
10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
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.
🔥 0 minutes ago
🏰 Missouri, Texas – Remote
💵 $19 - $32 / hour
⏰ Full Time
🟢 Junior
🧐 Analyst
🚫👨🎓 No degree required
👻 Ghost score 0%
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10,000+ employees
Founded 1984
🛡️ Insurance
💼 Consulting
🏥 Healthcare
Insurance • Consulting • Healthcare
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.
• Analyze, execute, and review bulk requests for claims automation • Validate automation eligibility and results to ensure claims-data accuracy • Review, investigate, adjust, and resolve claims, appeals, inquiries, and payment discrepancies • Provide day-to-day support for internal and external customers with automation questions, issues, and escalated requests • Support automation maintenance activities, including updates and configuration changes, with guidance • Perform basic data validation and analysis using Excel and/or entry-level SQL • Identify and correct errors and exceptions • Assist with documenting workflows, job aids, process steps, current-state notes, and proposed changes • Support requirements gathering by collecting inputs, clarifying operational needs, and documenting outcomes • Participate in UAT support, regression checks, and post-implementation validation • Comply with all policies and standards • Perform other duties as assigned
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • High school diploma or equivalent required • 1–3 years of claims-related experience in claim processing, claims payment support, medical billing, or claims operations • Working knowledge of Microsoft Office applications (Excel, Word, Outlook) • Automation tool experience (Macro Express) preferred • Technical aptitude preferred • Exposure to beginner SQL preferred or willingness to learn • Claims processing fundamentals and attention to detail • Basic analysis, validation, and exception handling • Strong customer support and communication • Process adherence and documentation support • Intro automation knowledge • Coding experience preferred
• Competitive pay • Health insurance • 401K plan • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Additional forms of incentives may be included in total compensation
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