centene corp

Centene Corp. is seeking a Senior Director of Pharmacy to manage pharmacy operations across multiple markets. The role involves developing pharmacy benefit management programs, analyzing utilization, and leading pharmacy staff.Qualified candidates should have a Bachelor’s or advanced pharmacy degree, significant clinical pharmacy experience, and leadership...

Centene Corp. is seeking a Senior Program Manager to develop and implement business process excellence initiatives across the organization, employing Six Sigma/LEAN methodologies to drive efficiency.You will lead cross-functional implementations, ensure adherence to budgets and timelines, and provide executive reporting. The role demands leadership, strong...

Centene Corp. seeks an Analytics Engineering Lead to design and optimize scalable analytics-ready data models and data products. You will mentor a team, promote modern tools like dbt, and partner with stakeholders to translate complex business challenges into actionable insights.The role emphasizes data governance, AI-readiness, and reliable data pipelines...

Position Purpose: Perform all activities related to collections Verify insurance eligibility for services provided Verify insurance eligibility for all accounts with questionable status or billing addresses Perform price negotiations and discounts related to collections Identify patient resources pertaining to reimbursement Inform patients of financial...

Centene Corp. is seeking a Remote Medical Director, Appeals to lead medical management, utilization review, and quality improvement for our national program. You will provide medical leadership across utilization management, cost containment, and clinical quality initiatives while coordinating with care management teams and network providers to optimize...

Centene Corp. is seeking an experienced Care Management Leader to oversee the care management team and drive high-quality, cost-effective outcomes across remote operations.The role includes managing escalations, ensuring regulatory compliance, and guiding policy implementation with senior leadership. Requires California RN licensure, a nursing degree or...

Centene Corp. is seeking an experienced Care Management Leader to oversee the care management team and drive high-quality, cost-effective outcomes across remote operations.The role includes managing escalations, ensuring regulatory compliance, and guiding policy implementation with senior leadership. Requires California RN licensure, a nursing degree or...

Centene Corp. is seeking a Remote Behavioral Medical Director for the Central Region to lead medical management, quality improvement, and credentialing on a national scale. You will guide utilization management, review complex cases, and support performance improvement for a diverse member population. Active medical practice with a current MD/DO license...

Centene Corp. seeks a Care Manager to develop, assess, and facilitate complex care management activities for mental and behavioral health needs, delivering personalized care plans and education to members and families. The role involves evaluating needs via phone or in-home visits, coordinating with providers and community resources to secure timely...

Centene Corp. seeks a Care Manager specializing in Behavioral Health to develop and coordinate complex care plans for members with mental health and substance use needs. The role emphasizes education for members and families, telephonic or in-home outreach, and collaboration with providers and community resources to optimize outcomes. You will monitor...

Centene Corp. seeks a Care Manager to develop, assess, and facilitate complex care management activities for mental and behavioral health needs, delivering personalized care plans and education to members and families. The role involves evaluating needs via phone or in-home visits, coordinating with providers and community resources to secure timely...

Centene Corp. in Fort Wayne, IN is seeking a Care Manager to develop, assess, and facilitate complex care management for members with mental and behavioral health needs. The role blends in-person visits with remote care management, operating Monday–Friday, 8:00 a.m.–5:00 p.m., with no weekend coverage. The position requires a Master's degree in...

Centene Corp. invites applications for a Remote Psychologist Reviewer (ABA) to support youth with Autism across licensed states including LA, AR, KY, NC and CA. This 100% remote role emphasizes evidence-based behavioral health care and utilization management. The position requires a PhD or PsyD in psychology, an active psychologist license, and BCBA...

Centene Corp. in Abilene/Midland, Texas, is seeking a Nurse Care Manager for a hybrid role involving in-home visits. Requires RN licensure (or equivalent) and 4–6 years of care management experience. The position focuses on assessing complex cases, crafting personalized care plans, and coordinating services to support high-quality, cost-effective outcomes....

# LTSS Service Care ManagerApplylocations: Remote-KStime type: Full timeposted on: Posted Todayjob requisition id: 1651267You could be the one who changes everything for our 28 million members. 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...

Centene Corp. is seeking a remote Registered Nurse to join our inbound/outbound call center team. You will oversee care plans and collaborate with providers to address member needs, ensuring high-quality, cost-effective care.The role requires an RN license and 5–7 years of related experience, with opportunities for flex schedules. We offer competitive pay,...

Centene Corp. is seeking a remote Registered Nurse to join our inbound/outbound call center team. You will oversee care plans and collaborate with providers to address member needs, ensuring high-quality, cost-effective care.The role requires an RN license and 5–7 years of related experience, with opportunities for flex schedules. We offer competitive pay,...

Centene Corp. is seeking a Provider Relations professional to develop strategic partnerships between the health plan and contracted provider networks. You will engage with providers to align on network performance opportunities and implement performance improvement initiatives. Role requires managing provider performance in HEDIS/quality, cost and...

Centene Corp. is seeking a Care Manager (RN) to support remote members across Arizona. You will develop and coordinate complex care plans, assess barriers to care, and work with providers to connect members with needed services.Requires a nursing degree and 2–4 years of related experience; Arizona licensure is expected. The role emphasizes telephonic...

Centene Corp. seeks an executive to lead enrollment and billing operations across regions, ensuring accuracy, compliance, and efficiency.You will drive strategic initiatives, manage budgets, and oversee audits while optimizing the revenue cycle and customer satisfaction. The role emphasizes building and mentoring a high-performing team, maintaining strong...