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

Senior Vice President, Finance
ProfessionalPosition Purpose: Provide leadership and oversight of all aspects of finance for the Business Unit.Oversee all finance related activities for business unit including developing and monitoring progress against Annual Operating PlanResponsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with program requirementsResponsible for identifying medical cost trends and leadership of medical cost improvement initiativesPerform financial impact analysis for new contracts and support negotiationsReview monthly performance and financial results of the business unit and provide recommendations to senior managementResponsible for the business unit's contribution to corporatePerform duties as Chief liaison between Corporate Finance and the Business UnitEstablish financial strategic vision, objectives, policies and procedures in support of the overall strategic planOversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvementDirect health plan analytical needs and coordinate reporting strategyAct as a lead for internal and external auditsLead rate setting activity and coordinate corporate and entity actuariesFor Federal Services - Serve as the Federal Services lead executive and liaison with the Government for all financial matters specific to the entity's Government program operations, such as Disclosures Statements and DCAA/DCMA interactions.
Senior Vice President, Finance
ProfessionalPosition Purpose: Provide leadership and oversight of all aspects of finance for the Business Unit.Oversee all finance related activities for business unit including developing and monitoring progress against Annual Operating PlanResponsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with program requirementsResponsible for identifying medical cost trends and leadership of medical cost improvement initiativesPerform financial impact analysis for new contracts and support negotiationsReview monthly performance and financial results of the business unit and provide recommendations to senior managementResponsible for the business unit's contribution to corporatePerform duties as Chief liaison between Corporate Finance and the Business UnitEstablish financial strategic vision, objectives, policies and procedures in support of the overall strategic planOversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvementDirect health plan analytical needs and coordinate reporting strategyAct as a lead for internal and external auditsLead rate setting activity and coordinate corporate and entity actuariesFor Federal Services - Serve as the Federal Services lead executive and liaison with the Government for all financial matters specific to the entity's Government program operations, such as Disclosures Statements and DCAA/DCMA interactions.
Clinical Pharmacist Health Net of California CA-Sacramento
ProfessionalPosition Purpose: Define and develop standard and custom formularies for assigned plan.Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clientsMonitor and review prior authorization requests for medicationsDevelop and design clinical edits to adjudicate claims and enhance drug utilizationAnalyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelinesSet criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reportingResearch drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviewsParticipate in the development and implementation of medication therapy management programsProvide clinical guidance and support to various departments and address clinical related questions
Clinical Pharmacist Health Net of California CA-Sacramento
ProfessionalPosition Purpose: Define and develop standard and custom formularies for assigned plan.Develop clinical criteria for review of medications, recommend plan design changes and communicate recommendations to clientsMonitor and review prior authorization requests for medicationsDevelop and design clinical edits to adjudicate claims and enhance drug utilizationAnalyze pharmacy cost of care, trends, and coordinate the development of appropriate use protocols and guidelinesSet criteria for medication analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reportingResearch drug information to maintain drug knowledge and disease state understanding for application to prior authorization reviewsParticipate in the development and implementation of medication therapy management programsProvide clinical guidance and support to various departments and address clinical related questions
Intake Representative I
HourlyPosition Purpose: The Intake Representative I enters specific data/information from physicians' requests into a medical management authorization system, achieving required production quota/quality standards.Validates patient and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service. Determines whether patients are eligible to receive health care benefits under the insurance program by determining the patients' status/eligibility the Primary Care Manager (doctor) type, and the appropriate referral/authorization path.Contacts medical provider offices by telephone, and makes confirmation calls to patients for all urgent requests. Uses sound judgment in making decisions in order to keep the referral/authorization process moving forward in accordance with contractual timeliness standards.Follows step-by-step instructions, including redirecting patients into the provider network for care, as required by contractual standards. Formulates brief sentences/paragraphs from referral/authorization orders and prepares correspondence in business letter format to provide clinical information to servicing providers. Generates letters and reviews to validate that they are going to the correct providers/patients, and that the provider/patient demographics and reason(s) for services to be rendered are correct.Accounts accurately for personal production via a production report that includes outcome data such as closed transactions, duplicative transactions and requests.Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks. Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve. Key components of this responsibility are objectively identifying problems, recognizing patterns, and determining solutions.Works as a team member; cooperates, assists and collaborates with co-workers to achieve goals and department success, and takes personal responsibility for achieving outstanding customer service.
Intake Representative I
HourlyPosition Purpose: The Intake Representative I enters specific data/information from physicians' requests into a medical management authorization system, achieving required production quota/quality standards.Validates patient and medical provider demographic information including correct selection of a medical provider by specialty for healthcare service. Determines whether patients are eligible to receive health care benefits under the insurance program by determining the patients' status/eligibility the Primary Care Manager (doctor) type, and the appropriate referral/authorization path.Contacts medical provider offices by telephone, and makes confirmation calls to patients for all urgent requests. Uses sound judgment in making decisions in order to keep the referral/authorization process moving forward in accordance with contractual timeliness standards.Follows step-by-step instructions, including redirecting patients into the provider network for care, as required by contractual standards. Formulates brief sentences/paragraphs from referral/authorization orders and prepares correspondence in business letter format to provide clinical information to servicing providers. Generates letters and reviews to validate that they are going to the correct providers/patients, and that the provider/patient demographics and reason(s) for services to be rendered are correct.Accounts accurately for personal production via a production report that includes outcome data such as closed transactions, duplicative transactions and requests.Meets goals and produces results through tracking performance, improving work processes, and prioritizing work and tasks. Achieves successful solutions by reviewing situations and ensuring a full understanding before taking steps to resolve. Key components of this responsibility are objectively identifying problems, recognizing patterns, and determining solutions.Works as a team member; cooperates, assists and collaborates with co-workers to achieve goals and department success, and takes personal responsibility for achieving outstanding customer service.
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