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 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 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 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 GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorKSRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupSenior Business Systems Analyst Centene Corporation GroupSenior Business Systems AnalystRemote-CA, CARemote$87,000–$161,300 / yearPosition Purpose: Drives the collaboration with business and IT stakeholders to translate complex business requirements into comprehensive functional and non-functional technical specifications, ensuring alignment with strategic goals and solution design. Research, reviews, and analyzes the effectiveness and efficiency of existing requirement gathering processes and develop strategies for enhancing or further leveraging these processes; quantify potential efficiency opportunities and track accordingly.
Centene Corporation GroupNewVice President, Legislative & Government Affairs Centene Corporation GroupVice President, Legislative & Government AffairsIndianapolis, IN$180,400–$343,300 / yearRepresent and serve as point person for the state health plan and Centene Corporation to outside trade groups/stakeholders including state AHIP organization, state medical association, state hospital association and related Medicare and Medicaid business vendors. Balance reporting requirements to multiple constituencies including; Centene Corporation regional vice president, state health plan president, chief operating officers and Corporate regulatory and government affairs staff.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthSan Angelo, 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 HealthGeorgetown, 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 HealthHouston, 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 GroupData Analyst IV Healthcare Analytics, Medical Economics Centene Corporation GroupData Analyst IV Healthcare Analytics, Medical EconomicsMIThis Data Analyst IV's work focuses on analyzing and running complex reports, understanding financial drivers and cost trends, and applying insights to optimize medical spend while maintaining quality of care. Work 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.
Centene Corporation GroupClinical Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthDallas, 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 HealthFort Worth, 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 HealthWaco, 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 HealthEl Paso, 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 HealthAmarillo, 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 HealthCorpus Christi, 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 HealthTemple, 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 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 HealthMcallen, 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 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 HealthSan Antonio, 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 HealthUvalde, 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 Review Therapist - Physical Health Centene Corporation GroupClinical Review Therapist - Physical HealthWichita Falls, 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 GroupManager, SIU Prepay Investigations Centene Corporation GroupManager, SIU Prepay InvestigationsNY$87,700–$157,800 / yearPrevious experience as a lead or supervisor in a pre-payment process managing cross functional teams or supervisory experience including hiring, training, assigning work and managing the performance of staff preferred. Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorMORemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorLARemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorCORemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorINRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorILRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorNCRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupNewClinical Review Nurse - Concurrent Review (RN) Centene Corporation GroupClinical Review Nurse - Concurrent Review (RN)Remote-CA, CARemote$27.02–$48.55 / hourPosition Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines.
Centene Corporation GroupNewRemote National Medical Director Centene Corporation GroupRemote National Medical DirectorCARemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Centene Corporation GroupDirector, Provider Data & Analytics Centene Corporation GroupDirector, 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 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-NC, NCRemote$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 GroupUX Architect Centene Corporation GroupUX ArchitectMO$87,000–$161,300 / yearCollaborates with cross-functional teams and clients to define, design, deploy, and test user interface enhancements and technical solutions which meet the needs of the company, its clients, and the end users. Maps how the end-user interacts with the product and to develop a structure, including layouts and flows, that ensure that features and content are organized in a logical, intuitive, and complimentary way.
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.