The Role We are transforming technology and creating a digital evolution that will empower Centene to better serve our members.  The Sr. Full Stack Java Developer has the opportunity to be part of the Provider Platform team where you will be moving legacy...

Position Purpose: Validate correct coding recommendations against state, CMS, and NCCI guidelines, resulting in cost savings to Centene for pre-payment, adjustments, and appeals. Accept or reject coding recommendations based on provider documentation,...

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh...

Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews.   Perform onsite review of emergent/urgent and...

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh...

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh...

Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims Conduct on-site provider orientations, including writing and updating orientation materials and assisting providers acclimated to plan...

The Role: We are transforming technology and creating a digital evolution that will empower Centene to better serve our members. As a Sr. Splunk Engineer you will build controls for business units and assist with performance data As a Sr. Splunk Engineer you...

The Role: We are transforming technology and creating a digital evolution that will empower Centene to better serve our members. Lead System Engineer (Endpoint) will lead various sized technical projects focused on initiatives that are designed to enhance the IT...

Position Purpose: Perform provider data management related activities based on plan and contract specifications and standard business rules – includes data analysis and entry, review of data via internet sites and other systems, and usage of multiple systems...

Position Purpose: Direct the day-to-day operations of the claims department and ensure accurate and timely processing of members medical claims within established state and company compliance guidelines. Develop the vision and goals for the claims department in...

Position Purpose: Responsible for the enrollment and eligibility data loading and department analysis of those metrics.  Efficiently and accurately entering and/or modifying eligibility data in a dental benefit system according to established requirements...

Position purpose: Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members. Provide leadership and expertise in the development, implementation and interpretation of medical...

Position Purpose:  Develop and oversee quality improvement programs and strategies for the business unit. Assist in the development and application of the business unit’s strategic mission and vision. Identify and champion the selection of process...

Position Purpose: The Vice President, Provider Network Management (Federal Services) is accountable for the strategic direction, performance results, and the development and management of provider networks to support multiple large-scale federal government programs....