Centene Corporation
We provide high-quality, culturally-sensitive healthcare coverage and services to millions of people across the United States.
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Working With Us

We’re Centene. And we're making a big difference. We're using innovative thinking and new ideas to help cover the uninsured and underinsured. We're taking brand new approaches to helping our neighbors in our communities. We're anything but ordinary. And we're looking for people unlike anyone else - people like you.

Diversity

At Centene, we are committed to transforming the health of our communities, one person at a time. Our success comes from our most important asset, our employees. Named a Best Place to Work for Disability Inclusion by the US Business Leadership Network and American Association of People with Disabilities, Centene is proud of our diverse team and inclusive environment.

Social Responsibility

  • Centene ranked #27 in Fortune’s 100 Fastest Growing Companies
  • Centene ranked #19 in Fortune's Change the World List
  • Centene ranked #36 in Forbes' Global 2000: Growth Champions
  • Centene was one of 20 companies selected for a Perfect 100 on LGBTQ Inclusivity

Career Opportunities

Lead Customer Service Representative
HourlyPosition Purpose: Receive, investigate and respond to all customer issues in the Call Center thru coordination of appropriate actions to initiate the resolution of customer issues. Act as resource for Customer Service Representative I & II's.Receive and process incoming telephone requests, voice mails and emails from members, clients and pharmaciesLog and track calls using help desk proprietary softwareEnsure that all Customer Services' documents and databases are maintained accuratelyParticipate as a member of the Customer-Centered Service Team, ensuring that all documentation is completed accuratelyInterview callers to gather information about the problem(s), and leads caller through to a successful problem resolution in reference to pharmacy benefit management claimsOrient new staff members to the Call Center including an overview of HIPAA and department policies and proceduresCoach and serve as a resource to others in the Call CenterCoordinate and manage the distribution of workflow for designated customer service team in the Call CenterCoordinate and schedule the daily work schedule for designated team with regard to start and stop times, meal and break times, and overtimeEducation/Experience: High school diploma or equivalent. 1+ years of related experience and/or training in customer service preferred. Supervisor or lead experience preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Lead Customer Service Representative
HourlyPosition Purpose: Receive, investigate and respond to all customer issues in the Call Center thru coordination of appropriate actions to initiate the resolution of customer issues. Act as resource for Customer Service Representative I & II's.Receive and process incoming telephone requests, voice mails and emails from members, clients and pharmaciesLog and track calls using help desk proprietary softwareEnsure that all Customer Services' documents and databases are maintained accuratelyParticipate as a member of the Customer-Centered Service Team, ensuring that all documentation is completed accuratelyInterview callers to gather information about the problem(s), and leads caller through to a successful problem resolution in reference to pharmacy benefit management claimsOrient new staff members to the Call Center including an overview of HIPAA and department policies and proceduresCoach and serve as a resource to others in the Call CenterCoordinate and manage the distribution of workflow for designated customer service team in the Call CenterCoordinate and schedule the daily work schedule for designated team with regard to start and stop times, meal and break times, and overtimeEducation/Experience: High school diploma or equivalent. 1+ years of related experience and/or training in customer service preferred. Supervisor or lead experience preferred.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Director, Claims Operations
ProfessionalPosition Purpose: Develop the vision and goals for the claims department in compliance with federal, state and Company guidelinesOversee and ensure achievement and maintenance of all claims processing standards within established guidelinesPartner with multiple business units, health plans and other stakeholders to establish operational objectives and procedures.Identify business needs and drive change initiatives to address these issuesEnsure all issues are resolved accurately and timely and implement action plans to address any issuesIdentify and implement operational efficiencies and development of "best practice" policies and proceduresAnalyze customer impact and respond to complex escalated customer service and claims processing issues to ensure that customer expectations are consistently metDirect 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.Education/Experience: Bachelor's degree or equivalent experience. 7+ years of operations management, financial management or analysis, or claims operations experience, preferably in a managed care and/or Medicaid setting. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Director, Claims Operations
ProfessionalPosition Purpose: Develop the vision and goals for the claims department in compliance with federal, state and Company guidelinesOversee and ensure achievement and maintenance of all claims processing standards within established guidelinesPartner with multiple business units, health plans and other stakeholders to establish operational objectives and procedures.Identify business needs and drive change initiatives to address these issuesEnsure all issues are resolved accurately and timely and implement action plans to address any issuesIdentify and implement operational efficiencies and development of "best practice" policies and proceduresAnalyze customer impact and respond to complex escalated customer service and claims processing issues to ensure that customer expectations are consistently metDirect 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.Education/Experience: Bachelor's degree or equivalent experience. 7+ years of operations management, financial management or analysis, or claims operations experience, preferably in a managed care and/or Medicaid setting. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Care Manager II (RN)
ProfessionalPosition Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources. Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Direct care to participating network providers Perform duties independently, demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as neededTravel requiredEducation/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current state's RN license required.Texas Requirements:Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting. 2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.Licenses/Certifications: Current state's RN license required. Valid driver's license required.Note: This is a Field basesd RN position and travel is required.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Care Manager II (RN)
ProfessionalPosition Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources. Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Direct care to participating network providers Perform duties independently, demonstrating advanced understanding of complex care management principles. Participate in case management committees and work on special projects related to case management as neededTravel requiredEducation/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.Licenses/Certifications: Current state's RN license required.Texas Requirements:Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting. 2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs. Other state specific requirements may apply.Licenses/Certifications: Current state's RN license required. Valid driver's license required.Note: This is a Field basesd RN position and travel is required.Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
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