
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.
🔥 13 hours ago
🌵 Arizona, Florida, +1 more states – Remote
💵 $63.6k - $114.6k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
👻 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.
• Supervise drafting and processing of correspondence in accordance with NCQA requirements • Supervise day-to-day activities and guide the correspondence team to ensure timely review and processing • Monitor and track correspondence issues and research documentation, processing, and resolution • Provide expert knowledge and guidance for issue resolution and processing • Ensure team compliance with contract requirements, policies, procedures, and performance standards • Identify opportunities for process and quality improvements within denial processing and review • Evaluate team performance and provide feedback on performance, goals, and career milestones • Coach and guide the team to ensure timely documentation and improve correspondence processing and quality • Assist with onboarding, hiring, and training team members • Lead and champion change within scope of responsibility • Perform other duties as assigned • Comply with all policies and standards
• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future • Bachelor's degree and 4+ years of related experience, or equivalent experience acquired through applicable knowledge, duties, scope and skill • Knowledge of National Committee for Quality Assurance (NCQA) requirements • Knowledge of contract requirements, policies, procedures, and performance standards • Experience with correspondence drafting and processing • Experience with denial processing and review processes • Experience evaluating team performance and providing feedback • Experience assisting with onboarding, hiring, and training team members
• 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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