Team Lead, Care Management Support Coordinator

🔥 15 hours ago

🔔 Pennsylvania – Remote

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💵 $20 - $34 / hour

⏰ Full Time

🟠 Senior

👻 Ghost score 0%

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Logo of Centene Corporation

Centene Corporation

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.

📋 Description

• Perform administrative care management activities, including member outreach, answering inbound calls, and scheduling services • Provide phone outreach to members regarding care plan next steps, community or health plan resources, scheduling questions, concerns, and ongoing education • Connect members with health plan and community resources • Serve as front-line support for member and provider inquiries, requests, and concerns • Explain care plan procedures and protocols • Support member onboarding and administrative duties, including sending welcome letters, correspondence, and educational materials • Escalate requests and inquiries to management • Document and maintain non-clinical member records in accordance with state and regulatory requirements • Assist People Leaders with weekly data reporting, up to 50% of the role • Present findings and data to People Leaders and peers • Support training of new hires • Comply with all policies and standards • Perform other duties as assigned

🎯 Requirements

• High School diploma or GED (minimum) • 2–4 years of related experience • 4+ years of experience processing healthcare or insurance authorizations and coordinating services for members with access to Medicaid Long-Term Services and Supports (LTSS) • Strong problem-solving, communication, organizational, and time management skills • Ability to adapt to changing business needs with openness, flexibility, and professionalism • Must be comfortable presenting findings clearly and concisely to various stakeholders • Moderately strong Excel skills, including data extraction, creating pivot tables, and conditional formatting, or curiosity to learn more with Gen AI tools • Ability to work Monday–Friday, 8:00 AM–5:00 PM (EST)

🏖️ Benefits

• Health insurance • 401K • Stock purchase plans • Tuition reimbursement • Paid time off plus holidays • Flexible approach to work with remote, hybrid, field or office work schedules • Potential additional forms of incentives

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