Centene Jobs In Il - 11 Job Positions Available

Position Purpose: Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members

Position Purpose: Participate in the development of strategic business plans, coordinate and communicate the product strategy and determine key priorities, policies and procedures for product lines and programs. Key Details: Identify and advance growth, innovation, and

Position Purpose: Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance. Key Details: Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting

Position Purpose: Works with senior care management team to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is

Position Purpose: Performs concurrent reviews, including determining members overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to

Note: This is a fully remote role with Central time (CST) working hours along with 10% travel. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the

Position Purpose: Conduct analysis, pricing, and risk assessment to estimate financial outcomes while supporting the Risk Adjustment team through data analytics, risk adjustment modeling, and complex data validation initiatives. Key Details: Candidates must have either 7+