Centene Corporation — 41 open jobs

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care…

Senior Enterprise Platforms Product Manager

NewBe an early applicant RemoteNorth AmericaPart-timeSenior

United States

Owns product strategy, roadmap, and end-to-end delivery for Centene's Payment Integrity platforms, including PISCES claim editing and Appeals/PI Bot automation. Partners with operations, engineering, and vendors to define scope and backlogs, applies AI tools such as Copilot and Jira Rovo, and measures value such as savings, accuracy, and automation rates.

Agile AI Automation Jira Microsoft Copilot +2 skills

Director, Clinical Systems Operations (Pharmacy)

NewBe an early applicant RemotePart-time

Position Purpose: Oversee the development, implementation, and operation of medical management information systems and/or new technology solutions to meet Corporate, Health Plan, and Specialty business unit needs. Key…

Regulatory Compliance Requirements Gathering Vendor Management

Manager, Clinical Pharmacy Operations

NewBe an early applicant RemoteNorth AmericaPart-time

Canada

Position Purpose : The Manager of Clinical Pharmacy Operations is responsible for developing, implementing and administering clinical pharmacy tools and programs to support corporate and regional drug utilization and…

Pharmacy Technician (Specialty Outreach)

NewBe an early applicant RemoteNorth AmericaPart-time

Canada

Position Purpose: Work with the Pharmacists to accurately prepare prescription orders in a timely manner Key Details: Remote Pharmacy Technician II, Specialty Outreach position supporting specialty pharmacy operations…

Contract Negotiator I

NewBe an early applicant RemotePart-time

Position Purpose: Recruit physician, hospital and ancillary service providers to sign network participation agreements that are in accordance with Corporate, health plan and State guidelines. Ensure that all necessary…

Behavioral Health Service Mgr

NewBe an early applicant RemoteNorth AmericaPart-time

United States

Position Purpose: Perform duties related to the day-to-day operations of the Service Management functions for Foster Care members to achieve the highest possible levels of functioning and wellness by ensuring…

Senior Compliance and Vendor Management Oversight Specialist

NewBe an early applicant RemoteAPACPart-timeSenior

Macao SAR China

Position Purpose: Leads the integrity and governance of Centene's and/or its vendors corporate ethics and compliance program, and ongoing oversight and analysis of regulatory compliance practices. Key Details:…

Regulatory Compliance

AI Design Systems Intern (Master's - Summer 2027)

NewBe an early applicant RemoteInternshipIntern

Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. Must be authorized to work in the U.S.…

Medical Director

NewBe an early applicant RemotePart-time

We’re Hiring: Full time Medical Director Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as…

Senior Compliance Administrator - Network, Provider, Product

NewBe an early applicant RemotePart-timeSenior

Position Purpose: Serves as an individual contributor and subject matter expert responsible for supporting the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and…

Corrective Action Root Cause Analysis

Provider Engagement Network Specialist

NewBe an early applicant RemotePart-time

Position Purpose: Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories.…

Wellness Health Coach - Behavioral Health

NewBe an early applicant RemoteNorth AmericaPart-time

United States

Position Purpose: Assists members by completing health assessments and implementing effective solutions and care plans to improve their health and wellness. Works with members who are at risk or have been diagnosed…

Grievance & Appeals Specialist I

NewBe an early applicant RemoteAPACPart-time

Pakistan

Position Purpose: Responsible for reviewing, investigating and tracking member grievances and appeals, and provider claims disputes. Responsible for coordinating as necessary with the G&A Administrator and outside…

Senior Compliance Administrator - Clinical, SNP Model of Care, Care Management,

NewBe an early applicant RemotePart-timeSenior

Position Purpose: Serves as an individual contributor and subject matter expert responsible for supporting the day-to-day execution of the Medicare Compliance Advisory program in alignment with CMS requirements and…

Corrective Action Root Cause Analysis

Vendor Operations Analyst

NewBe an early applicant RemotePart-time

Position Purpose: The Vendor Operations Analyst identifies and presents business and operational specifications based on customer and business needs, industry best practices and available technology. Implements…

Analytics Corrective Action Data Analytics Performance Management Root Cause Analysis +4 skills

Manager, Community Relations & Outreach

NewBe an early applicant RemoteNorth AmericaPart-time

United States

Position Purpose: Develop all member outreach and education programs including coordination of the cultural competency plan, member/provider council plan, and all associated member materials. Key Details : Must be…

Senior Compliance Analyst - Marketplace Compliance

NewBe an early applicant RemoteNorth AmericaPart-timeSenior

United States

Position Purpose: Assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing…

Hipaa Risk Assessment

Social Media Analyst Intern (Undergraduate Summer 2027)

NewBe an early applicant RemoteInternshipIntern

Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. Must be authorized to work in the U.S.…

Senior Care Manager (RN)

NewBe an early applicant RemoteNorth AmericaPart-timeSenior

United States

Position Purpose: Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan…

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