Centene jobs - St Louis, MO

Centene Corporation is a leading multiline healthcare enterprise that provides managedcare programs and related services to individuals receiving benefits under Medicaid including... more

Position Purpose: Direct responsibility to create and maintain competitive advantage of the nurse triage call centers and other programs as developed (both telephonic and... more

Human Resources Generalist Job Title: Human Resources Generalist Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose: Provide functional support in... more

Clinical Quality Reviewer Job Title: Clinical Quality Reviewer Job Type: Full-Time Location: Clayton, MO Job Description: Position Purpose: Conduct quality monitoring activities... more

h plans and specialty business units Coordinate cross-functional meetings with various functional areas to ensure compliance and educate Centene Medicare Advantage Plans on the... more

Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Knowledge/Experience:... more

Plan Controller - Health Plan Accounting Job Title: Plan Controller - Health Plan Accounting Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose:... more

in medical management and quality across all Centene's Medicare Advantage Plans. Ensure ... areas to ensure compliance and educate Centene Medicare Advantage Plans on the CMS... more

Centene Corporation is a leading multi-line healthcare enterprise that provides managed-care programs and related services to individuals receiving benefits under Medicaid,... more

Position Purpose: Input and review the payroll function to ensure timely payment and reporting of earnings for company employees. Knowledge/Experience: High school diploma or GED... more

Quality Reviewer Job Title: Quality Reviewer Job Type: Full-Time Location: Clayton, MO Job Description: Position Purpose: Conduct quality monitoring activities for non-clinical... more

in medical management and quality across all Centene's Medicare Advantage Plans. Ensure ... areas to ensure compliance and educate Centene Medicare Advantage Plans on the CMS... more

Position Purpose: Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to... more

development of a budget in alignment with Centene network management and financial ... Communicate with senior management and other Centene leaders regarding network strategy... more

Position Purpose: Responsible for initial and ongoing training for corporate, health plan, and specialty company staff related to clinical systems management. more

Medical Review Nurse Job Title: Medical Review Nurse Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose: General medical reviews for medical necessity... more

Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Act as a subject... more

Position Purpose: Identify, negotiate and manage high performing provider and vendor partnerships. Knowledge/Experience: Level IV Bachelors degree in computer science, finance or... more

Position Purpose: Design, implement, and enhance the telephonic and web-based interactions with both members and providers (contact centers). Assist with call center operations... more

Position Purpose: Manage and oversee all training activities, including training assessment and evaluation, material development, and training facilitation to ensure compliance... more

Senior Accountant Job Title: Senior Accountant Job Type: Full-Time Location: St. Louis, MO Job Description: Position Purpose: Develop, analyze, and execute accounting and finance... more

Position Purpose: Responsible for the management of transplant and large dollar cases and oversight including compilation of clinical information, coordination of... more

Application Software Engineer - EDI Job Title: Application Software Engineer - EDI Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose: Design, build,... more

Position Purpose: Responsible for design, development, implementation, and analysis of voice and data communications networks. Uses knowledge of LAN/WAN and Telecommunications... more

Position Purpose: Develop, maintain and manage the relationship with Specialty Companies, Health Plans and other Corporate operational departments (customers) related to new and... more

Encounter Specialist Job Title: Encounter Specialist Job Type: Full-Time Location: Saint Louis, MO Job Description: Position Purpose: Conduct business and strategic analyses,... more

Position Purpose: Conduct business and financial analysis in support of all PeopleSoft projects. Knowledge/Experience: Bachelors degree in Accounting or Information Systems. 8... more

Fortune 500 Company? Look no further......Centene Corporation. Thr Sr. Technical Recruiter will be reponsible for the recruitment and selection of candidates utilizing social... more

Position Purpose: Conduct analysis, pricing and risk assessment to estimate financial outcomes. Knowledge/Experience: Bachelors degree or equivalent and 7-9 years of actuarial... more

Position Purpose: Perform complex internal audits, including the execution of strategic, operational, financial, IT, and compliance risk-based audits for the entire company and... more

Position Purpose: Responsible for assisting with the company's travel and transportation needs. Knowledge/Experience: Bachelors Degree preferred. At least 2 years of related... more

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity. Knowledge/Experience: At least two years clinical nursing experience. more

Position Purpose: Direct multiple business implementation teams simultaneously; and advise the company on standard implementation models, tools and processes. Develop, integrate... more

leadership and main contact between CMS and Centene . Acquire information and requirements from CMS, translate into business relevant terms, and disseminate as needed through the... more

. Contribute in the technical support of the Centene server environment and the applications residing on these servers. . Audit system resources and take action as deemed... more