Responsibilities: Leads application architecture vision for services using AWS Serverless technology stacks with a core focus on security, resiliency, scalability, supportability, and performance. Integration and Collaboration: Investigates and advises on third-party integrations to develop requirements and architecture associated with external interfaces, protocols, and interoperability with other applications.
Centene Corporation GroupQuality Care Member Advocate Centene Corporation GroupQuality Care Member AdvocateME$27.02–$48.55 / hourEducation/Experience: Bachelor's Degree Social Work, Public Health, Nursing, or related field; or equivalent experience required 2+ years In community health or healthcare quality required Experience working with health plan members and navigating community resources required Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required Strong communication and interpersonal skills. Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination.
Centene Corporation GroupLead Information Risk Analyst Centene Corporation GroupLead Information Risk AnalystCAThe Security Compliance Lead Information Risk Analyst is a senior individual contributor role with enterprise-wide responsibility for security governance, compliance execution, audit readiness, and GRC platform leadership. The role operates independently, leads complex cross functional initiatives, and serves as a subject matter authority, without formal people management responsibilities.
Centene Corporation GroupSenior Application Architect Centene Corporation GroupSenior Application ArchitectRemote-VA, VARemote$102,900–$190,500 / yearLeadership Responsibilities: Leads application architecture vision for services using AWS Serverless technology stacks with a core focus on security, resiliency, scalability, supportability, and performance. Integration and Collaboration: Investigates and advises on third-party integrations to develop requirements and architecture associated with external interfaces, protocols, and interoperability with other applications.
Centene Corporation GroupQuality Care Member Advocate Centene Corporation GroupQuality Care Member AdvocateVisalia, CA$27.02–$48.55 / hourPerform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination. Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements, ensuring members receive the support needed to close care gaps and maintain continuity of care.
Centene Corporation GroupSenior Application Architect Centene Corporation GroupSenior Application ArchitectRemote-FL, FLRemote$102,900–$190,500 / yearLeadership Responsibilities: Leads application architecture vision for services using AWS Serverless technology stacks with a core focus on security, resiliency, scalability, supportability, and performance. Integration and Collaboration: Investigates and advises on third-party integrations to develop requirements and architecture associated with external interfaces, protocols, and interoperability with other applications.
Centene Corporation GroupSenior Application Architect Centene Corporation GroupSenior Application ArchitectRemote-NJ, NJRemote$102,900–$190,500 / yearLeadership Responsibilities: Leads application architecture vision for services using AWS Serverless technology stacks with a core focus on security, resiliency, scalability, supportability, and performance. Integration and Collaboration: Investigates and advises on third-party integrations to develop requirements and architecture associated with external interfaces, protocols, and interoperability with other applications.
Centene Corporation GroupData Analyst III Healthcare Analytics, Provider Analytics Centene Corporation GroupData Analyst III Healthcare Analytics, Provider AnalyticsRemote-MO, MORemote$70,100–$126,200 / yearWork collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes. Education/Experience: Bachelor's degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience.
Centene Corporation GroupProgram Manager - PA Governance Centene Corporation GroupProgram Manager - PA GovernanceRemote-MO, MORemote$87,700–$157,800 / yearPosition Purpose: The Program Manager is responsible for leading enterprise‑wide Prior Authorization (PA) governance ensuring disciplined planning, data‑driven prioritization, and effective execution across regulatory, operational, and clinical initiatives. Manage multiple PA initiatives through the full project lifecycle, including requirements gathering, governance intake, development of project plans and schedules, resource and budget management, execution, deployment, and closure.
Centene Corporation GroupChief Operating Officer, Illinois Health Practice Alliance Centene Corporation GroupChief Operating Officer, Illinois Health Practice AllianceIL$207,000–$392,100 / yearDevelop relationships with network providers, area employers, and contractors; ensure successful development and implementation of business plans. Develop and implement strategic and tactical plans to ensure further growth and development of the business unit and ensure positive financial results.
Centene Corporation GroupSenior Adversarial Emulation - Red Team Operator Centene Corporation GroupSenior Adversarial Emulation - Red Team OperatorAZRemoteHands-on experience with using, modifying, and customizing penetration testing and red teaming software frameworks (Cobalt Strike, Brute Ratel, Mythic, etc.) to meet operational requirements. Design and implement cutting-edge obfuscation techniques for tools, payloads, and Command and Control (C2) infrastructure to evade detection by Endpoint Detection and Response (EDR) systems.
Centene Corporation GroupManager, Security Issues Management Centene Corporation GroupManager, Security Issues ManagementMORemoteServes as a subject matter expert on security issues remediation by advising stakeholders on technical fulfillment requirements, evidence expectations, and the broader Security Issues Management process.\n Oversees remediation activities resulting from internal audits, external audits, regulatory examinations, and risk assessments, ensuring consistency with enterprise risk tolerance and avoidance of duplicative efforts.\n Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.\n \nPosition Purpose:\n \nManages day to day operations of the Security Issues Management team, ensuring remediation activities are executed accurately, consistently, and within established SLAs.
Centene Corporation GroupSenior Manager, Sales Investigations Centene Corporation GroupSenior Manager, Sales InvestigationsMO$107,700–$199,300 / yearProvides enterprise-wide strategic and operational leadership for the Sales Investigations Team (SIT), including oversight of allegation intakes, regulatory-driven matters, and investigations involving sales practices, agent/agency conduct, and related FWA risks. Applies working knowledge of Medicare Advantage sales distribution structures, including FDR relationships, captive agent employment arrangements, and independent broker/agency contracts, to appropriately scope, contextualize, and adjudicate misconduct allegations.
Centene Corporation GroupSenior Adversarial Emulation - Red Team Operator Centene Corporation GroupSenior Adversarial Emulation - Red Team OperatorOHRemoteHands-on experience with using, modifying, and customizing penetration testing and red teaming software frameworks (Cobalt Strike, Brute Ratel, Mythic, etc.) to meet operational requirements. Design and implement cutting-edge obfuscation techniques for tools, payloads, and Command and Control (C2) infrastructure to evade detection by Endpoint Detection and Response (EDR) systems.
Centene Corporation GroupSenior Manager, Sales Investigations Centene Corporation GroupSenior Manager, Sales InvestigationsFL$107,700–$199,300 / yearProvides enterprise-wide strategic and operational leadership for the Sales Investigations Team (SIT), including oversight of allegation intakes, regulatory-driven matters, and investigations involving sales practices, agent/agency conduct, and related FWA risks. Applies working knowledge of Medicare Advantage sales distribution structures, including FDR relationships, captive agent employment arrangements, and independent broker/agency contracts, to appropriately scope, contextualize, and adjudicate misconduct allegations.
Centene Corporation GroupSenior Manager, Sales Investigations Centene Corporation GroupSenior Manager, Sales InvestigationsNC$107,700–$199,300 / yearProvides enterprise-wide strategic and operational leadership for the Sales Investigations Team (SIT), including oversight of allegation intakes, regulatory-driven matters, and investigations involving sales practices, agent/agency conduct, and related FWA risks. Applies working knowledge of Medicare Advantage sales distribution structures, including FDR relationships, captive agent employment arrangements, and independent broker/agency contracts, to appropriately scope, contextualize, and adjudicate misconduct allegations.
Centene Corporation GroupSenior Manager, Sales Investigations Centene Corporation GroupSenior Manager, Sales InvestigationsIL$107,700–$199,300 / yearProvides enterprise-wide strategic and operational leadership for the Sales Investigations Team (SIT), including oversight of allegation intakes, regulatory-driven matters, and investigations involving sales practices, agent/agency conduct, and related FWA risks. Applies working knowledge of Medicare Advantage sales distribution structures, including FDR relationships, captive agent employment arrangements, and independent broker/agency contracts, to appropriately scope, contextualize, and adjudicate misconduct allegations.
Centene Corporation GroupMedical Director Centene Corporation GroupMedical DirectorNY$215,000–$408,500 / yearCentene 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. Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Centene Corporation GroupSenior Adversarial Emulation - Red Team Operator Centene Corporation GroupSenior Adversarial Emulation - Red Team OperatorMORemoteHands-on experience with using, modifying, and customizing penetration testing and red teaming software frameworks (Cobalt Strike, Brute Ratel, Mythic, etc.) to meet operational requirements. Design and implement cutting-edge obfuscation techniques for tools, payloads, and Command and Control (C2) infrastructure to evade detection by Endpoint Detection and Response (EDR) systems.
Centene Corporation GroupSenior Manager, Sales Investigations Centene Corporation GroupSenior Manager, Sales InvestigationsIN$107,700–$199,300 / yearProvides enterprise-wide strategic and operational leadership for the Sales Investigations Team (SIT), including oversight of allegation intakes, regulatory-driven matters, and investigations involving sales practices, agent/agency conduct, and related FWA risks. Applies working knowledge of Medicare Advantage sales distribution structures, including FDR relationships, captive agent employment arrangements, and independent broker/agency contracts, to appropriately scope, contextualize, and adjudicate misconduct allegations.
Centene Corporation GroupDirector, Privacy & Security Enterprise Engagement Centene Corporation GroupDirector, Privacy & Security Enterprise EngagementMO$148,000–$274,200 / yearRisk Advisory & Compliance: Direct and oversee the team's ongoing efforts to identify and bring awareness to privacy, security, AI and operational resilience risks and control gaps, and champion solutions for those within the context of Centene's business operations and technology environments in partnership with internal and external teams to EPSRM. The Director builds trusted partnerships with Health Plan leadership and key enterprise stakeholders (Enterprise Compliance, Operations, Business Technology Solutions, ITCC, Privacy, Vendor Risk, Legal, etc.) to drive contract assurance, readiness reviews, RFP support, and continuous improvement.
Centene Corporation GroupSIU Investigator Centene Corporation GroupSIU InvestigatorCA$56,200–$101,000 / yearAssist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Education/Experience: Bachelor's Degree in Business, Criminal Justice, Healthcare, related field or equivalent experience required.
Centene Corporation GroupEnterprise Content Editor Centene Corporation GroupEnterprise Content EditorTX$107,700–$199,300 / yearActs as a senior narrative editor, collaborating with cross-functional subject matter experts to translate complex, technical, or operational content into compelling, client-focused narrative sections that support the overall proposal strategy. The role defines the core story and key messages that run through proposal narratives and works closely with our RFP writers and subject matter experts to ensure the narrative is accurate, clear, cohesive, and compelling.
Centene Corporation GroupSIU Investigator Centene Corporation GroupSIU InvestigatorNY$56,200–$101,000 / year5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) 7+ years of professional investigation experience involving economic or insurance related matters. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Centene Corporation GroupPrincipal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorNY$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Centene Corporation GroupPrincipal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorMO$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Centene Corporation GroupPublic Relations & Media Manager Centene Corporation GroupPublic Relations & Media ManagerFL$87,700–$157,800 / yearPosition Purpose: Responsible for advancing Centene's reputation and strategic interests for the Wellcare and Medicare businesses, including the PDP portfolio, through expert media relations, reputation management, and government relations initiatives. Leads efforts to monitor and analyze media coverage, legislative and regulatory developments, industry trends, and competitive activities; develops and implements responsive communication and advocacy strategies.
Centene Corporation GroupPrincipal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorKY$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Centene Corporation GroupEnterprise Content Editor Centene Corporation GroupEnterprise Content EditorCA$107,700–$199,300 / yearActs as a senior narrative editor, collaborating with cross-functional subject matter experts to translate complex, technical, or operational content into compelling, client-focused narrative sections that support the overall proposal strategy. The role defines the core story and key messages that run through proposal narratives and works closely with our RFP writers and subject matter experts to ensure the narrative is accurate, clear, cohesive, and compelling.
Centene Corporation GroupPrincipal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorFL$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Centene Corporation GroupPrincipal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorNC$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
Centene Corporation GroupEnterprise Content Editor Centene Corporation GroupEnterprise Content EditorNC$107,700–$199,300 / yearActs as a senior narrative editor, collaborating with cross-functional subject matter experts to translate complex, technical, or operational content into compelling, client-focused narrative sections that support the overall proposal strategy. The role defines the core story and key messages that run through proposal narratives and works closely with our RFP writers and subject matter experts to ensure the narrative is accurate, clear, cohesive, and compelling.