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

Manager, Network Development
ProfessionalPosition Purpose: Build and maintain provider networks that promote quality customer outcomes. Develop and implement activities for the recruitment, contracting and retention of effective providers to promote evidence based practices. Partner with providers to track outcomes for members receiving treatment.Meet with contracted providers to develop long-term relationships, resolve operational issues and collaborate regarding effective treatment modalities and outcomes.Evaluate and negotiate contracts in compliance with company contract templates and reimbursement structure standards.Maintain state governmental and community relationships.Evaluate the need for additional providers and/or specialty treatment services for identified populations.Analyze provider performance and profiling for interventions data.Develop market specific provider network business plans, strategies, and goals.Develop and deliver provider orientation, training, and education materials.Interface with all levels of the organization in order to ensure provider data accuracy.Collaborate to evaluate trends, identify preferred practice patterns and provide further education to providers on clinical initiatives and expectations.Collaborate with Centene health plans to integrate models to enrich member's experience.Education/Experience: Bachelor's degree in Behavioral Health or equivalent experience. Master's degree preferred. 5+ years network development, provider relations, or training experience. Claims and reimbursement system experience and provider business operations knowledge. In-depth knowledge of state compliance and regulatory processes/laws. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Working knowledge of managed care industry, behavioral health, evidence-based practices, clinical modalities, behavioral health diagnoses, and levels of care preferred. License/Certification: Valid driver's license.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.
Manager, Network Development
ProfessionalPosition Purpose: Build and maintain provider networks that promote quality customer outcomes. Develop and implement activities for the recruitment, contracting and retention of effective providers to promote evidence based practices. Partner with providers to track outcomes for members receiving treatment.Meet with contracted providers to develop long-term relationships, resolve operational issues and collaborate regarding effective treatment modalities and outcomes.Evaluate and negotiate contracts in compliance with company contract templates and reimbursement structure standards.Maintain state governmental and community relationships.Evaluate the need for additional providers and/or specialty treatment services for identified populations.Analyze provider performance and profiling for interventions data.Develop market specific provider network business plans, strategies, and goals.Develop and deliver provider orientation, training, and education materials.Interface with all levels of the organization in order to ensure provider data accuracy.Collaborate to evaluate trends, identify preferred practice patterns and provide further education to providers on clinical initiatives and expectations.Collaborate with Centene health plans to integrate models to enrich member's experience.Education/Experience: Bachelor's degree in Behavioral Health or equivalent experience. Master's degree preferred. 5+ years network development, provider relations, or training experience. Claims and reimbursement system experience and provider business operations knowledge. In-depth knowledge of state compliance and regulatory processes/laws. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff. Working knowledge of managed care industry, behavioral health, evidence-based practices, clinical modalities, behavioral health diagnoses, and levels of care preferred. License/Certification: Valid driver's license.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.
Customer Service Representative II
HourlyPosition Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status mattersProvide assistance to members and/or providers regarding website registration and navigationEducate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiriesDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application Process written customer correspondence and provide the appropriate level of follow-up in a timely manner Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustmentIdentify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standardsWork with other departments on cross functional tasks and projectsMaintain performance and quality standards based on established call center metrics including turn-around timesEducation/Experience: High school diploma or equivalent. Associates degree and claims processing, billing and/or coding experience preferred. 1+years of experience in Medicare, Medicaid managed care or insurance environment preferred. 2+ years of combined customer service experience a and call center environment. Knowledge of managed care programs and services preferred. Depending on the state, bi-lingual skills may also be 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.
Customer Service Representative II
HourlyPosition Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status mattersProvide assistance to members and/or providers regarding website registration and navigationEducate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiriesDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application Process written customer correspondence and provide the appropriate level of follow-up in a timely manner Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustmentIdentify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standardsWork with other departments on cross functional tasks and projectsMaintain performance and quality standards based on established call center metrics including turn-around timesEducation/Experience: High school diploma or equivalent. Associates degree and claims processing, billing and/or coding experience preferred. 1+years of experience in Medicare, Medicaid managed care or insurance environment preferred. 2+ years of combined customer service experience a and call center environment. Knowledge of managed care programs and services preferred. Depending on the state, bi-lingual skills may also be 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.
Customer Service Representative II
HourlyPosition Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status mattersProvide assistance to members and/or providers regarding website registration and navigationEducate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiriesDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application Process written customer correspondence and provide the appropriate level of follow-up in a timely manner Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustmentIdentify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standardsWork with other departments on cross functional tasks and projectsMaintain performance and quality standards based on established call center metrics including turn-around timesEducation/Experience: High school diploma or equivalent. Associates degree and claims processing, billing and/or coding experience preferred. 1+years of experience in Medicare, Medicaid managed care or insurance environment preferred. 2+ years of combined customer service experience a and call center environment. Knowledge of managed care programs and services preferred. Depending on the state, bi-lingual skills may also be 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.
Customer Service Representative II
HourlyPosition Purpose: Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner Reference current materials to answer escalated and complex inquiries from members and providers regarding claims, eligibility, covered benefits and authorization status mattersProvide assistance to members and/or providers regarding website registration and navigationEducate members and/or providers on health plan initiatives Provide first call resolution working with appropriate internal/external resources, and ensure closure of all inquiriesDocument all activities for quality and metrics reporting through the Customer Relationship Management (CRM) application Process written customer correspondence and provide the appropriate level of follow-up in a timely manner Research and identify processing inaccuracies in claim payments and route to the appropriate team for claim adjustmentIdentify trends related to member and/or provider inquiries that may lead to policy or process improvements that support excellent customer service and impact quality and performance standardsWork with other departments on cross functional tasks and projectsMaintain performance and quality standards based on established call center metrics including turn-around timesEducation/Experience: High school diploma or equivalent. Associates degree and claims processing, billing and/or coding experience preferred. 1+years of experience in Medicare, Medicaid managed care or insurance environment preferred. 2+ years of combined customer service experience a and call center environment. Knowledge of managed care programs and services preferred. Depending on the state, bi-lingual skills may also be 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.
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