Company

Centene Corporation

Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose Serve as a liaison to Military Treatment Facilities (MTFs) and Enhance Multi Service Markets (eMSMs). Closely monitor delivery of customer service and support and resolving local problems, issues and concerns. Recommend and implement strategies for resolving differences and improving service quality and timeliness. Research and respond appropriately and timely to inquiries from MTF customers regarding eligibility, enrollment, billing, claims, referrals/authorizations, network operations and access to care.

Serve as onsite customer liaison to our primary government customer, Military Treatment Facilities (MTFs), Enhance Multi Service Markets (eMSMs).

Facilitate the resolution of any clinical questions or issues that arise during the referral, authorization, and/or enrollment processes.

Communicate customer business performance plan goals with management team and work to align and integrate with business objectives.

Review and resolve referral and enrollment errors; research root cause and coordinate with staff to implement corrective strategies.

Ensure enrollment, referral, and authorization processes are tailored to local needs; identify process improvement and assist with implementing new processes.

Recommend and implement strategies for resolving differences and improving service quality and timeliness.

In partnership with the MTFs, identify and develop opportunities for optimization to support DHA transition and market deliverables.

Education/Experience Bachelor’s degree in Healthcare, Business Administration or related field or equivalent experience. Bachelor’s degree in Healthcare or Business Administration preferred. 5+ years of experience in customer relations, public contact position, and/or TRICARE experience, including making presentations to groups. Experience in handling high volume customer contacts in a courteous and professional manner License/Certification U.S citizenship and current security clearance

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

209bcd18581156e6bc608b8219473f1f