Centene Careers, Benefits, Review

Provide timely, empathetic resolution to member and provider inquiries as an entry-level Customer Service Advocate at Centene in a remote contact-center role.

Work remotely as a Medical Coding Reviewer I at Centene, conducting clinical claim and record reviews to ensure accurate coding, compliance, and identification of billing issues.

Centene is hiring an experienced Ethics & Investigations Officer to lead its enterprise ethics, compliance, and investigative strategy across the organization while working remotely within the continental U.S.

Lead Centene's Pennsylvania plan as President & CEO, directing operations, strategy, contracting, and stakeholder relations to advance member health and organizational performance.

Centene is hiring an experienced RN Care Manager to deliver telephonic, person-centered complex care management for Medicare members across Texas.

Centene is hiring a Chief Medicaid Actuary to provide strategic leadership for rate development, reserving, and actuarial oversight across its Medicaid business.

Lead cross-functional design and implementation of enterprise quality programs (STARS, HEDIS, CAHPS) to improve member outcomes and quality ratings at a large national health services organization.

Experienced administrative professional needed to support a Columbus, Ohio organizational unit with scheduling, reporting, and operational coordination at Centene.

Experienced healthcare fraud investigator sought to perform claims investigations, data mining, and prepare referrals to state and federal agencies for a national healthcare organization.

Centene is hiring a Senior Pharmacy Resolution Specialist to manage escalated pharmacy inquiries, process overrides and prior authorizations, and support members and providers remotely on an EST evening schedule.

Experienced communications professional needed to create and audit Medicare member materials, ensuring regulatory compliance and clarity across Centene's Medicare portfolio.

Centene seeks a board-certified MD/DO to serve as a Remote Medical Director for Georgia, providing clinical leadership for utilization management, quality improvement, and credentialing.

Experienced network security engineer needed to implement and maintain firewall, VPN, DNS and SIEM controls and automate operational tasks for a large, remote-friendly healthcare technology organization.

Centene is hiring a Senior LTSS Service Care Manager (RN) with pediatric experience to manage STAR Kids/MDCP assessments, coordinate person-centered care plans, and perform in-person visits in the McAllen area on a hybrid schedule.

Lead Centene's Dual Eligible Special Needs Plan (D-SNP) compliance efforts to manage audits, regulatory obligations, state reporting, and corrective actions while advising business leaders and representing the organization with regulators.

Centene is hiring an entry-level Business Analyst I (Provider Data) to analyze provider data and business processes, support implementations, and perform UAT in a remote capacity.

Centene is hiring a Coding Business Analyst II to drive coding-related analysis, process improvements, and UAT for healthcare implementations across its member programs.

Experienced, board-certified MD/DO physicians are sought to serve as remote Medical Directors providing utilization management, clinical quality oversight, and provider collaboration for Centene's member populations.

Centene is hiring a Medical Review Specialist III to manage P2P prior-authorization workflows, schedule clinical discussions between Medical Directors and providers, and ensure timely, policy-compliant authorizations for members.

Senior IAM Architect needed to define and deliver enterprise identity and access management architecture and strategy for a national healthcare organization.