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  • Clinical Quality Reviewer

    Centene - Clayton, MO 

    for clinically-oriented telephonic programs in order to support organizational quality goals. Deliver results with recommendations and assist with implementation of solutions. Knowledge/Experience: 5-7 years of nursing, quality...

    From Centene Corporation - posted 11 hours agoNEW
  • Director, Medical Management & Quality Medicare

    Centene - Saint Louis, MO 

    service requirements and ensure a centralized structure to support the Medicare business unit. Knowledge/Experience: ... various functional areas to ensure compliance and educate Centene Medicare Advantage Plans on the CMS standards/...

    From Centene Corporation - posted 3 days ago
  • Contract Coordinator

    Centene - Saint Louis, MO 

    staff to ensure data and systems are in sync. Provide support to contract negotiators to ensure successful ... Maintain physical and electronic file systems. Provide support to other departments to ensure compliance with...

    From Centene Corporation - posted 4 days ago
  • Business Analyst II

    Centene - St Louis, MO 

    needs and objectives in application development and support activities. Analyze user requirements, procedures, ... Design, develop, test and implement business and support applications. Collaborate with IS, corporate and...

    From Centene Corporation - posted 10 days ago
  • System Engineer - Unix

    Centene - Saint Louis, MO 

    Position Purpose: Provide operational and technical support to ensure the ongoing stability to the server environments. ... Position Responsibilities: Contribute in the technical support of the Centene server environment and the...

    From Centene Corporation - posted 12 days ago
  • Business Analyst I

    Centene - Saint Louis, MO 

    needs and objectives in applications development and support activities; analyze user requirements, procedures, ... Support the design, development, testing and implementation of new business and support applications...

    From Centene Corporation - posted 13 days ago
  • Encounter Analyst I

    Centene - St Louis, MO 

    validation. Document business requirements for encounters. Support senior team members with researching encounter ... Support senior team members with new business implementations...

    From Centene Corporation - posted 16 days ago
  • Sr Systems Analyst

    Centene - Clayton, MO 

    Position Purpose: Provide company-wide reporting to support various departments including Reporting, Account Management, ... programming requirements for development projects and support activities Provide system testing, ad hoc reporting,...

    From Centene Corporation - posted 21 days ago
  • Director New Business Contracting

    Centene - St Louis, MO 

    Complete development of a budget in alignment with Centene network management and financial objectives. Support ... and planning. Complete negotiations with complex and major provider contracts as needed to support network...

    From Centene Corporation - posted 24 days ago
  • Data Analyst IV

    Centene - Saint Louis, MO 

    Position Responsibilities: Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and...

    From Centene Corporation - posted 27 days ago
  • Director, Medicare Compliance & Regulatory Affairs

    Centene - St Louis, MO 

    Licenses/Certifications: Position Responsibilities: Serve as senior leadership and main contact between CMS and Centene ... state and local governing bodies with regard to Medicare Support business development processes in evaluating and...

    From Centene Corporation - posted 78 days ago
  • Manager, Data Analysis - Clinical Informatics

    Centene - Saint Louis, MO 

    Position Purpose: Support analytical data needs for assigned business unit. Handle complex data requests and acts as a ... and capabilities Perform analysis and reporting to support the Health Plan and Corporate Manage development...

    From Centene Corporation - posted 28 days ago
  • System Engineer - Security

    Centene - Saint Louis, MO 

    Position Purpose: Provide operational and technical support to ensure the ongoing stability to the server ... Position Responsibilities: . Contribute in the technical support of the Centene server environment and the...

    From Centene - posted 3 days ago
  • Proposal Development Analyst

    Centene - Clayton, MO 

    is on message with the win strategy and themes. Provide support for project management activities, including but not limited to CNET team site development and maintenance, template creation, narrative tracking and formatting. Develop RFP...

    From Centene Corporation - posted 78 days ago
  • Clinical Reviewer I - II

    Centene - St Louis, MO 

    Clinical Reviewer I - II Job Title: Clinical Reviewer I - II Job Type: Full-Time Location: St. Louis, MO Job Description: Position Purpose: Perform audits to identify inappropriate billing practices through extensive review of claims data,...

    From Centene - posted 4 days ago
  • Sr. Network Engineer - Network

    Centene - Saint Louis, MO 

    Troubleshoots, resolves, and documents all Tier III support calls as related to the LAN /WAN and Telecommunications Develops and documents plans to troubleshoot, diagnose, and test voice and data related issues Completes and publishes...

    From Centene Corporation - posted 50 days ago
  • Quality Reviewer

    Centene - Clayton, MO 

    activities for non-clinical telephonic programs in order to support organizational quality goals. Recommend and assist with implementing solutions. Knowledge/Experience: High School Diploma or equivalent. 4+ years of customer service,...

    From Centene - posted 14 days ago
  • Workforce Analyst

    Centene - Clayton, MO 

    System. Coordinate scheduling and operations of a technical support center and its associated satellite offices. Optimize work schedules to maximize agent productivity and handle shift bids and assign schedules to employees. Generate...

    From Centene Corporation - posted 52 days ago
  • Director, Medical Management & Quality - Medicare

    Centene - Saint Louis, MO 

    service requirements and ensure a centralized structure to support the Medicare business unit. Knowledge/Experience: ... various functional areas to ensure compliance and educate Centene Medicare Advantage Plans on the CMS standards/...

    From Centene - posted 16 days ago
  • Data Analyst III - Sr Finance/Health Econ Analyst

    Centene - Saint Louis, MO 

    Position Responsibilities: Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and...

    From Centene Corporation - posted 78 days ago
  • Human Resources Generalist

    Centene - Saint Louis, MO 

    MO Job Description: Position Purpose: Provide functional support in various areas of Human Resources including but ... (EEO) report or other government required reports . Support employment activities by assessing candidates and...

    From Centene - posted 17 days ago
  • Data Analyst III - Encounters Analytics

    Centene - St Louis, MO 

    Position Responsibilities: Provide advanced analytical support for business operations in all or some of the following areas: claims, provider data, member data, clinical data, HEDIS, pharmacy, external reporting Extract, load, model, and...

    From Centene Corporation - posted 70 days ago
  • Prior Authorization Systems Coordinator

    Centene - St Louis, MO 

    MO Job Description: Position Purpose: Perform duties to support the prior authorization team and ensure accurate claims payment and system configuration Knowledge/Experience: High school education or equivalent. 3+ years of medical claims...

    From Centene - posted 21 days ago
  • VP, Network Development & Contracting

    Centene - Chesterfield, MO 

    strategy including, access analysis, network operations and support decision makers with analysis related to ... Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations...

    From Centene Corporation - posted 78 days ago