Company

Centene Corporation

Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose Oversee the regional staff to ensure health plan programs are designed, implemented, and operated within defined parameters.

Ensure Corporate’s strategic objectives are maintained at the regional health plan facilities.

Assist in the development and implementation of work processes and operational systems.

Research changes and updates to government regulations or health plan guidelines.

Provide on-call duties as assigned for potential interventions and follow up on urgent call issues.

Identify trends and root causes of problems; provide recommendations for improvements, documentation, and training.

Participate in the integration of specialty products in health plan operations.

Education/Experience Bachelor’s degree in Nursing, Health Care Administration, related field or equivalent experience. 7+ years of nursing, social work, healthcare administration, or patient/community advocacy experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.

License/Certification Current state’s nursing license

Our Comprehensive Benefits Package Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Identifier

8dbac5efed070281c880bbe8666957ab