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Quality Improvement Coordinator

Centene Corporation
Baton Rouge, LA
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You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, youll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** Analyze, develop, implement and monitor clinical quality improvement initiatives to achieve healthy outcomes. + Perform duties and functions to comply with quality improvement programs according to state requirements. + Support Quality Assurance Performance Improvement work...
Location:
Baton Rouge, LA
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Utilization Management Certification
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
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Detailed Job Information

Provider Network Specialist II

Centene Corporation
Tempe, AZ
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You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform health plan provider orientations and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within the provider network. Act as liaison between providers and the health plan to enhance the business relationship. - Conduct initial provider...
Location:
Tempe, AZ
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
Postsecondary nondegree award
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
3
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information

LTSS Compliance Specialist

Centene Corporation
Tempe, AZ
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You could be the one who changes everything for our 28 million members as a ...
Details
Summary
About the job:
clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. The Long-Term Services and Supports (LTSS) Compliance Specialist ensures that LTSS members and providers receive timely eligibility resolution communications, and will develop and maintain a system to track LTSS member eligibility status via data and other evidence of eligibility, including MEDI, PCF and 834 file....
Location:
Tempe, AZ
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Relation Specialist I

Centene Corporation
Phoenix, AZ
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You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices. 3-5 years of dental experience. Serve as...
Location:
Phoenix, AZ
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Engagement Administrator I

Centene Corporation
Atlanta, GA
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You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Acts as a liaison between Tier III and Tier IV providers (small to medium PCP groups not on risk contracts and providers with upside only incentives) and the health plan. Manages Network performance for assigned territory through a consultative/account management approach. Drives provider...
Location:
Atlanta, GA
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
Upper Middle Income Jobs ($50K-$79K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

LTSS Compliance Specialist

Centene Corporation
Arizona
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You could be the one who changes everything for our 28 million members as a ...
Details
Summary
About the job:
clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. The Long-Term Services and Supports (LTSS) Compliance Specialist ensures that LTSS members and providers receive timely eligibility resolution communications, and will develop and maintain a system to track LTSS member eligibility status via data and other evidence of eligibility, including MEDI, PCF and 834 file....
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Network Specialist II

Centene Corporation
Arizona
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You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Perform health plan provider orientations and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within the provider network. Act as liaison between providers and the health plan to enhance the business relationship. - Conduct initial provider...
Location:
Arizona
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Relations Specialist II

Centene Corporation
Rego Park, NY
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You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. 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 website - Monitor financial performance of...
Location:
Rego Park, NY
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Relations Specialist II

Centene Corporation
Located in Ohio
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Report this job
You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. 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 website - Monitor financial performance of...
Location:
Located in Ohio
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Provider Relations Specialist II

Centene Corporation
New York
Actions
Apply
Save to My Profile
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Report this job
You could be the one who changes everything for our 28 million members. ...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. 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 website - Monitor financial performance of...
Location:
New York
Job Type:
Full-Time
Permanent
Occupation:
Business Operations Specialists, All Other
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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