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Manager, Medicare Sales

Date: 2023-12-04 (Cached)

Job Description: Education/Experience: Bachelor's degree in Healthcare, Marketing, Business or related field or equivalent experience. 3+ years of supervisor experience.

Company: Centene Medicare
Hiring Organization: Centene Medicare
Salary: TBD
Location: Tallahassee, FL 32301
Street Address: TBD

Locality: Tallahassee, FL 32301
Region: disclosed when applied
Postal code: disclosed when applied


Job Details




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Regulatory Operations Analyst III - Member Policy/EOC

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Performs or assists with regulatory filings, seeking approval of commercial products for the commercial markets, and/or performs policy…

Company: Centene Commercial Solutions
Hiring Organization: Centene Commercial Solutions
Salary: TBD
Location: California
Street Address: TBD

Locality: California
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Program Manager II

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: With the Nebraska Total Care health plan, you will plan, organize, monitor, and oversee quality improvement programs with the Medicare,…

Company: Nebraska Total Care
Hiring Organization: Nebraska Total Care
Salary: TBD
Location: Omaha, NE 68164
Street Address: TBD

Locality: Omaha, NE 68164
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Behavioral Health

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Position is responsible for ensuring that the MCO’s behavioral health operations, which include the operations of any MCO behavioral health…

Company: Wellcare New Jersey
Hiring Organization: Wellcare New Jersey
Salary: TBD
Location: Newark, NJ 07102
Street Address: TBD

Locality: Newark, NJ 07102
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Care Manager RN - Adults

Date: 2023-12-04 (Cached)

Job Description: Must be licensed Registered Nurse - RN - role utilizes clinical nursing and case management skills to assess members with complex medical and fragile conditions…

Company: Superior HealthPlan
Hiring Organization: Superior HealthPlan
Salary: TBD
Location: Dallas, TX 75244
Street Address: TBD

Locality: Dallas, TX 75244
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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Business Operations(Director)

Date: 2023-12-04 (Cached)

Job Description: Responsible for the development, implementation and management of business operations such as billing and enrollment, call center, customer service, etc.

Company: CEDENT
Hiring Organization: CEDENT
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Product Marketing & Communication Specialist

Date: 2023-12-04 (Cached)

Job Description: Responsible for the production of Medicare regulatory required materials, pre-sale materials, and post enrollment member materials, as directed.

Company: Centene Medicare
Hiring Organization: Centene Medicare
Salary: TBD
Location: Florida
Street Address: TBD

Locality: Florida
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



RN Case Manager, Adults

Date: 2023-12-04 (Cached)

Job Description: Must be licensed Registered Nurse - RN - role utilizes clinical nursing and case management skills to assess members with complex medical and fragile conditions…

Company: Superior HealthPlan
Hiring Organization: Superior HealthPlan
Salary: TBD
Location: Lubbock, TX 79424
Street Address: TBD

Locality: Lubbock, TX 79424
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Internal Auditor II

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Perform internal audits, including the execution of strategic, operational, financial, and compliance risk-based audits.

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: Missouri
Street Address: TBD

Locality: Missouri
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Clinical Review Clinician - Appeals

Date: 2023-12-04 (Cached)

Job Description: Centene is hiring for a remote Clinical Review Clinician - Appeals Nurse for the Ambetter line of business . Position Purpose: Performs clinical reviews needed…

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: St. Louis, MO 63110
Street Address: TBD

Locality: St. Louis, MO 63110
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Claims and Encounters

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Manage and coordinate staff engaged in business and strategic analysis. Oversee geographically distributed cross-functional team to analyze…

Company: Oklahoma Complete Health
Hiring Organization: Oklahoma Complete Health
Salary: TBD
Location: Oklahoma City, OK 73134
Street Address: TBD

Locality: Oklahoma City, OK 73134
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Key Account Director

Date: 2023-12-04 (Cached)

Job Description: The Key Account Director (KAD) role will drive market access for in-line and future innovative breakthrough products. Bachelor's Degree required; MBA preferred.

Company: Insmed Incorporated
Hiring Organization: Insmed Incorporated
Salary: TBD
Location: United States
Street Address: TBD

Locality: United States
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Vice President, Compliance

Date: 2023-12-04 (Cached)

Job Description: This is a hybrid role with frequent in office meetings required. Ensure business unit and Centene Corporate are in compliance with state and federal program…

Company: Managed Health Services Indiana
Hiring Organization: Managed Health Services Indiana
Salary: TBD
Location: Indiana
Street Address: TBD

Locality: Indiana
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Manager, Claims & Contract Support

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Manage the implementation all provider contracts, including any pertinent changes and modifications applicable to these contracts.

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: Florida
Street Address: TBD

Locality: Florida
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Product Management Advisor – Centene Operations Management

Date: 2023-12-04 (Cached)

Job Description: The Regulated Markets Centene Operations Management team is responsible for ensuring the execution of key operations accountabilities associated with all…

Company: The Cigna Group
Hiring Organization: The Cigna Group
Salary: TBD
Location: Morris Plains, NJ 07950
Street Address: TBD

Locality: Morris Plains, NJ 07950
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Internal Auditor II - Data Analytics

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Complete data analytics procedures in support of audit programs, reports results, and validates that action plans are implemented.

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: North Carolina
Street Address: TBD

Locality: North Carolina
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Business Analyst III - Claims Configuration

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function.

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: Missouri
Street Address: TBD

Locality: Missouri
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Manager, Business Development

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Build the company’s market position and increase revenue by supporting and performing activities to locate and develop new business…

Company: Centene Commercial Solutions
Hiring Organization: Centene Commercial Solutions
Salary: TBD
Location: Indiana
Street Address: TBD

Locality: Indiana
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Utilization Management

Date: 2023-12-04 (Cached)

Job Description: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department…

Company: Centene
Hiring Organization: Centene
Salary: TBD
Location: Oklahoma City, OK 73134
Street Address: TBD

Locality: Oklahoma City, OK 73134
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Manager, Medicare Sales

Date: 2023-12-04 (Cached)

Job Description: Education/Experience: Bachelor's degree in Healthcare, Marketing, Business or related field or equivalent experience. 3+ years of supervisor experience.

Company: Centene Medicare
Hiring Organization: Centene Medicare
Salary: TBD
Location: Pensacola, FL 32504
Street Address: TBD

Locality: Pensacola, FL 32504
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Senior Product Marketing & Communication Specialist

Date: 2023-12-04 (Cached)

Job Description: Responsible for the production of Medicare regulatory required materials, pre-sale materials, and post enrollment member materials, as directed.

Company: Centene Medicare
Hiring Organization: Centene Medicare
Salary: TBD
Location: Clayton, MO 63105
Street Address: TBD

Locality: Clayton, MO 63105
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Regulatory Operations Analyst III - Member Policy/EOC

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Performs or assists with regulatory filings, seeking approval of commercial products for the commercial markets, and/or performs policy…

Company: Centene Commercial Solutions
Hiring Organization: Centene Commercial Solutions
Salary: TBD
Location: Tennessee
Street Address: TBD

Locality: Tennessee
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Regulatory Operations Analyst III - Member Policy/EOC

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Performs or assists with regulatory filings, seeking approval of commercial products for the commercial markets, and/or performs policy…

Company: Centene Commercial Solutions
Hiring Organization: Centene Commercial Solutions
Salary: TBD
Location: Chicago, IL 60601
Street Address: TBD

Locality: Chicago, IL 60601
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Regulatory Operations Analyst III - Member Policy/EOC

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Performs or assists with regulatory filings, seeking approval of commercial products for the commercial markets, and/or performs policy…

Company: Centene Commercial Solutions
Hiring Organization: Centene Commercial Solutions
Salary: TBD
Location: Missouri
Street Address: TBD

Locality: Missouri
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



Regulatory Operations Analyst III - Member Policy/EOC

Date: 2023-12-04 (Cached)

Job Description: Position Purpose: Performs or assists with regulatory filings, seeking approval of commercial products for the commercial markets, and/or performs policy…

Company: Centene Commercial Solutions
Hiring Organization: Centene Commercial Solutions
Salary: TBD
Location: Texas
Street Address: TBD

Locality: Texas
Region: disclosed when applied
Postal code: disclosed when applied


Job Details



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