50 remote positions
None of the current roles show strong async / no-phone signals. Scored from each listing's text — see any job for the cited evidence.
Centene Corporation
Position Purpose: The HEDIS Quality & Audit Analyst supports enterprise HEDIS quality oversight, audit readiness, and submission execution activities. This role applies established...
Centene Corporation
Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. Mus...
Centene Corporation
Position Purpose:Provides functional business knowledge and technical support to the enterprise business operations department through scripting automation and data analytics by de...
Centene Corporation
Position Purpose: Assists with responding to complaints and escalations from members/providers. Supports in handling escalations, handling problem tickets, and providing feedback t...
Centene Corporation
Position Purpose: Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians...
Centene Corporation
Position Purpose: Manages the care management team and the care coordination of behavioral health members to develop and assess high quality, cost-effective healthcare outcomes rel...
Centene Corporation
Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes Monitor busi...
Centene Corporation
Position Purpose: Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templ...
Centene Corporation
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.Provides ...
Centene Corporation
Position Location: Remote in FL Position Purpose: Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access anal...
Centene Corporation
Position Purpose: With the Corporate Quality and Affordability Initiatives Finance team, you will analyze complex financial information and translate data into meaningful insights ...
Centene Corporation
Position Purpose: Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serv...
Centene Corporation
Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical...
Centene Corporation
Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform co...
Centene Corporation
Position Purpose: Manage all activities related to the intake, referral management and insurance verification functions, including implementation of initiatives. Key Details: Must ...
Centene Corporation
Position Purpose: Plan, organizes, monitor, and oversee programs utilizing cross functional teams to deliver defined requirements and meet business needs and strategic objectives. ...
Centene Corporation
Position Purpose: Develops and implements effective business solutions through research, audit, and analysis of data and/or business processes. Audits and validates routine pre and...
Centene Corporation
Position Purpose: Claims Auditor is responsible for the quality audit of a variety of specific processes within the operations services for Claims to ensure quality service goals a...
Centene Corporation
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare out...
Centene Corporation
Position Purpose: With the Corporate Operations team, you will manage third party program relationships with Delegation partners for performance management standards, financial res...
Centene Corporation
RN license for state of California required. Position Purpose: Manages the care management team and the care management of members to develop and assess high quality, cost-effectiv...
Centene Corporation
Position Purpose: Conduct analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment mo...
Centene Corporation
Position Purpose: Responsible for leading contract revenue, billing, pharmacy rebate, accounts receivable, collections, and cash application operations to ensure accurate revenue r...
Centene Corporation
Position Purpose: Accountable for defining, executing, and continuously advancing Strategic Portfolio Management (SPM) processes to align portfolio initiatives with organizational ...
Centene Corporation
Position Purpose: Supervises the processing and review of appeals, disputes, and reconsiderations including escalation for the most complex issues in accordance with state and Nati...
Centene Corporation
Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. We'...
Centene Corporation
Position Purpose: Independently owns the vision, strategy, roadmap, prioritization, and measurable outcomes for a complex or business-critical product or capability. Leads cross-fu...
Centene Corporation
Position Purpose: Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.We a...
Centene Corporation
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 function...
Centene Corporation
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effe...
Centene Corporation
Position Purpose: Provide communications and content marketing expertise to support internal and external communications, content strategy, and stakeholder engagement initiatives. ...
Centene Corporation
Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contribut...
Centene Corporation
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractu...
Centene Corporation
Position Purpose:Performs access reviews, role provisioning, and supporting implemented Identity and Access Management systems and solutions. Supports basic troubleshooting and coo...
Centene Corporation
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare out...
Centene Corporation
Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effe...
Centene Corporation
Position Purpose: The Senior Director, Healthcare Analytics leads analytic service delivery by aligning strategic objectives with the development of tools and capabilities and appr...
Centene Corporation
Position Purpose: Perform internal audits, including the execution of strategic, operational, financial, and compliance risk-based audits. Perform audits of market and shared-servi...
Centene Corporation
Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of ...
Centene Corporation
Position Purpose: Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical...
Centene Corporation
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental...
Centene Corporation
Location: Position is remote. Must live in Arizona. Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the ...
Centene Corporation
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.Provides ...
Centene Corporation
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.Provides ...
Centene Corporation
Position Purpose: Develops, assesses, and coordinates complex discharge plans for high-risk members based upon needs assessment. Assists with the facilitation of a smooth transitio...
Centene Corporation
This is a remote position and can be located anywhere in the US.Position Purpose: Promote increased program efficiency, service levels, and value by capturing and monitoring perfor...
Centene Corporation
Position 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...
Centene Corporation
Position Purpose: The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and subm...
Centene Corporation
Position Purpose: Stays current with emerging trends, methodologies, and technologies in market research to ensure Centene leverages best-in-class approaches. Proactively recommend...
Centene Corporation
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this op...
