Centene Corporation

Data Analyst II (Healthcare Analytics)

Centene Corporation · Full Time · 2 hours ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Software Development

Analyze extensive healthcare datasets to extract value and deliver insights that reduce the cost of care and improve clinical outcomes. Collaborate with stakeholders to identify value areas, perform root-cause analysis on data irregularities, and communicate findings to non-technical partners.

APPLY

Utilization Review Clinician - Behavioral Health

Centene Corporation · Full Time · 6 hours ago

Centene Corporation

🌎 Canada, United States 💵 $27.02 - $48.55 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Perform clinical reviews and assessments for mental health and substance abuse services to ensure medical appropriateness. Manage prior authorizations, concurrent reviews for inpatient care, and collaborate with providers and medical directors to improve care quality.

APPLY

Director, Utilization Management Hospice CoE

Centene Corporation · Full Time · 6 hours ago

Centene Corporation

🌎 United States 💵 $133K - $247K per year ⭐ 10+ yrs exp 💼 Healthcare

Directs the enterprise strategy and operational execution of hospice and palliative care utilization management for Medicaid and Marketplace populations. Oversees clinical governance, budget components, and team performance to ensure high-quality member outcomes and regulatory compliance.

APPLY

Manager, Data Analytics & Reporting

Centene Corporation · Full Time · 7 hours ago

Centene Corporation

🌎 United States 💵 $87700 - $157K per year ⭐ 5-10 yrs exp 💼 Software Development

Oversee the accuracy and timeliness of internal and external reporting across core business functions. Lead a team of data analysts to execute complex analytical projects and ensure data quality in core systems.

APPLY

Vice President, Network Strategy & Management Value-Based Contracting

Centene Corporation · Full Time · 8 hours ago

Centene Corporation

🌎 United States 💵 $227K - $431K per year ⭐ 10+ yrs exp 💼 Others

Responsible for developing and managing the provider network strategy, including reimbursement, contracting, and unit cost management for Centene Corporation. Leads network development across expansion markets and supports M&A activities through provider contract analysis.

APPLY

Director, Payment Innovation

Centene Corporation · Full Time · 8 hours ago

Centene Corporation

🌎 United States 💵 $148K - $274K per year ⭐ 5-10 yrs exp 💼 Others

Lead the design, development, and execution of value-based purchasing and payment innovation programs across the organization. This includes creating technical models, managing performance tracking tools, and supporting RFP responses for Medicaid.

APPLY

Director, Vendor Management

Centene Corporation · Full Time · 9 hours ago

Centene Corporation

🌎 United States 💵 $148K - $274K per year ⭐ 5-10 yrs exp 💼 Others

Manage vendor relationships and ensure compliance with internal and regulatory performance metrics. Oversee performance improvement plans, conduct oversight meetings, and manage annual delegation audits.

APPLY

Director, Contracting & Network Development

Centene Corporation · Full Time · 2 days ago

Centene Corporation

🌎 United States 💵 $141K - $261K per year ⭐ 5-10 yrs exp 💼 Others

Oversee provider contracting, network development, and provider relations to ensure efficiency and compliance with laws and policies. Lead the recruitment of provider networks in new and existing markets while performing financial analyses to meet medical cost goals.

APPLY

Senior Business Technical Analyst

Centene Corporation · Full Time · 2 days ago

Centene Corporation

🌎 United States 💵 $87700 - $157K per year ⭐ 5-10 yrs exp 💼 Others

Translate Medicare Advantage and Medicaid Risk Adjustment business requirements into technical specifications and production-ready SAS and Snowflake solutions. Modernize legacy ETL workflows into scalable Snowflake architecture while ensuring data quality and regulatory compliance for CMS audits.

APPLY

Data Analyst III

Centene Corporation · Full Time · 2 days ago

Centene Corporation

🌎 United States 💵 $70100 - $126K per year ⭐ 5-10 yrs exp 💼 Software Development

Responsible for handling complex data projects and providing analytic support for Internal Audit Claims, including sampling and executive reporting. The role involves extracting and validating large healthcare datasets to identify trends and support automation and AI initiatives.

APPLY

Quality Performance Clinical Pharmacist

Centene Corporation · Full Time · 3 days ago

Centene Corporation

🌎 United States 💵 $107K - $199K per year ⭐ 2-5 yrs exp 💼 Healthcare

The Pharmacy Quality Performance Manager partners with health plans and provider groups to drive and accelerate pharmacy quality measures across various lines of business. They provide clinical expertise, develop performance reviews, and coordinate enterprise-wide quality initiatives.

APPLY

Clinical Review Clinician - Appeals - Behavioral Health

Centene Corporation · Full Time · 3 days ago

Centene Corporation

🌎 Tunisia, United States 💵 $27.02 - $48.55 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Performs clinical reviews of medical records and data to determine medical necessity for behavioral health services and resolve appeals. Prepares case reviews for Medical Directors and ensures compliance with State, Federal, and NCQA standards.

APPLY

Senior Manager, Payment Integrity

Centene Corporation · Full Time · 3 days ago

Centene Corporation

🌎 Azerbaijan, Bermuda, United States 💵 $107K - $199K per year ⭐ 5-10 yrs exp 💼 Others

Oversee internal and external cost recovery and containment initiatives to meet targeted project metrics and savings goals. Manage vendor performance, develop annual budgets, and present cost-containment trends to senior management.

APPLY

Senior Manager, Payment Integrity - Vended Audit Programs

Centene Corporation · Full Time · 3 days ago

Centene Corporation

🌎 Bermuda, Canada, United States 💵 $107K - $199K per year ⭐ 5-10 yrs exp 💼 Others

Oversee and monitor internal and external cost recovery and containment initiatives to meet targeted project metrics and savings goals. Partner with health plans and national vendors to streamline processes and present cost-containment trends to senior management.

APPLY

Quality Trainer I

Centene Corporation · Full Time · 3 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Teaching

Develop and conduct training programs and auditing tools for provider-facing staff regarding quality programs and field workflows. Collaborate with subject matter experts to create interactive learning experiences and maintain current training documentation.

APPLY

Manager, Actuarial Services

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 Azerbaijan, Tunisia, United States 💵 $134K - $249K per year ⭐ 5-10 yrs exp 💼 Others

Lead the development of financial models and risk assessments to optimize Value-Based Care strategies and vendor arrangements. Collaborate with internal partners to ensure health plan operations are analytically sound and financially viable.

APPLY

Associate Actuary

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 Azerbaijan, Tunisia, United States 💵 $87700 - $157K per year ⭐ 2-5 yrs exp 💼 Finance

Conduct pricing and risk assessments to estimate financial outcomes and manage actuarial needs for specific health plans. Support Value-Based Care strategies by developing financial models and analyzing healthcare datasets to track performance.

APPLY

Care Manager (RN)

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Healthcare

Develops and facilitates complex care management activities and personalized care plans for members with physical needs. Coordinates between members, families, and providers to ensure high-quality, cost-effective healthcare outcomes.

APPLY

Care Manager

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Healthcare

Develops and facilitates complex care management plans for members with mental and behavioral health needs. Coordinates between members, families, and providers to ensure access to cost-effective healthcare and community resources.

APPLY

Account Executive II (Specialty Pharmacy)

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Sales

Represent the company to prospective and existing clients to drive sales of pharmacy services and medical supplies. Monitor client satisfaction and collaborate with internal departments to resolve issues and maintain strong professional relationships.

APPLY

Care Manager

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Healthcare

Develops and facilitates complex care management activities and personalized care plans for members with mental and behavioral health needs. Coordinates between members, families, and providers to ensure access to necessary healthcare services and community resources.

APPLY

Clinical Review Clinician - Appeals

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 Azerbaijan, United States 💵 $27.02 - $48.55 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Performs clinical reviews of medical records and data to resolve appeals and determine medical necessity based on NCQA and regulatory standards. Prepares case reviews for Medical Directors and communicates resolutions to members and providers.

APPLY

Senior Actuarial Analyst

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 Azerbaijan, Tunisia, United States 💵 $70100 - $126K per year ⭐ 2-5 yrs exp 💼 Finance

Assist in financial analysis, pricing, and risk assessment to estimate outcomes for Value-Based Care initiatives. Develop financial models and analyze healthcare datasets to track performance and establish baselines.

APPLY

Director, Contracting & Network Development

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $141K - $261K per year ⭐ 5-10 yrs exp 💼 Others

Oversee provider contracting, network development, and provider relations to ensure efficiency and compliance with government regulations. Lead the recruitment of provider networks in new and existing markets while performing complex financial analyses to meet medical cost goals.

APPLY

Resource Specialist

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $22.94 - $38.79 per hour ⭐ 2-5 yrs exp 💼 Others

Provides resource support to members by connecting them to local services such as housing, employment, and foster care based on care assessments. Collaborates with community stakeholders and leadership to develop care plans and improve resource identification processes.

APPLY

Director, LTSS Clinical Care Management

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $127K - $236K per year ⭐ 10+ yrs exp 💼 Healthcare

Directs long-term care management for members with physical and behavioral health needs to ensure high-quality, cost-effective outcomes. Leads the design, implementation, and growth of LTSS programs while overseeing staff caseloads and regulatory compliance.

APPLY

Director, Provider Quality

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $113K - $209K per year ⭐ 10+ yrs exp 💼 Others

Lead process improvement activities and oversee NCQA and HEDIS performance to enhance provider quality. Manage risk adjustment processes, Medicare STARS ratings, and implement health equity and cultural competency programs.

APPLY

Senior Security Governance Program Manager - Secure Configuration & Asset Management

Centene Corporation · Full Time · 4 days ago

Centene Corporation

🌎 United States 💵 $107K - $199K per year ⭐ 10+ yrs exp 💼 Product

Lead the development and maintenance of security governance pillars, focusing on cloud security, metrics, and asset management. Manage the lifecycle of security risk remediation and oversee the design and evaluation of enterprise security controls.

APPLY

Senior Business Process Improvement Manager

Centene Corporation · Full Time · 5 days ago

Centene Corporation

🌎 United States 💵 $87700 - $157K per year ⭐ 5-10 yrs exp 💼 Others

Lead strategic process improvement initiatives to optimize Availity portfolio capabilities and enhance provider experience. Coordinate cross-functional teams to implement standard work, KPIs, and control plans to sustain operational quality.

APPLY

Care Management Support Coordinator III

Centene Corporation · Full Time · 5 days ago

Centene Corporation

🌎 United States 💵 $20.39 - $34.71 per hour ⭐ 2-5 yrs exp 💼 Support

The Care Management Support Coordinator III works with the care management team on administrative activities, including outreach, answering calls, and scheduling services. They serve as a point of contact for members and providers, resolving issues and documenting member records according to guidelines.

APPLY

Psychologist Reviewer

Centene Corporation · Full Time · 5 days ago

Centene Corporation

🌎 Canada, Cayman Islands, United States 💵 $87700 - $157K per year ⭐ 2-5 yrs exp 💼 Healthcare

The Psychologist Reviewer will authorize, direct, and monitor care for behavioral health and substance abuse problems. They will conduct peer reviews and interact with network practitioners to provide education on best practices.

APPLY

Manager, Quality Improvement

Centene Corporation · Full Time · 5 days ago

Centene Corporation

🌎 United States 💵 $87700 - $157K per year ⭐ 2-5 yrs exp 💼 Others

Oversee and manage the functions of the quality improvement program, including staff support and departmental communication. Review reports and data to ensure compliance with state, federal, and certification requirements while implementing improved procedures.

APPLY

Senior HEDIS Quality & Audit Analyst

Centene Corporation · Full Time · 5 days ago

Centene Corporation

🌎 United States 💵 $70100 - $126K per year ⭐ 2-5 yrs exp 💼 Others

The Senior Analyst serves as a subject matter expert leading complex HEDIS audit workstreams and ensuring audit-defensible documentation in alignment with NCQA and CMS expectations. They are responsible for mitigating audit risks, interpreting regulatory requirements, and driving continuous improvement in submission accuracy.

APPLY

Senior Director, Finance

Centene Corporation · Full Time · 5 days ago

Centene Corporation

🌎 United States 💵 $148K - $274K per year ⭐ 10+ yrs exp 💼 Finance

Direct and manage the finance, accounting, and analysis functions for business units, specifically leading the G&A function. Oversee the preparation of financial reports, strategic plans, and operating budgets to drive profitability and system integrity.

APPLY

Utilization Review Clinician - Behavioral Health

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $27.02 - $48.55 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Performs clinical reviews and assessments to determine the medical appropriateness of mental health and substance abuse services. Manages prior authorizations and concurrent reviews while collaborating with providers and medical directors to improve care quality.

APPLY

Remote Medical Director

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $236K - $449K per year ⭐ 10+ yrs exp 💼 Healthcare

Direct and coordinate medical management, quality improvement, and credentialing functions to optimize member care and cost-effectiveness. Perform medical reviews of complex cases and provide leadership for utilization management and regulatory compliance.

APPLY

DRG Reviewer

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $70100 - $126K per year ⭐ 5-10 yrs exp 💼 Others

Independently conduct comprehensive reviews of MS-DRG and APR-DRG coding and clinical documentation to ensure accurate reimbursement and compliance. Collaborate with the Medical Director on complex cases and develop medical policies to resolve ambiguities in clinical guidelines.

APPLY

Inpatient Utilization Review Clinician, Behavioral Health

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $27.02 - $48.55 per hour ⭐ 2-5 yrs exp 💼 Healthcare

Performs clinical reviews and assessments for mental health and substance abuse services to ensure medical appropriateness. Manages prior authorizations, concurrent reviews for inpatient care, and collaborates with providers and medical directors to improve care quality.

APPLY

Supervisor, Behavioral Health Utilization Management

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $75300 - $135K per year ⭐ 5-10 yrs exp 💼 Healthcare

Supervises behavioral health utilization review clinicians to ensure appropriate care and compliance with guidelines. Manages day-to-day team activities, performance evaluations, and the development of UM policies and procedures.

APPLY

Care Navigator

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $22.94 - $38.79 per hour ⭐ 2-5 yrs exp 💼 Others

Develops and coordinates personalized care plans to ensure members receive quality, cost-effective healthcare outcomes. Facilitates access to community resources and provides psychosocial support to members and their caregivers.

APPLY

Care Manager (RN)

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Healthcare

Develops and facilitates complex care management activities and personalized care plans for members with physical and behavioral health needs. Coordinates between members, families, and providers to ensure access to appropriate healthcare services and community resources.

APPLY

Accountant II, Payment Integrity Financial Reporting

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 Bermuda, Israel, United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Finance

Responsible for managing multiple accounting functions including accounts payable, receivable, and daily bank account maintenance. The role involves reconciling general ledger accounts and providing assistance during financial and regulatory audits.

APPLY

Manager, Payment Integrity Financial Performance Reporting

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 Bermuda, Israel, United States 💵 $87700 - $157K per year ⭐ 2-5 yrs exp 💼 Finance

Oversee the maintenance of accurate financial records and prepare monthly, analytical, and statistical reports. Provide complex financial and business analysis to upper management regarding the cost and effectiveness of healthcare services.

APPLY

Senior Accountant, Payment Integrity Financial Reporting

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 Bermuda, Israel, United States 💵 $70100 - $126K per year ⭐ 2-5 yrs exp 💼 Finance

Develop and execute accounting and finance functions, including the preparation of managerial reports and general ledger maintenance. Analyze financial statements and oversee treasury functions and claims liability reporting.

APPLY

Supervisor, Utilization Management

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $75300 - $135K per year ⭐ 5-10 yrs exp 💼 Others

Supervises the clinical review team to ensure appropriate care for NICU members through prior authorization and concurrent reviews. Monitors team performance, ensures compliance with regulations, and collaborates with senior management to improve UM policies.

APPLY

Care Coordinator II

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $17.84 - $28.02 per hour ⭐ 0-2 yrs exp 💼 Healthcare

Supports care management activities by performing member outreach via phone or home visits to coordinate care plans. Collaborates with healthcare providers and community partners to ensure continuity of care and member satisfaction.

APPLY

Lead IAM Engineer

Centene Corporation · Full Time · 6 days ago

Centene Corporation

🌎 United States 💵 $102K - $190K per year ⭐ 5-10 yrs exp 💼 Software Development

Leads the design, implementation, and maintenance of scalable Identity and Access Management (IAM) systems and solutions. Collaborates with cross-functional teams to enforce identity lifecycle policies and develop overall technical strategies.

APPLY

Senior Communications Specialist

Centene Corporation · Full Time · 7 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 2-5 yrs exp 💼 Writing

Develop and distribute clear, compliant communication materials to support the national Gold Card program. Coordinate with subject matter experts and external vendors to ensure accurate information is delivered to providers and internal stakeholders.

APPLY

Remote National Medical Director

Centene Corporation · Full Time · 10 days ago

Centene Corporation

🌎 India, United States 💵 $236K - $449K per year ⭐ 10+ yrs exp 💼 Healthcare

Direct and coordinate medical management, quality improvement, and credentialing functions to improve care cost-effectiveness. Provide medical leadership for utilization review and complex medical necessity appeals while collaborating with clinical teams and providers.

APPLY

Clinical Extern

Centene Corporation · Full Time · 11 days ago

Centene Corporation

🌎 United States ⭐ 0-2 yrs exp 💼 Healthcare

Observe preceptors and participate in various projects to develop skills within the Managed Care industry. Gain hands-on experience by shadowing clinical services and following company guidelines.

APPLY

Behavioral Health Medical Director

Centene Corporation · Full Time · 11 days ago

Centene Corporation

🌎 United States 💵 $236K - $449K per year ⭐ 10+ yrs exp 💼 Healthcare

Directs medical management, quality improvement, and credentialing functions to optimize care and cost-effectiveness for members. Performs complex medical reviews and provides leadership for utilization management and performance improvement initiatives.

APPLY

Supervisory Medical Director, National Physical Health Appeals Outpatient UM

Centene Corporation · Full Time · 12 days ago

Centene Corporation

🌎 Azerbaijan, United States 💵 $236K - $449K per year ⭐ 5-10 yrs exp 💼 Healthcare

Provides medical leadership and operational oversight for a team of medical directors to ensure high-quality, cost-effective care. Manages complex utilization review cases and oversees the appeals process in compliance with regulatory requirements.

APPLY

Senior Manager, Privacy & Security Regulatory Engagement

Centene Corporation · Full Time · 14 days ago

Centene Corporation

🌎 Canada, United States 💵 $107K - $199K per year ⭐ 10+ yrs exp 💼 Legal

Leads a team of regulatory analysts to translate complex privacy, security, and AI requirements into actionable risk-informed analysis for the organization. Partners with Enterprise Engagement Officers to drive contract analysis, readiness reviews, and continuous improvement of compliance frameworks.

APPLY

Program Manager III - Compliance Program Admin

Centene Corporation · Full Time · 19 days ago

Centene Corporation

🌎 United States 💵 $87700 - $157K per year ⭐ 5-10 yrs exp 💼 Product

Lead multiple concurrent projects to improve program efficiency, service levels, and regulatory compliance. Manage the full project life cycle from requirements gathering and resource allocation to execution and closure.

APPLY

Vice President, Clinical Technology UM Portfolio Management

Centene Corporation · Full Time · 19 days ago

Centene Corporation

🌎 United States 💵 $188K - $359K per year ⭐ 10+ yrs exp 💼 Healthcare

Oversee the clinical technology UM portfolio, driving product vision, strategy, and the deployment of AI-enabled capabilities across the UM lifecycle. Lead enterprise governance and partner with vendors to align roadmap priorities and measure financial performance and ROI.

APPLY

Privacy & Security Enterprise Engagement Officer

Centene Corporation · Full Time · 19 days ago

Centene Corporation

🌎 Canada, United States 💵 $107K - $199K per year ⭐ 10+ yrs exp 💼 Others

Translates privacy, security, and AI requirements from contracts and laws into actionable enterprise controls. Builds relationships with leadership to ensure compliance reporting, audit readiness, and continuous improvement across health plans.

APPLY

Privacy & Security Enterprise Engagement Officer

Centene Corporation · Full Time · 19 days ago

Centene Corporation

🌎 Canada, United States 💵 $107K - $199K per year ⭐ 10+ yrs exp 💼 Others

The role partners with Health Plans and Shared Services to translate privacy, security, and AI requirements from contracts and laws into actionable enterprise controls. It involves managing compliance evidence, driving early engagement with risk management, and ensuring audit readiness across the organization.

APPLY

SIU Investigator

Centene Corporation · Full Time · 20 days ago

Centene Corporation

🌎 United States 💵 $56200 - $101K per year ⭐ 0-2 yrs exp 💼 Others

Investigate allegations of healthcare fraud, waste, and abuse through claims audits and data mining. Prepare detailed investigative reports for referral to state and federal agencies.

APPLY

Associate Actuary - Medicaid

Centene Corporation · Full Time · 25 days ago

Centene Corporation

🌎 United States 💵 $87700 - $157K per year ⭐ 2-5 yrs exp 💼 Finance

Conduct pricing, risk assessment, and financial forecasting for assigned Medicaid health plans to estimate financial outcomes. Develop actuarial reports and tools to aid corporate strategy and improve insight into results.

APPLY

Associate Actuary, Strategic Analytics

Centene Corporation · Full Time · 25 days ago

Centene Corporation

🌎 Azerbaijan, Tunisia, United States 💵 $87700 - $157K per year ⭐ 2-5 yrs exp 💼 Software Development

The role involves designing and implementing actuarial methodologies to measure the financial impact of Value-Based Care and Quality and Affordability Initiatives. The Associate Actuary will serve as a strategic liaison, translating complex financial data into narratives for executive stakeholders.

APPLY