Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives.
Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace and the TRICARE program.
Centene believes healthcare is best delivered locally.
Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals.
Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members.
Centene employees help change the world of healthcare and transform our communities.
To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Centene Corporation

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manager

Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.

Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace and the TRICARE program.

Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. 

Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

• Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes
• Develops or assists with developing personalized service care plans/service plans for long-term care members
• Educates members and their families/caregivers on services and benefits available to meet member needs
• Evaluates member needs, available resources, and recommends/facilitates plans for best outcomes
• Identifies providers, specialists, and community resources needed for long-term care
• Coordinates between member/family/caregivers and the care provider team to ensure services are accessible
• Provides resource support for needs such as employment, housing, participant direction, independent living, justice, foster care
• Monitors care plans, member status and outcomes and provides recommendations as appropriate
• Interacts with long-term care healthcare providers and partners to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities for regulatory compliance
• May perform home and/or other site visits to assess member’s needs and collaborate with providers and partners
• Provides and/or facilitates education to members and families/caregivers on procedures, provider instructions, service options, referrals, and benefits
• Provides feedback to leadership on opportunities to improve quality of care and service delivery
• Performs other duties as assigned and complies with all policies and standards

LTSS Care Manager

LTSS Service Care Manager at Centene coordinating long-term care plans and field visits. Ensuring member services, provider coordination, and regulatory-compliant documentation.

• Meet or exceed assigned annual sales goals and penetration of the Medicare book of business
• Travel within market to engage with local community based organizations, providers, brokers and agencies
• Investigate and respond to escalated issues for assigned accounts
• Participate in and conduct Medicare product training
• Develop best practices and implement them based on local market conditions
• Maintain strong familiarity with competition, market environments, and healthcare economics
• Build relationships internally with various departments and teams
• Serve as subject matter expert in growing Medicare product lines
• Submit reports upon request and in a timely manner

Regional Agency Manager

Field-based Regional Agency Manager driving Medicare sales, broker relationships, and market penetration across California for Centene.

• Develops, assesses, and facilitates complex care management activities for primarily physical needs members
• Evaluates member needs, barriers to care, and social determinants of health; focuses on member priorities
• Develops ongoing care plans/service plans and collaborates with providers to identify specialists and community resources
• Identifies problems/barriers to care and provides appropriate care management interventions
• Coordinates between members/families/caregivers and the care provider team to ensure person-centered care
• Provides ongoing follow up and monitoring of member status, condition changes, and progress toward care plan goals
• Provides resource support for local services (employment, housing, independent living, justice, foster care) as appropriate
• Facilitates care management and collaborates with providers/specialists to ensure timely access to needed care
• Performs telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
• Collects, documents, and maintains all member information and care management activities to ensure regulatory compliance
• Provides education to members and families/caregivers on disease processes, care options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve care and quality delivery

Care Manager, RN

RN Care Manager assessing needs, creating care plans, coordinating providers and conducting home visits for Centene Medicaid members in Bergen and Hudson Counties.

business-analyst

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures
• Perform other duties as assigned and comply with all policies and standards

Business Analyst II

Perform data and process analysis, UAT, and implementation support for Centene healthcare programs. Drive process improvements and reporting for business initiatives.

• Perform care management duties to assess and coordinate medical and supporting services across the continuum of care for complex/high acuity populations
• Develop and continuously assess personalized long-term care plans/service plans and collaborate with care management team
• Evaluate service needs of complex or high-risk members and recommend plans for best outcomes
• Coordinate and manage between members/families/caregivers and provider teams to ensure person-centered care
• Monitor member status, changes in condition, progress toward goals, and revise plans as necessary
• Review member data, referrals, and intake assessments to identify trends and develop appropriate care plans
• Collaborate with healthcare providers to facilitate services/treatments and revise care plans
• Collect, document, and maintain member information and care management activities for compliance
• Provide education to members and families/caregivers on disease processes, care options, referrals, and benefits
• Act as liaison and member advocate between member/family, physicians, and facilities/agencies
• Educate on and coordinate community resources and coordinate service authorizations (meals, housing, transportation, ADLs, etc.)
• May perform home/site visits (e.g., monthly) to assess needs and collaborate with resources
• Partner with leadership to improve quality of care and service delivery; may precept and coach clinical new hires
• Engage in onboarding, competency checkpoints, coaching, and shadowing for new hires/preceptees

Senior LTSS Service Care Manager, RN

RN care manager coordinating LTSS care plans, authorizations, and community resources for Centene's Medicaid members in Texas. Conducts assessments, home visits, and provider coordination.

Centene Corporation is a leading healthcare enterprise committed to helping people live healthier lives. Centene offers affordable and high-quality products to nearly 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) as well as individuals and families served by the Health Insurance Marketplace and the TRICARE program. Centene believes healthcare is best delivered locally. Our local health plans provide fully integrated, high-quality, and cost-effective services to government-sponsored and commercial healthcare programs, focusing on under-insured and uninsured individuals. Centene’s hiring practices reflect the composition of the members and communities we serve, allowing us to deliver quality, culturally sensitive healthcare to millions of members. Centene employees help change the world of healthcare and transform our communities. To learn more about career opportunities with Centene, visit: https://jobs.centene.com/

Centene Corporation

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