<?xml version="1.0" encoding="utf-8" standalone="yes"?>
<source>
  <publisher>Centene Corporation</publisher>
  <publisherUrl>https://jobs.centene.com/</publisherUrl>
  <lastBuildDate>Wed, 07 Oct 2026 15:39:11 GMT</lastBuildDate>
  <job>
    <title><![CDATA[Manager, Medicare Member Retention]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663869]]></requisitionid>
    <referencenumber><![CDATA[1663869]]></referencenumber>
    <apijobid><![CDATA[1663869]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663869/manager-medicare-member-retention/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maximizes member retention across the Enterprise by managing a team of retention performance managers that identifies, researches, prioritizes and determines the appropriate course of action for all applicable business matters. Directs monitors and contributes to special projects aimed at reducing Medicare member disenrollment in local markets, regions and nationally. Collaborates across business teams to execute retention campaigns to improve member experience with the health plan.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the state of Florida near the Orlando or Miami area. Or reside in the state of New York near the Boroughs.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare / Medicaid sales and being a people leader is highly preferred.</p><br><br><ul><li>Manage a team of retention performance managers to develop and implement strategies to retain Medicare beneficiaries</li><li>Analyze data and trends to identify retention challenges and opportunities</li><li>Collaborate with cross-functional teams to improve member experience and satisfaction</li><li>Create and manage programs to educate beneficiaries about benefits and services across the health plans</li><li>Monitor and evaluate retention initiatives to ensure their effectiveness and make necessary adjustments</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 5+ years of related experience preferably in Medicare industry. Master's degree preferred. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Minimum 2+ years supervisor experience preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Medicare Member Retention]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663869]]></requisitionid>
    <referencenumber><![CDATA[1663869A]]></referencenumber>
    <apijobid><![CDATA[1663869]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663869/manager-medicare-member-retention/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maximizes member retention across the Enterprise by managing a team of retention performance managers that identifies, researches, prioritizes and determines the appropriate course of action for all applicable business matters. Directs monitors and contributes to special projects aimed at reducing Medicare member disenrollment in local markets, regions and nationally. Collaborates across business teams to execute retention campaigns to improve member experience with the health plan.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the state of Florida near the Orlando or Miami area. Or reside in the state of New York near the Boroughs.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare / Medicaid sales and being a people leader is highly preferred.</p><br><br><ul><li>Manage a team of retention performance managers to develop and implement strategies to retain Medicare beneficiaries</li><li>Analyze data and trends to identify retention challenges and opportunities</li><li>Collaborate with cross-functional teams to improve member experience and satisfaction</li><li>Create and manage programs to educate beneficiaries about benefits and services across the health plans</li><li>Monitor and evaluate retention initiatives to ensure their effectiveness and make necessary adjustments</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 5+ years of related experience preferably in Medicare industry. Master's degree preferred. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Minimum 2+ years supervisor experience preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662679]]></requisitionid>
    <referencenumber><![CDATA[1662679]]></referencenumber>
    <apijobid><![CDATA[1662679]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662679/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in Albany or Oneida county.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.<br></p><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663636]]></requisitionid>
    <referencenumber><![CDATA[1663636]]></referencenumber>
    <apijobid><![CDATA[1663636]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663636/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Orlando]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[32819]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Orlando, FL area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663636]]></requisitionid>
    <referencenumber><![CDATA[1663636A]]></referencenumber>
    <apijobid><![CDATA[1663636]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663636/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Orlando, FL area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734A]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734B]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734C]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734D]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734E]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Regulatory Operations Business Analyst IV]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655734]]></requisitionid>
    <referencenumber><![CDATA[1655734F]]></referencenumber>
    <apijobid><![CDATA[1655734]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655734/regulatory-operations-business-analyst-iv/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Completes Qualified Health Plans (QHP) federal and/or state required application templates and documents for low, medium and high risk states, including policy forms for individual commercial marketplace products. Reviews and provides interpretation of application instructions from regulatory agencies Department of Insurance (DOI) and Centers for Medicare & Medicaid Services (CMS)) and assists in the development of and implementation of auditing and monitoring strategies for high-risk states. Develops and leads special projects and large initiatives, representing the department as a subject matter expert in cross-functional forums. Assume a non-disciplinary supervisory role within Regulatory Operations for the purpose of mentoring junior staff members in their professional growth and support of Centene business goals.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Prepares and oversees completion of Qualified Health Plan templates and/or formal regulatory filing documents, seeking approval of our individual commercial marketplace health plans for Health Insurance Oversight System (HIOS) and System for Electronic Rates & Forms Filing (SERFF)filings for high-risk states, ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Mentors and oversees completion of work by junior team members.</li></ul><br><ul><li>Audits QHP documents for low-medium-high risk states ensuring quality control, compliance with State and Federal regulations as well as organizational standards, and compliance with internal Company operations, products and financial arrangements. Coordinates and oversees audits for the department.</li></ul><br><ul><li>Develops and implements continuous improvement activities targeting build, audit and quality initiative strategies.</li></ul><br><ul><li>Leads management of Sources of Truth (SOT) documents for Qualified Health Plan (QHP) filing template and policy form development. Continuously supports SOT creation process and audits complex data inputs across SOT documents and/or as determined by DOI and CMS requirements. SOT is relied on by numerous cross functional teams for benefit and cost share information which is utilized in public and member facing documents.</li></ul><br><ul><li>Attends, engages and represents their Regulatory Operations team in dynamic cross functional meetings to ensure currency of information related to regulatory and/or market landscape. Leads cross functional teams in data review to ensure Qualified Health Plan (QHP) filing documents are accurate and align with product intent.</li></ul><br><ul><li>Independently analyzes proposed and/or enacted federal and state legislation and/or regulatory orders to determine impacts to QHP and regulatory filing documents. Interpret regluations and provides impacts and/or risks related to their functional responsibilities which is utilized for advocacy and implementation needs. Leads implementation of new regulations/legislation impacting QHP scope of work and performs updates to policy and filing documents related to implementation. Assists junior staff in their reviews.</li></ul><br><ul><li>Leads cross-functional implementation of passed legislation or new regulations impacting Qualified Health Plan (QHP) scope of work and/or related policy forms and filing templates.</li></ul><br><ul><li>Leads onboarding of new employees and training of analysts on essential job duties; maintains and updates training materials. Mentors junior staff in their professional growth.</li></ul><br><ul><li>Coordinates, develops, monitors, and lead projects internal to the department and cross-functional business partners, acting as a subject matter expert for the department.</li></ul><br><ul><li>May attend external and/or virtual conferences and seminars to evaluate industry trends.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree in Business, Communications, Health Care, Political Science or equivalent experience required:</strong> Master's Degree in a related field preferred<br>6+ years business process or data analysis experience in health insurance, legal, or compliance or related area required<br>Experience in commercial health insurance and/or behavioral health managed care preferred<br>Experience drafting and auditing filing documentation (Summary of Benefit Coverage, Schedule of Benefits, etc.), QHP Templates (Plans and Benefit, Pharmacy, Crosswalk, etc.) or related area preferred<br>Experience auditing database or QHP filing documentation preferred<br>Experience analyzing legislation and/or regulations and conveying findings preferred<br>Knowledge of SERFF and HIOS systems preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Clinical Appeals Coordinator]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665328]]></requisitionid>
    <referencenumber><![CDATA[1665328]]></referencenumber>
    <apijobid><![CDATA[1665328]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665328/lead-clinical-appeals-coordinator/]]></url>
    <company><![CDATA[Coordinated Care]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all appeal letters generated comply with both State and NCQA requirements.</p><br><p><strong>Key Details:</strong> This is a remote position. Hours are Monday-Friday 8:00 am - 5:00 pm PST. WA State and/or Compact licensure required. Appeals experience and experience as a lead strongly preferred. </p><br><ul><li>Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services requested.</li><li>Prepare reviews for cases that did not meet criteria</li><li>Gather, analyze and report verbal and written information regarding member and provider clinical appeals, including information follow up</li><li>Prepare response letters for member and provider clinical appeals and ensure letters are compliant with State and NCQA standards.</li><li>Coordinate with Medical Director(s) to clarify medical determinations or clinical rationale</li><li>Maintain current knowledge of NCQA and State regulations</li><li>Coordinate Fair Hearings with various internal departments and agencies</li><li>Facilitate training, auditing and escalations, and assist with policy and procedure reviews and implementation of new processes</li><li>Prepare monthly, quarterly, and annual reports for denials and/or appeals</li><li>Coordinate workflows in the department and time off requests to ensure proper coverage</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong><br><br>Education/Experience:</strong> <br>RN with 4+ years of clinical nursing or case management experience or LPN/LVN with 5+ years of clinical nursing or case management experience. Previous experience with Managed care, Case Management or Utilization Review.<br><br><strong>License/Certification:</strong> Current state RN, LPN, or LVN license.<br><br><br></p>Pay Range: $33.71 - $60.67 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663637]]></requisitionid>
    <referencenumber><![CDATA[1663637]]></referencenumber>
    <apijobid><![CDATA[1663637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663637/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Miami Gardens]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33055]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Miami / Fort Lauderdale, FL area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663637]]></requisitionid>
    <referencenumber><![CDATA[1663637A]]></referencenumber>
    <apijobid><![CDATA[1663637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663637/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Miami / Fort Lauderdale, FL area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663643]]></requisitionid>
    <referencenumber><![CDATA[1663643]]></referencenumber>
    <apijobid><![CDATA[1663643]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663643/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Dallas]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75244]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Dallas, TX area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663643]]></requisitionid>
    <referencenumber><![CDATA[1663643A]]></referencenumber>
    <apijobid><![CDATA[1663643]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663643/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Dallas, TX area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Data Scientist II]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651706]]></requisitionid>
    <referencenumber><![CDATA[1651706]]></referencenumber>
    <apijobid><![CDATA[1651706]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651706/data-scientist-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation and outcomes. Perform analysis using data science techniques on structured and unstructured data sets, and develop algorithms for targeted business needs.</p><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</p><ul><li>Design and develop data models to predict member outcomes or future impact of key member decisions</li><li>Design and construct analysis tools that extract, and analyze data and store analytical results in an appropriate format for business needs</li><li>Conduct exploratory data analysis from complex data sources and build key data sets to support Centene’s mission</li><li>Evaluate and design experiments to monitor key metrics and identify improvement opportunities</li><li>Develop mathematical and statistical models to distinguish relevant content or events and recognize patterns</li><li>Participate in presentations and communicate results of analysis and findings</li><li>Participate in the design of automated, operational analytics processes to achieve scale and durability of analysis processes</li><li>Validate and measure the outcomes of health management programs using SAS, R and other tools, to include provider data, claims data, membership data</li><li>Manage multiple projects as assigned</li><li>Assist with training Data Analysts</li></ul><p><strong>Knowledge/Experience:</strong> Master’s degree in Statistics, Mathematics, Computer Science, Informatics, Econometrics, Engineering, Experimental Science with 3+ years of experience or Bachelor’s degree and 5+ years of quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis. Experience with database technologies.</p><p><strong><em>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified</em></strong></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663607]]></requisitionid>
    <referencenumber><![CDATA[1663607]]></referencenumber>
    <apijobid><![CDATA[1663607]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663607/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in one of the 5 Boroughs of NY: Brooklyn, Manhattan, Staten Island, The Bronx, or Queens.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager Transition of Care]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665344]]></requisitionid>
    <referencenumber><![CDATA[1665344]]></referencenumber>
    <apijobid><![CDATA[1665344]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665344/care-manager-transition-of-care/]]></url>
    <company><![CDATA[Managed Health Services Wisconsin]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Completes medication review for pre-admission and post-discharge reconciliation. Works with the care management and coordination teams to identify transition support services.</p><br><p><strong>Key Details</strong>: Centene is hiring a remote Care Manager, Transition of Care, to join the TOC team. This position supports SSI and BC+ Medicaid members who are currently hospitalized, with a primary focus on behavioral health treatment and support. The ideal candidate will hold an active clinical license in Wisconsin and have experience in case management, strong knowledge of community resources, and a background in behavioral health.</p><br><ul><li>Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities </li><li>Evaluates medication and performs reconciliation between pre-admit and post-discharge medications </li><li>Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs </li><li>Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions</li><li>Facilitates the transition into active care management based on member needs</li><li>Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care</li><li>Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs </li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br><ul><li>LISW, LCSW, LMSW, LMFT, LMHC, LPC, or RN required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665615]]></requisitionid>
    <referencenumber><![CDATA[1665615]]></referencenumber>
    <apijobid><![CDATA[1665615]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665615/care-coordinator-ii/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>The Care Coordinator II provides non-clinical administrative support to the care management team. </p><p>Handles inbound and outbound calls to support care management services.</p><p>Manages call queues, tasks, and referrals in a timely manner.</p><p>Gathers information by phone to determine eligibility for care management enrollment.</p><p>Routes referrals to the appropriate clinical or nursing team.</p><br><p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><p>Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Dual Eligible Engagement Specialist]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663367]]></requisitionid>
    <referencenumber><![CDATA[1663367]]></referencenumber>
    <apijobid><![CDATA[1663367]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663367/dual-eligible-engagement-specialist/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Manage an assigned panel of unaligned dual-eligible Medicare beneficiaries and serve as the primary engagement owner responsible for driving conversion, onboarding, early member retention, and ongoing engagement. Serves as a dual-eligible subject matter expert, coordinating with internal and external partners to improve member alignment, engagement, quality outcomes, and retention.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the greater Philadelphia or Pittsburg area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales is highly preferred.</p><br><p><br></p><ul><li>Manage an assigned panel of dual-eligible members by developing engagement plans aligned to eligibility status, readiness, market priorities, and individual needs while supporting onboarding, retention, and ongoing member engagement</li><li>Conduct outreach through phone, in-home visits, community events, and other engagement activities to build member relationships</li><li>Assess member needs and provide education on Medicare and Medicaid coordination along with D-SNP benefits, and available resources</li><li>Facilitate enrollment, benefit discussions, applications, and required disclosures in compliance with CMS regulations</li><li>Serve as the initial point of contact for newly enrolled members and assist with accessing services, addressing early barriers related to care access, transportation, service utilization, member satisfaction, and retention</li><li>Promote participation in health improvement programs and initiatives that support quality outcomes and member well-being</li><li>Collaborate with internal teams, providers, and community organizations to coordinate resources and improve member engagement</li><li>Maintain accurate documentation of member interactions, outreach activities, engagement outcomes, and compliance requirements</li><li>Complete required certifications and training programs</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma or GED, or equivalent required 2+ years experience in Medicare, Medicaid, dual-eligible populations, member engagement, sales, community relations, or care coordination required. Experience working with underserved or dual-eligible populations preferred. Bilingual (Spanish or other relevant languages) preferred.<br><br><strong>Licenses/Certifications:</strong> <br>State Accident & Health Insurance Upon Hire required<br>Current state driver’s license Upon Hire required</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Public Health & Health Administration 2027 Intern (Undergraduate)]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665735]]></requisitionid>
    <referencenumber><![CDATA[1665735]]></referencenumber>
    <apijobid><![CDATA[1665735]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665735/public-health-health-administration-2027-intern-undergraduate/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.<br><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li></ul><br><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li></ul><br><ul><li>Research various legal, regulatory, and other topics within functional area and industry</li></ul><br><ul><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p>We are seeking curious, collaborative, and mission-driven graduate students who are passionate about improving healthcare delivery and health outcomes. Interns may contribute to projects across Healthcare Administration, Public Health, Population Health, Health Policy, Quality Improvement, Care Management, Healthcare Operations, Strategy, and Business Performance. Through hands-on experience and cross-functional collaboration, interns will apply analytical and problem-solving skills to initiatives that support Centene's mission of transforming the health of the communities we serve.</p><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li><li>Communicate project status and results to staff mentors and management</li><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></p><br><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.</p><br><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Appeals Coordinator]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1666299]]></requisitionid>
    <referencenumber><![CDATA[1666299]]></referencenumber>
    <apijobid><![CDATA[1666299]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1666299/clinical-appeals-coordinator/]]></url>
    <company><![CDATA[Delaware First Health]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all appeal letters generated comply with both State and NCQA requirements.</p><br><p><strong>Key Details: </strong>This is a fully remote, work-from-home position open to candidates in the Eastern and Central time zones. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. ET, with some flexibility based on location. Candidates must hold an active RN license in any U.S. state; a compact license is preferred but not required.</p><p><br><br></p><ul><li>Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services requested.</li><li>Prepare reviews for cases that did not meet criteria</li><li>Gather, analyze and report verbal and written information regarding member and provider clinical appeals, including information follow up</li><li>Prepare response letters for member and provider clinical appeals and ensure letters are compliant with State and NCQA standards.</li><li>Maintain files and logs for all appeals</li><li>Coordinate with Medical Director(s) to clarify medical determinations or clinical rationale</li><li>Maintain current knowledge of NCQA and State regulations</li><li>Coordinate Fair Hearings with various internal departments and agencies</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> <br>RN with 4+ years of clinical nursing and/or case management experience or LPN/LVN with 5+ years of clinical nursing or case management experience.</p><br><p>Managed care or utilization review experience preferred.<br><br><strong>License/Certification:</strong> LPN, LVN, or RN license (strongly preferred).<br><br><br></p>Pay Range: $33.71 - $60.67 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663634]]></requisitionid>
    <referencenumber><![CDATA[1663634]]></referencenumber>
    <apijobid><![CDATA[1663634]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663634/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Tampa]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33634]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Tampa, FL area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663634]]></requisitionid>
    <referencenumber><![CDATA[1663634A]]></referencenumber>
    <apijobid><![CDATA[1663634]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663634/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Tampa, FL area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663644]]></requisitionid>
    <referencenumber><![CDATA[1663644]]></referencenumber>
    <apijobid><![CDATA[1663644]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663644/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Houston]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77043]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Houston, TX area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Retention Field Representative]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663644]]></requisitionid>
    <referencenumber><![CDATA[1663644A]]></referencenumber>
    <apijobid><![CDATA[1663644]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663644/retention-field-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Field Retention Representative is responsible for retaining current membership in an assigned territory and must meet the daily production metrics designed to achieve higher membership retention. The Field Retention Representative conducts telephonic and field outreach which includes assistance at community events, provider and community office sites and home visits to new and existing members and must be able to effectively explain, communicate, and assist with all Wellcare products. It is the responsibility of the Retention Field Representative to ensure compliance with all regulatory, audit and corporate policies.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the Houston, TX area.</p><p>Candidate will need to be ok with travel and working some weekends.</p><p>Experience with Medicare sales and community engagement is highly preferred.</p><br><br><ul><li>Provide member resolution by researching, analyzing and documenting inquiries regarding program eligibility</li><li>Answer application and/or service questions regarding the programs and services in order to maintain/attract membership</li><li>Conduct outreach and follow up calls to educate members about Wellcare Products and serves as a liaison between the member and the different Wellcare departments</li><li>Ability to meet and exceed quality assurance standards</li><li>Ability to undergo rigorous internal training and have complete command of the sales process, all Wellcare products, competitive environment in their region successfully pass test(s) as required(with a minimum 85% score)with no more than 2 attempts, that will demonstrate a level of proficiency</li><li>Have the ability to conduct a needs based analysis to better understand the best course of action based on those needs and be able to answer product feature and benefit questions and provider network questions for members both within and outside of their region</li><li>Develop and maintain relationships with existing members by providing guidance and assistance throughout the year</li><li>Demonstrate passion for members by identifying unfulfilled needs and providing necessary education and assistance to promote the value and benefits offered by Wellcare</li><li>Modify delivery skills accordingly to overcome objections and retain members</li><li>Identify solutions to issues and concerns</li><li>Document all interactions in the appropriate system (Sales Force, Facets) including marketing leads</li><li>Track and input interaction taken as a result of each communication in order to ensure all member accounts correctly reflect activities performed</li><li>Input, update and create member information on databases in order to maintain customer accounts</li><li>Utilize computer systems to perform administrative functions such as Sales Force</li><li>Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High School Diploma, or GED, required. Associates Degree or Bachelors Degree preferred. Minimum 1 year health care related experience preferred. Minimum 1 year of customer service or sales experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653420]]></requisitionid>
    <referencenumber><![CDATA[1653420]]></referencenumber>
    <apijobid><![CDATA[1653420]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653420/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Antonio]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78201]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details</strong>: Hybrid role with in person assessments. Candidates for this role must have a LPC, LCSW, LMFT and experience in Behavioral Health. The service delivery area is the San Antonio area.</p><br><ul><li>Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMFT, LMHC, LPC and RN with BH experience required required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Data Scientist I]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655708]]></requisitionid>
    <referencenumber><![CDATA[1655708]]></referencenumber>
    <apijobid><![CDATA[1655708]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655708/data-scientist-i/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Responsible for advanced and predictive data analytics using big data and data science technology for healthcare innovation. Perform analysis using data science techniques on structured and unstructured data sets, and develop algorithms for targeted business needs.</p><br><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Highly Preferred Skills:</p><p>Programming in R, Python, and SQL </p><p>Experience with R Studio </p><p>Familiarity with and ability to use Databricks volumes/delta tables and notebooks</p><p>Familiarity with and ability to use Snowflake</p><p>Experience with predictive modeling, exploratory data analysis, and data visualization</p><br><ul><li>Designs and develops data models to predict member outcomes or future impact of key member decisions.</li><li>Design and construct analysis tools that extract, and analyze data and store analytical results in an appropriate format for business needs.</li><li>Conduct exploratory data analysis from complex data sources and build key data sets to support company mission operational analysis.</li><li>Evaluate and design experiments to monitor key metrics and identify improvement opportunities.</li><li>Develop of mathematical and statistical models to distinguish relevant content or events and recognize patterns.</li><li>Participate in presentations and communicate results of research analysis and findings.</li><li>Participate in the design of automated, operational analytics processes to achieve scale and durability of analysis processes.</li></ul><br><p><strong>Knowledge/Experience:</strong> Master’s degree in Statistics, Mathematics, Computer Science, Informatics, Econometrics, Engineering, Experimental Science with 1+ years of experience or Bachelor’s degree and 3+ years of quantitative analysis experience in data science capabilities including data mining, predictive modeling, machine learning, statistical modeling, large scale data acquisition, transformation, and structured and unstructured data analysis. Experience with database technologies.</p><p><strong><em>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified</em></strong></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Business Operations Summer 2027 Intern (Undergraduate)]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660516]]></requisitionid>
    <referencenumber><![CDATA[1660516]]></referencenumber>
    <apijobid><![CDATA[1660516]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660516/business-operations-summer-2027-intern-undergraduate/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. </p><div>We are seeking curious, collaborative, and analytical students who are interested in using financial insights to support business strategy and decision-making. Interns may contribute to projects across Finance, Accounting, Internal Audit, Reporting, Business Operations, and Healthcare Finance. Through hands-on experience and exposure to business leaders, interns will develop technical and professional skills while supporting initiatives that help drive financial performance and operational excellence across the organization.</div><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li><li>Apply academic knowledge and learn new skills by contributing to various projects</li><li>Communicate project status and results to staff mentors and management</li><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.</p><p><strong>The salary range is:</strong> $21.00 - $26.00 per hour</p><div><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></div><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[AI Enablement Intern (Undergraduate - Summer 2027)]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662038]]></requisitionid>
    <referencenumber><![CDATA[1662038]]></referencenumber>
    <apijobid><![CDATA[1662038]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662038/ai-enablement-intern-undergraduate-summer-2027/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.</p><br><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></p><p>Job Duties:</p><br><ul><li>Aggregate and organize business definitions, metrics, business rules, FAQs, and gold-standard queries for ACAP analytics products</li></ul><br><ul><li>Partner with product owners and subject matter experts to capture institutional knowledge and validate metric definitions</li></ul><br><ul><li>Map metrics to approved data sources and document metadata in data dictionaries or business glossaries</li></ul><br><ul><li>Create structured context assets that improve AI accuracy and analytics consistency across the organization</li></ul><br><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li></ul><br><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li></ul><br><ul><li>Research various legal, regulatory, and other topics within functional area and industry</li></ul><br><ul><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period. Must have at least experience with Excel. Intern preferably has good project management, organizational, technical writing, and analytical skills. </p><br><p>Pay Range: $18-26/hour</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[AI Enablement Intern (Undergraduate - Summer 2027)]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662038]]></requisitionid>
    <referencenumber><![CDATA[1662038A]]></referencenumber>
    <apijobid><![CDATA[1662038]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662038/ai-enablement-intern-undergraduate-summer-2027/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.</p><br><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></p><p>Job Duties:</p><br><ul><li>Aggregate and organize business definitions, metrics, business rules, FAQs, and gold-standard queries for ACAP analytics products</li></ul><br><ul><li>Partner with product owners and subject matter experts to capture institutional knowledge and validate metric definitions</li></ul><br><ul><li>Map metrics to approved data sources and document metadata in data dictionaries or business glossaries</li></ul><br><ul><li>Create structured context assets that improve AI accuracy and analytics consistency across the organization</li></ul><br><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li></ul><br><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li></ul><br><ul><li>Research various legal, regulatory, and other topics within functional area and industry</li></ul><br><ul><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period. Must have at least experience with Excel. Intern preferably has good project management, organizational, technical writing, and analytical skills. </p><br><p>Pay Range: $18-26/hour</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[AI Enablement Intern (Undergraduate - Summer 2027)]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662038]]></requisitionid>
    <referencenumber><![CDATA[1662038B]]></referencenumber>
    <apijobid><![CDATA[1662038]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662038/ai-enablement-intern-undergraduate-summer-2027/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.</p><br><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></p><p>Job Duties:</p><br><ul><li>Aggregate and organize business definitions, metrics, business rules, FAQs, and gold-standard queries for ACAP analytics products</li></ul><br><ul><li>Partner with product owners and subject matter experts to capture institutional knowledge and validate metric definitions</li></ul><br><ul><li>Map metrics to approved data sources and document metadata in data dictionaries or business glossaries</li></ul><br><ul><li>Create structured context assets that improve AI accuracy and analytics consistency across the organization</li></ul><br><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li></ul><br><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li></ul><br><ul><li>Research various legal, regulatory, and other topics within functional area and industry</li></ul><br><ul><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period. Must have at least experience with Excel. Intern preferably has good project management, organizational, technical writing, and analytical skills. </p><br><p>Pay Range: $18-26/hour</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1666404]]></requisitionid>
    <referencenumber><![CDATA[1666404]]></referencenumber>
    <apijobid><![CDATA[1666404]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1666404/care-navigator/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><br><p><strong>Key Details:</strong> This is a field-based position, and applicants must reside in Montgomery County, Ohio, or one of the surrounding counties, including Butler, Warren, Greene, Clinton, Clark, Miami, or Darke County. The ideal candidate will have excellent communication and customer service skills, experience working with multidisciplinary teams, strong problem-solving abilities, computer proficiency, effective organizational and time-management skills, and the ability to work independently as a self-starter. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.<br><br></p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul><br><br>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1666289]]></requisitionid>
    <referencenumber><![CDATA[1666289]]></referencenumber>
    <apijobid><![CDATA[1666289]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1666289/care-navigator/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><br><p><strong>Key Details: </strong>Preference will be given to candidates who reside in California. The role requires availability to work Pacific Standard Time (PST) hours.</p><br><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Risk Adjustment Specialist (Clinical)]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1654458]]></requisitionid>
    <referencenumber><![CDATA[1654458]]></referencenumber>
    <apijobid><![CDATA[1654458]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1654458/risk-adjustment-specialist-clinical/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Support the development and maintenance of Risk Adjustment related programs and reporting. Aid in working with Risk Adjustment vendors for programs within all lines of business.</p><p><strong>Key Details</strong>: RN License, Clinical and/or Quality Improvement and HEDIS experience is required. Candidates are not required to live in PA but will be required to work EST.</p><ul><li>Aid in the development and support of company-wide Risk Adjustment initiatives within all product lines and assist in vendor management related to those initiatives</li></ul><ul><li>Help train providers and Health Plan staff in Risk Adjustment methodologies and activities to continue to improve Centene’s Risk Adjustment score – some travel maybe required</li></ul><ul><li>Research and assist in development of best practices into operations for Risk Adjustment</li></ul><ul><li>Prepare operational workflows specific to each product business requirements and the local market dynamics</li></ul><ul><li>Prepare and participate in meetings with various committees and providers</li><li>Performs other duties as assigned</li></ul><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience. 2 years of quality improvement or clinical experience required. Bachelor’s degree in nursing and experience in managed care industry preferred.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Integrated Communication Services Process Owner]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665336]]></requisitionid>
    <referencenumber><![CDATA[1665336]]></referencenumber>
    <apijobid><![CDATA[1665336]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665336/director-integrated-communication-services-process-owner/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>This role, sitting within the Integrated Communication Services (ICS) Center of Excellence, utilizes business expertise to facilitate, lead and drive complex large-scale work efforts across domains and/or large-scale cross-functional initiatives with matrixed team support. Analyzes and measures the effectiveness of existing business processes and develops sustainable, scalable and quantifiable business process improvements.</p><p>Research industry best practices to ensure alignment of strategic planning, collaboration with key stakeholders, communication delivery, operational execution/implementation, and compliance and budget adherence.</p><p>Supports process governance, standardization, documentation, operational excellence, and continuous improvement efforts across critical business processes within the ICS CoE. Delivers expertise in areas such as process ownership, process improvement (end-to-end), governance, operational excellence, vendor management, technology, and scalability.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. This is a fully remote position, open to candidates based anywhere in the United States. Prosci Change Management certification preferred. CBPP-Certified Business Process Professional preferred. </p><br><ul><li>Support strategy for complex business transformational priority within the Integrated Communication Services (ICS) Center of Excellence, ensuring alignment to operational, governance, and business objectives.</li></ul><br><ul><li>Provide directional oversight for execution of complex business cases for proposed initiatives to ensure adequate assessment of feasibility, opportunities, risks and return on investment to meet key business objectives.</li></ul><br><ul><li>Lead the activation of strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results, including process standardization, governance, and change adoption activities.</li></ul><br><ul><li>Perform detailed analysis of data, workflows, policies, procedures, organization of staff, and skills to execute initiatives, identify operational gaps, root causes, process dependencies, and improvement opportunities.</li></ul><br><ul><li>Collect and analyze process data to initiate, develop and recommend business practices and procedures that focus on enhanced effectiveness and increased productivity with a consideration for cost containment, while identifying inefficient, duplicative, manual, or high-risk processes and recommending sustainable improvements.</li></ul><br><ul><li>Collaborate directly with stakeholder SME’s for knowledge transfer, training and implementation, including development and maintenance of standard operating procedures, workflows, process maps, job aids, and RACI documentation.</li></ul><br><ul><li>Drive consensus and confirm end to end integrity to accomplish process mapping to and including final recommendations and implementation.</li></ul><br><ul><li>Partner on creation of timely communication to all key stakeholders and contribute to executive level presentations for support, awareness, and effectiveness of all deliverables.</li></ul><br><ul><li>Performs other duties as assigned.</li></ul><br><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in a related field or equivalent experience required. 7+ years health care or insurance industry experience having led large scale initiatives required required. Operations experience preferred.<br><br>CSSBB - Six Sigma Black Belt preferred.<br>Certified Project Management Professional (PMP)-PMI preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540A]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540B]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540C]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540D]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540E]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540F]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540G]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540H]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540I]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540J]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540K]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540L]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540M]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540N]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Analytics Engineer III - AWS]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657540]]></requisitionid>
    <referencenumber><![CDATA[1657540O]]></referencenumber>
    <apijobid><![CDATA[1657540]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657540/analytics-engineer-iii-aws/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Convert analytics business requirements into technical requirements and implemented projects through working with IT, business, and analytics partners. May source data directly via batch and pipeline processes and manage SDLC processes.</p><p><strong>Key Details: </strong>This remote role provides a full scope opportunity for a seasoned Analytics Engineer who is confident in AWS. You will translate analytics business requirements into technical requirements and implement solutions while partnering with business, IT, and analytics stakeholders. This is a remote position within the United States. Candidates must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><ul><li>Requirements Gathering – Consistently leads meetings and/or calls with senior stakeholders and IT. May lead requirements gathering efforts on cross-functional projects. Consistently owns presentation materials and stakeholder communications. Requirements have significant insight and are consistently translated with technical and business knowledge into understandable concepts for individuals outside of the engineering domain. May mentor junior engineers and support alignment across business and technology teams.</li><li>Data Modeling – Leverages an expert understanding of data and analytics concepts to independently build tables, views, and scalable semantic models. Demonstrates a thorough understanding of key data sources, relationships, and limitations. Model sophistication ranges from few to innumerable related objects. Enhanced understanding of cloud analytics components including AWS, Databricks, Data Mesh, Delta Lake, and Data Lakehouse environments required. Experience supporting Power BI reporting and analytics solutions preferred.</li><li>Analytics Code Development – Creates analytics code, code-management controls, and data engineering solutions that support reporting and business intelligence initiatives. May recommend modifications to departmental SDLC processes to optimize development practices. Creates test plans, validation controls, and reusable departmental templates to ensure data quality and reliability.</li><li>Source Code/Documentation Management – May define departmental source code and documentation standards and principles. Manages source code repositories and technical documentation to support governance and maintainability. May own multiple code bases and have broad exposure to products, business domains, cloud platforms, and analytics solutions.</li><li>Defect/Bug Investigation/Remediation – Develops high-quality products with a very low defect-to-delivery ratio. Investigates and resolves defects of varying complexity, including critical production issues. Regularly assumes ownership of high-priority incidents and drives resolution. May define standards, best practices, and procedures for issue remediation and continuous improvement.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in Computer Science, Healthcare Analytics, Health Information Management, Statistics, Actuarial Science, Information Technology or equivalent experience. </li><li>5 years as an Analytics Engineer or 7+ years as a Data Analyst, Software Engineer, Data Engineer, or similar role required. </li><li>Knowledge of SQL, SDLC, GIT, RDBMS.</li></ul><p><strong>License/Certification: </strong></p><ul><li>DBT Fundamentals preferred.</li></ul><p><strong>Preferred:</strong></p><ul><li>Strong knowledge of SQL, software development lifecycle practices, Git, and relational database management systems.</li></ul><ul><li>Advanced knowledge of data modeling and analytics concepts.</li></ul><ul><li>Experience building and managing tables, views, and complex data relationships.</li></ul><ul><li>Working knowledge of cloud analytics technologies, including Databricks, Data Mesh, Delta Lake, and Data Lakehouse concepts.</li></ul><ul><li>Experience developing test plans, validation controls, and technical documentation.</li></ul><ul><li>Strong defect investigation, troubleshooting, and remediation capabilities.</li></ul><ul><li>The ability to lead discussions with senior stakeholders and work effectively across business, analytics, and IT teams. </li></ul><ul><li>Strong written and verbal communication skills, including the ability to explain technical concepts to nontechnical audiences. </li></ul><ul><li>The ability to work independently, manage multiple code bases, and take ownership of critical issues. </li></ul><ul><li>The ability to mentor junior engineers. </li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655884]]></requisitionid>
    <referencenumber><![CDATA[1655884]]></referencenumber>
    <apijobid><![CDATA[1655884]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655884/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>The candidate will ideally reside in Austin or El Paso or surrounding areas. </p><br><p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners</li></ul><p><br><br></p><ul><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned</li></ul><br><ul><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations or project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Pharmacy Claims Auditor]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662436]]></requisitionid>
    <referencenumber><![CDATA[1662436]]></referencenumber>
    <apijobid><![CDATA[1662436]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662436/pharmacy-claims-auditor/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Claims Auditor is responsible for the quality audit of a variety of specific processes within the operations services for Claims to ensure quality service goals and standards are met and/or identify areas where improvement can be achieved. Provides audit feedback regarding the exceptions, patterns and trends to management.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><br><ul><li>Performs routine and moderately complex audits to identify trends, issues, and exceptions to the established claims adjudication requirements. Reports to management when quality standards impact the business unit, company, affiliates and/or clients and customers.</li><li>Proactively identifies performance trends/patterns of audits to management, and makes recommendations to improve quality, workflow processes, policies and procedures.</li><li>Provides timely review and completion on all contested claims.</li><li>Researches claim processing problems and errors to determine their origin and provides appropriate feedback to examiners, trainers and management.</li><li>Manually enters audit data into the database to develop reports based on the audit findings.</li><li>Provides coaching and feedback to examiners and management on prepayment and post payment findings and trends.</li><li>Provides recommendations for additional training or updates that will help prevent further errors to enhance service and productivity within Health Net.</li><li>Maintains a comprehensive working knowledge of Policies, Procedures, Compliance Regulations, Schedule of Benefits and turn around times across all product lines.</li><li>Participates in specialized training within departments.</li><li>Monitors daily assignments and prioritizes aged audits to ensure all audits are completed timely per regulatory and department guidelines.</li><li>Performs other related duties as assigned.</li></ul><p><strong>Education/Experience:</strong> High School Diploma required. Minimum one year relevant experience . In-depth experience in Health Care Claims, Contracts, Benefit Application, Coordination of Benefits.</p>Pay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022A]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022B]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022C]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022D]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022E]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022F]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022G]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Credentialing & Provider Data Management Systems]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662022]]></requisitionid>
    <referencenumber><![CDATA[1662022H]]></referencenumber>
    <apijobid><![CDATA[1662022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662022/senior-manager-credentialing-provider-data-management-systems/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Manager of Credentialing and PDM will oversee all direct processes of credentialing and provider data entry, from triage through provider enrollment and data maintenance.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include a strong technical background, experience leading technical teams, hands-on expertise with SQL Server, and knowledge of provider data management (PDM), credentialing, and managed care operations.</p><br><ul><li>This role will focus on leading a team that supports the credentialing and provider data management organization from a technical perspective including system updates and enhancements, data analysis, and reporting.</li><li>Direct oversight for credentialing and re-credentialing of all physicians, mid-level practitioners and organizational providers.</li><li>Oversee all activities related to the management of provider data, including the development and management of training materials, policies, and procedures.</li><li>Ensure updates (adds, changes, and terminations) for new or existing provider records are made in accordance with health plan policies and state/federal regulations.</li><li>Ensure compliance with key performance indicators established by corporate office, NCQA credentialing standards, and state/federal requirements.</li><li>Manage updates to and production of hard copy and online provider directories.</li><li>Ensure accuracy of provider enrollment specifications and specialty types and demographics.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent experience and 4 years of relevant experience. NCQA, credentialing, and provider data management knowledge required. 3+ years of supervisory/management experience. Preferred experience with Portico, Amisys, CenProv.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Claims Analyst II]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645783]]></requisitionid>
    <referencenumber><![CDATA[1645783]]></referencenumber>
    <apijobid><![CDATA[1645783]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645783/claims-analyst-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Ensure timely processing of complex pending medical claims. Verify and update information on the submitted claims. Review work processes to determine reimbursement eligibility. Ensure payments and/or denials are made in accordance with company practices and procedures.</p><ul><li><p>Process first time claims with added complexity.</p></li><li><p>Apply policy and provider contract provisions to determine if claim is payable, if additional information is needed, or if claim should be denied.</p></li><li><p>Research and determine status of medical related claims.</p></li><li><p>Resolve claims related to adjustments, provider calls, reconsiderations and appeals.</p></li><li><p>Communicate with stakeholders’ important information needed for the successful processing of claims with added complexity.</p></li><li><p>Maintain appropriate records, files, documentation, etc.</p></li><li><p>Meet and maintain department production and quality standards.</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Education/Experience:</strong><br>High school diploma or equivalent required; Associate degree or equivalent experience preferred. 2+ years of health insurance or claims related experience required. Intermediate PC and Microsoft Office skills; basic math proficiency required. Medical coding knowledge (ICD 9/10, CPT, HCPCS) and public program claims experience preferred. Experience with Medicaid, Marketplace, or Medicare claims preferred. Required to successfully complete claims basic training, COB advanced training, and ramp period.<br><br><strong>For External Candidates:</strong> 3+ years of claims processing required. Experience with Amisys or Facets preferred. Required to successfully complete claims basic training, COB advanced training, and ramp period.</p>Pay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661513]]></requisitionid>
    <referencenumber><![CDATA[1661513]]></referencenumber>
    <apijobid><![CDATA[1661513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661513/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Lubbock]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79424]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role performing in person assessments. Must be licensed in TX. This position supports the San Angelo area.</p><p><br><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661513]]></requisitionid>
    <referencenumber><![CDATA[1661513A]]></referencenumber>
    <apijobid><![CDATA[1661513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661513/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Angelo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76901]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role performing in person assessments. Must be licensed in TX. This position supports the San Angelo area.</p><p><br><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661513]]></requisitionid>
    <referencenumber><![CDATA[1661513B]]></referencenumber>
    <apijobid><![CDATA[1661513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661513/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Angelo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76902]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role performing in person assessments. Must be licensed in TX. This position supports the San Angelo area.</p><p><br><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661513]]></requisitionid>
    <referencenumber><![CDATA[1661513C]]></referencenumber>
    <apijobid><![CDATA[1661513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661513/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Angelo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76903]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role performing in person assessments. Must be licensed in TX. This position supports the San Angelo area.</p><p><br><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661513]]></requisitionid>
    <referencenumber><![CDATA[1661513D]]></referencenumber>
    <apijobid><![CDATA[1661513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661513/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Angelo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76904]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role performing in person assessments. Must be licensed in TX. This position supports the San Angelo area.</p><p><br><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661513]]></requisitionid>
    <referencenumber><![CDATA[1661513E]]></referencenumber>
    <apijobid><![CDATA[1661513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661513/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Angelo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76905]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role performing in person assessments. Must be licensed in TX. This position supports the San Angelo area.</p><p><br><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager]]></title>
    <date><![CDATA[Tue, 06 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665845]]></requisitionid>
    <referencenumber><![CDATA[1665845]]></referencenumber>
    <apijobid><![CDATA[1665845]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665845/ltss-service-care-manager/]]></url>
    <company><![CDATA[Iowa Total Care]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Service Area Includes Carroll, Guthrie, Audubon and Cass Counties in Iowa. Hybrid Role, Remote with in person visits to members 4 days per week. Monday - Friday, 8AM to 5PM. </p><br><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 2 – 4 years of related experience.<br>For Iowa Only: Bachelor's degree and 2+ years of experience with populations served; or RN with 6+ years of experience with population served.<br><br>Experience: Experience interviewing and assessing member needs; Knowledge and experience regarding caseload management and casework practices; Knowledge regarding determining eligibility for DHSS programs; Knowledge regarding Federal and State law as it applies to DHSS programs; The ability to effectively solve problems and locate community resources; The ability to collaborate with caregivers, involved State agency representatives and providers; Good interpersonal skills; Ability to practice Cultural Competency with awareness and respect for diversity; and Knowledge of the needs and service delivery system for all populations in the case manager’s caseload.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong><br></p><ul><li>For Iowa Only: Bachelor's degree required and 2+ years of experience with populations served OR RN with 6+ years of experience with population served.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 12:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873A]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77373]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873B]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77379]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873C]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77382]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873D]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77386]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873E]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77388]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - LPC, LCSW, LMHC, or LMFT]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655873]]></requisitionid>
    <referencenumber><![CDATA[1655873F]]></referencenumber>
    <apijobid><![CDATA[1655873]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655873/ltss-service-care-manager-lpc-lcsw-lmhc-or-lmft/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77389]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An active and unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><br><p><strong>Service Delivery Area: Spring, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits), to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior SIU Investigator]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661116]]></requisitionid>
    <referencenumber><![CDATA[1661116]]></referencenumber>
    <apijobid><![CDATA[1661116]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661116/senior-siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers, members, pharmacies, vendors, and other entities. Utilizes advanced investigative techniques, data analysis, and case development strategies to identify potential misconduct, support corrective actions and recoveries, and resolve high-risk matters. Serves as a subject matter resource for investigative staff and prepares comprehensive findings, referrals, and recommendations for leadership, regulatory agencies, and law enforcement entities, as appropriate.</p><br><p><strong>Key Details:</strong> Candidates who reside within the state of South Carolina are highly preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT<strong>.</strong></p><br><ul><li>Independently leads complex fraud, waste, and abuse (FWA) investigations involving providers, members, pharmacies, vendors, and other entities utilizing referrals, claims data, medical records, interviews, analytics, and other investigative resources.</li><li>Analyzes and interprets complex claims, billing patterns, medical records, provider documentation, financial information, and other evidence to identify potential fraud, waste, abuse, overpayments, and compliance concerns.</li><li>Develops investigative strategies, establish case direction, and manage investigations through resolution in accordance with applicable laws, regulations, contractual requirements, and organizational policies and procedures.</li><li>Prepares comprehensive investigative reports, referrals, case summaries, and supporting documentation for leadership, regulatory agencies, law enforcement entities, and other authorized stakeholders.</li><li>Serves as a subject matter resource to investigative staff by providing guidance on investigative techniques, case development, documentation standards, evidentiary requirements, and regulatory considerations.</li><li>Collaborates with internal and external stakeholders, including Compliance, Legal, Payment Integrity, Provider Relations, government agencies, and law enforcement partners, to support investigative activities, corrective actions, recoveries, and case resolution.</li><li>Identifies emerging fraud schemes, billing irregularities, control gaps, and program integrity risks, and recommend enhancements to investigative processes, monitoring activities, and analytical approaches.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, enterprise initiatives, and other complex investigative matters.</li><li>Ensures investigative activities meet established quality, timeliness, documentation, service level, and regulatory requirements.</li><li>Assists in the development and delivery of training, knowledge sharing, and continuous improvement initiatives to support investigative effectiveness and program integrity objectives.</li><li>​Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>Master's Degree preferred.<strong><br></strong>4+ years Conducting fraud, waste, and abuse investigations, healthcare fraud investigations, claims audits, payment integrity reviews, healthcare compliance investigations, law enforcement investigations, or related investigative work required.</li><li>Experience leading complex investigations involving multiple data sources, extensive analysis, and coordination with internal and external stakeholders required.</li><li>Experience preparing investigative reports, referrals, presentations, and supporting documentation for leadership, regulatory agencies, and law enforcement entities required.</li><li>Experience interpreting and applying federal and state healthcare regulations, including Medicaid, Medicare, and other government-sponsored healthcare programs preferred.</li><li>Additional qualifications may be required to satisfy applicable federal, state, regulatory, contractual, or program-specific requirements.</li></ul><br><p><strong>Licenses/Certifications:</strong> </p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Behavioral Health Transition Specialist]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665762]]></requisitionid>
    <referencenumber><![CDATA[1665762]]></referencenumber>
    <apijobid><![CDATA[1665762]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665762/behavioral-health-transition-specialist/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides support with identifying, overseeing, and managing the coordination of transition of members in the community. Works with leadership to ensure the timely and safe transition of members in the community from various levels of health care services including coordinating care plans with community care coordinators, educating transition enrollees about services, requirements, limitations, and/or exclusions of services as a result of the transition. May perform and/or assist with member assessment/screenings; may develop and/or assist with developing member transition plan or service plan/care plan.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Preferred qualifications include behavioral health experience, patient or member-facing experience, and strong verbal communication skills with the ability to effectively engage with patients, members, and providers by phone. Prefer candidates to be located within the state of Texas. </p><br><ul><li>Supports care coordination team, providers, and/or other health care team members to develop an effective transition plan for members in the community and/or into adulthood and adult services/providers, as appropriate.</li><li>Assists with the transition for members in the community based on enrollment or transition of care for services identified.</li><li>Works with care coordination and care management team to identify new member enrollees requiring transition services.</li><li>Ensures existing authorizations are honored during the transition process and works with care management team and providers to address any issues.</li><li>Acts as an available resource for members and their families and/or caregivers to educate on services, requirements, limitations, and/or exclusions of services as a result of transition planning.</li><li>May track and maintains transition metrics including new member assessments, volume of members transitioning into or out of care to identify trends and process improvements, and ensures all transition of care information is appropriately documented.</li><li>Supports with efforts to draft education materials and resources for members on requirements, limitations, or exclusions of services for transition of care.</li><li>Assists with developing education and training programs for care coordination staff and providers to improve transition services for members.</li><li>May evaluate the needs of the member, the resources available, and recommends and facilitates the plan for the best outcome.</li><li>May coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure members are being effectively treated.</li><li>Interacts with healthcare providers as appropriate to facilitate member care coordination needs.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 2 – 4 years of related experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[IT Technical Support Specialist III]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1666125]]></requisitionid>
    <referencenumber><![CDATA[1666125]]></referencenumber>
    <apijobid><![CDATA[1666125]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1666125/it-technical-support-specialist-iii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Oklahoma City]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[73134]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides on-site and remote technical support to end users and site IT infrastructure (including network, print, audio/video and office setup) by troubleshooting hardware and software problems. Analyzes events and applies technical knowledge following established procedures and standards to resolve immediate end user needs. Installs software, updates, and upgrades on the computers and workstations on the network. Acts as a technical resource for other Support Specialists.</p><br><p><strong>Key Details: </strong>This role is 100% onsite in Oklahoma City, OK and requires working in the office five days per week. Experience with ServiceNow is highly preferred, along with experience supporting a large enterprise IT environment. </p><br><ul><li>Drives hardware delivery and setup; customize systems for unique end user needs</li><li>Analyzes, tests, and debug computer systems</li><li>Offers laptop/desktop break-fix assistance and remote desktop support</li><li>Supports operating systems, applications, security services, and hardware issue resolution for users (Android OS, iOS, Mac OS, Windows OS)</li><li>Resolves technical issues with Local Area Networks (LAN) and Wide Area Networks (WAN)</li><li>Works with IT Infrastructure teams to setups and maintain existing infrastructure environments and assist with local changes</li><li>Implements the necessary controls and procedures to protect information systems assets from intentional or inadvertent modification, disclosure, or destruction</li><li>Performs data transfer and manages imaging operations</li><li>Reports to users and management on status, resource needs, and projected outcomes of service tickets</li><li>Provides end user training and education</li><li>Act as a technical resource for information technology support specialist.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED<br>Requires 2 - 4 years of related experience. May require vocational or technical education in addition to prior work experience.<br>Vocation or technical education may include additional on-the-job training or continuous learning education<br><br><strong>Technical Skills:</strong><br></p><p>One or more of the following skills are desired.</p><br><ul><li>Experience with ServiceNow or equivalent ticketing tool</li><li>Technical knowledge of laptop PCs, virtual workstations, Windows OS, Apple iOS and Networking</li><li>Understanding of Active Directory, Networking, Voice, WiFi and IT infrastructure; able to coordinate with vendor or internal IT team to troubleshoot issues related to network and voice</li></ul><p><br><strong>Soft Skills:</strong><br></p><ul><li>Demonstrated customer service skills</li><li>Demonstrated interpersonal/verbal communication skills</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Economics Analyst Intern (Undergraduate - Summer 2027)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662091]]></requisitionid>
    <referencenumber><![CDATA[1662091]]></referencenumber>
    <apijobid><![CDATA[1662091]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662091/medical-economics-analyst-intern-undergraduate-summer-2027/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.</p><br><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. This position is fully remote within the U.S.</strong></p><br><p>Job Duties include but not limited to: </p><ul><li>Support the creation of a context layer for an AI-enabled Power BI dashboard used by providers and provider representatives to manage member panels</li></ul><br><ul><li>Use SQL and quantitative analysis to prepare and evaluate healthcare data for business intelligence solutions</li></ul><br><ul><li>Build and enhance Power BI dashboards that deliver accurate insights to support provider decision-making and member outcomes</li></ul><br><ul><li>Develop visualizations and presentations for stakeholders</li></ul><br><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li></ul><br><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li></ul><br><ul><li>Research various legal, regulatory, and other topics within functional area and industry</li></ul><br><ul><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period such as Statistics, Math, and Economics with an interest in Public Health and AI. Preferably have experience working with SQL.</p><br><p>Pay Range: $18-26/hour </p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 20:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Business Solutions Developer III]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655698]]></requisitionid>
    <referencenumber><![CDATA[1655698]]></referencenumber>
    <apijobid><![CDATA[1655698]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655698/business-solutions-developer-iii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> </p><p>The Business Solutions Developer III is responsible for designing, developing, implementing, and supporting business-managed applications, automations, data solutions, and reporting capabilities that address complex operational needs. This position serves as a technical subject matter expert and works closely with business stakeholders, analysts, developers, and enterprise technology partners to translate business requirements into secure, scalable, and sustainable solutions. This role supports the complete solution lifecycle, including intake, requirements gathering, solution design, application development, testing, deployment, production support, documentation, modernization, and continuous improvement. The position also provides technical guidance to other developers, promotes development standards, participates in code reviews, and helps strengthen the reliability and maintainability of the application portfolio.</p><br><ul><li>Writes code for software programs and applications, working with classes, using inheritance and virtualization, and following best programming practices.</li><li>Develop and support solutions using SQL, C#, Python, .NET, APIs, Power BI, Snowflake, Oracle, SQL Server, and related platforms.</li><li>Performs complex research and advanced analysis; find/create best solutions to stakeholder requests or problems; identify the best method or tool to develop solutions.</li><li>Collaborates with and mentor peers on development and solution strategy; regular code reviews and pull requests; team partnership to identify efficient and effective scalable product solutions.</li><li>Leads and facilitate meetings to conduct requirements gathering; maintain communication with stakeholders during solution development.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor's degree in Computer Science, MIS, related field, or equivalent experience. </li><li>4+ years of experience in the field or in a related area. Completion of a technical training program (e.g., LaunchCode, FDM, etc.) may be considered in lieu of a bachelor’s degree. </li></ul><br><p><strong>Preferred</strong></p><ul><li>Advanced SQL and relational database experience.</li><li>Experience with C#, Python, .NET, or comparable object-oriented programming languages.</li><li>Intermediate knowledge with Snowflake, Oracle, SQL Server, MongoDB, Teradata, or similar database platforms.</li><li>API and systems integration experience.</li><li>Experience with Power BI or other business intelligence tools </li><li>Experience supporting production applications in an operational environment. </li></ul><p><br><strong>Nice To Have</strong></p><p>Healthcare, managed care, claims, or healthcare operations experience.</p><p>Experience modernizing legacy applications, databases, reporting solutions, or automations.</p><p>Applies basic understanding of Agile and Scrum methodologies.</p><p><br><br></p><br>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 23:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN Director, LTSS Clinical Care Management]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655866]]></requisitionid>
    <referencenumber><![CDATA[1655866]]></referencenumber>
    <apijobid><![CDATA[1655866]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655866/rn-director-ltss-clinical-care-management/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> This role leads a team of RN managers. We are looking for Registered Nurses with experience in Value-Based Care Management, especially in Child Welfare, Medicaid/Managed Care, CHIPS, STAR Kids, or STAR Health programs. Candidates should have at least 4+ years of leadership experience managing RNs in a managed care organization or a state government agency. Experience with data analysis, health informatics, clinical reporting, and change management is a plus. Candidates will need to travel occasionally to Austin, TX or Houston, TX for leadership meetings. Mileage reimbursement is provided for travel.</p><ul><li>Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process</li><li>Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards</li><li>Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs</li><li>Monitors, reviews, and signs off on contract required reporting as required</li><li>Vendor oversight as required and applicable to the role</li><li>Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable</li><li>Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results</li><li>Leads and coordinates large or special project work with other departmental functions</li><li>Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives</li><li>Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Positions overseeing RN team members and requires Graduate from an Accredited School of Nursing and 7+ years of related clinical nursing experience, including current or prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position, and current or prior management experience. BSN is preferred.</p><ul><li><p>4+ years of direct RN managerial experience preferred.</p></li><li><p>Expert knowledge of industry regulations, policies, and standards preferred.</p></li><li><p>Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred.</p></li><li><p>Strong knowledge of healthcare managed care principles preferred.</p></li><li><p>Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred.</p></li><li><p>Strong knowledge of medication indications and side effects preferred.</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or Compact Nursing License</p></li><li><p>For Superior Health Plan: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire. Must be RUG certified if overseeing RN team members required</p></li></ul><p><strong>NOTE: Position requires a Texas DFPS background check</strong></p>Pay Range: $133,700.00 - $247,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN Director, LTSS Clinical Care Management]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655866]]></requisitionid>
    <referencenumber><![CDATA[1655866A]]></referencenumber>
    <apijobid><![CDATA[1655866]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655866/rn-director-ltss-clinical-care-management/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> This role leads a team of RN managers. We are looking for Registered Nurses with experience in Value-Based Care Management, especially in Child Welfare, Medicaid/Managed Care, CHIPS, STAR Kids, or STAR Health programs. Candidates should have at least 4+ years of leadership experience managing RNs in a managed care organization or a state government agency. Experience with data analysis, health informatics, clinical reporting, and change management is a plus. Candidates will need to travel occasionally to Austin, TX or Houston, TX for leadership meetings. Mileage reimbursement is provided for travel.</p><ul><li>Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process</li><li>Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards</li><li>Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs</li><li>Monitors, reviews, and signs off on contract required reporting as required</li><li>Vendor oversight as required and applicable to the role</li><li>Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable</li><li>Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results</li><li>Leads and coordinates large or special project work with other departmental functions</li><li>Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives</li><li>Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Positions overseeing RN team members and requires Graduate from an Accredited School of Nursing and 7+ years of related clinical nursing experience, including current or prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position, and current or prior management experience. BSN is preferred.</p><ul><li><p>4+ years of direct RN managerial experience preferred.</p></li><li><p>Expert knowledge of industry regulations, policies, and standards preferred.</p></li><li><p>Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred.</p></li><li><p>Strong knowledge of healthcare managed care principles preferred.</p></li><li><p>Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred.</p></li><li><p>Strong knowledge of medication indications and side effects preferred.</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or Compact Nursing License</p></li><li><p>For Superior Health Plan: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire. Must be RUG certified if overseeing RN team members required</p></li></ul><p><strong>NOTE: Position requires a Texas DFPS background check</strong></p>Pay Range: $133,700.00 - $247,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN Director, LTSS Clinical Care Management]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655866]]></requisitionid>
    <referencenumber><![CDATA[1655866B]]></referencenumber>
    <apijobid><![CDATA[1655866]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655866/rn-director-ltss-clinical-care-management/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> This role leads a team of RN managers. We are looking for Registered Nurses with experience in Value-Based Care Management, especially in Child Welfare, Medicaid/Managed Care, CHIPS, STAR Kids, or STAR Health programs. Candidates should have at least 4+ years of leadership experience managing RNs in a managed care organization or a state government agency. Experience with data analysis, health informatics, clinical reporting, and change management is a plus. Candidates will need to travel occasionally to Austin, TX or Houston, TX for leadership meetings. Mileage reimbursement is provided for travel.</p><ul><li>Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process</li><li>Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards</li><li>Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs</li><li>Monitors, reviews, and signs off on contract required reporting as required</li><li>Vendor oversight as required and applicable to the role</li><li>Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable</li><li>Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results</li><li>Leads and coordinates large or special project work with other departmental functions</li><li>Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives</li><li>Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Positions overseeing RN team members and requires Graduate from an Accredited School of Nursing and 7+ years of related clinical nursing experience, including current or prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position, and current or prior management experience. BSN is preferred.</p><ul><li><p>4+ years of direct RN managerial experience preferred.</p></li><li><p>Expert knowledge of industry regulations, policies, and standards preferred.</p></li><li><p>Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred.</p></li><li><p>Strong knowledge of healthcare managed care principles preferred.</p></li><li><p>Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred.</p></li><li><p>Strong knowledge of medication indications and side effects preferred.</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or Compact Nursing License</p></li><li><p>For Superior Health Plan: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire. Must be RUG certified if overseeing RN team members required</p></li></ul><p><strong>NOTE: Position requires a Texas DFPS background check</strong></p>Pay Range: $133,700.00 - $247,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN Director, LTSS Clinical Care Management]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655866]]></requisitionid>
    <referencenumber><![CDATA[1655866C]]></referencenumber>
    <apijobid><![CDATA[1655866]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655866/rn-director-ltss-clinical-care-management/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> This role leads a team of RN managers. We are looking for Registered Nurses with experience in Value-Based Care Management, especially in Child Welfare, Medicaid/Managed Care, CHIPS, STAR Kids, or STAR Health programs. Candidates should have at least 4+ years of leadership experience managing RNs in a managed care organization or a state government agency. Experience with data analysis, health informatics, clinical reporting, and change management is a plus. Candidates will need to travel occasionally to Austin, TX or Houston, TX for leadership meetings. Mileage reimbursement is provided for travel.</p><ul><li>Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process</li><li>Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards</li><li>Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs</li><li>Monitors, reviews, and signs off on contract required reporting as required</li><li>Vendor oversight as required and applicable to the role</li><li>Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable</li><li>Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results</li><li>Leads and coordinates large or special project work with other departmental functions</li><li>Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives</li><li>Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Positions overseeing RN team members and requires Graduate from an Accredited School of Nursing and 7+ years of related clinical nursing experience, including current or prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position, and current or prior management experience. BSN is preferred.</p><ul><li><p>4+ years of direct RN managerial experience preferred.</p></li><li><p>Expert knowledge of industry regulations, policies, and standards preferred.</p></li><li><p>Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred.</p></li><li><p>Strong knowledge of healthcare managed care principles preferred.</p></li><li><p>Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred.</p></li><li><p>Strong knowledge of medication indications and side effects preferred.</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or Compact Nursing License</p></li><li><p>For Superior Health Plan: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire. Must be RUG certified if overseeing RN team members required</p></li></ul><p><strong>NOTE: Position requires a Texas DFPS background check</strong></p>Pay Range: $133,700.00 - $247,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN Director, LTSS Clinical Care Management]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655866]]></requisitionid>
    <referencenumber><![CDATA[1655866D]]></referencenumber>
    <apijobid><![CDATA[1655866]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655866/rn-director-ltss-clinical-care-management/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> This role leads a team of RN managers. We are looking for Registered Nurses with experience in Value-Based Care Management, especially in Child Welfare, Medicaid/Managed Care, CHIPS, STAR Kids, or STAR Health programs. Candidates should have at least 4+ years of leadership experience managing RNs in a managed care organization or a state government agency. Experience with data analysis, health informatics, clinical reporting, and change management is a plus. Candidates will need to travel occasionally to Austin, TX or Houston, TX for leadership meetings. Mileage reimbursement is provided for travel.</p><ul><li>Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process</li><li>Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards</li><li>Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs</li><li>Monitors, reviews, and signs off on contract required reporting as required</li><li>Vendor oversight as required and applicable to the role</li><li>Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable</li><li>Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results</li><li>Leads and coordinates large or special project work with other departmental functions</li><li>Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives</li><li>Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Positions overseeing RN team members and requires Graduate from an Accredited School of Nursing and 7+ years of related clinical nursing experience, including current or prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position, and current or prior management experience. BSN is preferred.</p><ul><li><p>4+ years of direct RN managerial experience preferred.</p></li><li><p>Expert knowledge of industry regulations, policies, and standards preferred.</p></li><li><p>Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred.</p></li><li><p>Strong knowledge of healthcare managed care principles preferred.</p></li><li><p>Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred.</p></li><li><p>Strong knowledge of medication indications and side effects preferred.</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or Compact Nursing License</p></li><li><p>For Superior Health Plan: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire. Must be RUG certified if overseeing RN team members required</p></li></ul><p><strong>NOTE: Position requires a Texas DFPS background check</strong></p>Pay Range: $133,700.00 - $247,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876A]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77449]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876B]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77450]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876C]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77493]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876D]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Richmond]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77406]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876E]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Richmond]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77469]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876F]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Rosenberg]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77471]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876G]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Sugar Land]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77479]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655876]]></requisitionid>
    <referencenumber><![CDATA[1655876H]]></referencenumber>
    <apijobid><![CDATA[1655876]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655876/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Sugar Land]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77498]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel for member assessments are required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director,  Pharmacy]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662093]]></requisitionid>
    <referencenumber><![CDATA[1662093]]></referencenumber>
    <apijobid><![CDATA[1662093]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662093/director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Perform duties to develop, direct and implement a pharmacy benefit management program. Aid the Vice President of Medical Affairs in formulating and administering related organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of Company goals for pharmacy and medical programs.</p><br><p><strong>Key Details: </strong>This is a remote Indiana Pharmacist opportunity, Monday through Friday, 8:00 AM to 5:00 PM Eastern. The Director, Pharmacy serves as the designated pharmacy leader for the Indiana health plan, responsible for strategic, operational, financial, and regulatory oversight of the pharmacy benefit program. It’s a state-required function that ensures accountability for pharmacy program performance, policy implementation, regulatory compliance, utilization management, formulary oversight, and alignment with broader health plan objectives. The ideal candidate is a strategic thinker, detail-oriented, solutions-focused, with strong managed care pharmacy experience, including direct supervision of pharmacy staff. Responsibilities include planning, directing, and implementing pharmacy department activities; reviewing and analyzing reports and directives; producing pharmacy trend reports for finance and leadership; resolving pharmacy-related disputes, grievances, and complaints; participating in boards, task forces, committees, and cross-functional initiatives; supporting provider education programs; assisting with the development, presentation, and implementation of policies and procedures; and developing innovative solutions while executing corporate strategy. The candidate must reside in Indiana per the state contract, with the health plan office located in downtown Indianapolis. While the role is remote, occasional in-office meetings may be required with health plan leadership or state and pharmacy agencies.</p><br><br><ul><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.</li><li>Plan, direct and implement pharmacy activities.</li><li>Act as the pharmacy contract administrator for the development and implementation of key contracts and ensure that relevant performance standards are met by vendors.</li><li>Resolve disputes, grievances and complaints involving pharmacy program issues.</li><li>Participate in external accreditation initiatives.</li><li>Participate in relevant boards, task forces, committees, meetings and other activities.</li><li>Manage relationships with key vendors such as pharmacy benefit management companies and pharmaceutical companies.</li><li>Support provider education initiatives such as counter detailing and incentive programs.</li><li>Manage and analyze operating costs and participate in preparing the annual budget for the assigned work function at both corporate and the health plans.</li><li>Review and analyze reports, records and directives, and confer with staff to obtain data required for planning work function activities.</li><li>Conduct statistical analysis of data related to assigned work function, and prepare reports and records on data and the assigned work function activities for management and corporate.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree or advanced degree (PharmD., M.S) in pharmacy. 3+ years of clinical pharmacy care experience. 3+ years of recent contracting, quality improvement and management experience in a healthcare environment, preferably managed care. Thorough knowledge of pharmaceutical care and pharmacy benefit management practices. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br><strong>License/Certification:</strong> Indiana Pharmacist license. Ability to receive license in additional states as required. Valid driver's license and must live in Indiana.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 02:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Home Modification Specialist]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665334]]></requisitionid>
    <referencenumber><![CDATA[1665334]]></referencenumber>
    <apijobid><![CDATA[1665334]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665334/home-modification-specialist/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Create, review, and approve home modification requests managing all aspects of the process while ensuring waiver and contract requirements are met.</p><br><br><p><strong>Key details</strong>: Candidates must live in Ohio within one of the following counties: Cuyahoga, Lorain, Medina, Summit, Henry, Wood, Lucas, Sandusky.</p><br><br><br><ul><li>Complete job specifications for home and vehicle modifications, including drawings and bill of materials</li><li>Create job specifications and obtain quotes for home modification projects</li><li>Review and approve requests for modifications</li><li>Ensure modification requests meet waiver and contract requirements</li><li>Manage the entire home modification process from inception to completion</li><li>Communicate with external vendors, contractors, members and care management staff regarding requirements</li><li>Update and keep members and providers informed on the home modification process and on forthcoming projects</li><li>Manage and maintain pending requests and in progress modification projects to ensure timely completion</li><li>Read, interpret and evaluate blueprint drawings</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in Architecture, Drafting, Engineering, Health Administration, Construction, related field or equivalent experience. 7+ years of residential architecture or construction experience, including accessible design and construction . Knowledge of OAC rules, and waiver requirements for ICDS demonstration preferred. Familiarity with ADA guidelines, especially ramps and grab bars.Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Member Support Representative]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663879]]></requisitionid>
    <referencenumber><![CDATA[1663879]]></referencenumber>
    <apijobid><![CDATA[1663879]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663879/member-support-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Orlando]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[32819]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the greater Orlando area. </p><p>Bilingual; Spanish is highly preferred. </p><p>Experience with Medicare / Medicaid sales and community engagement is highly preferred.</p><p><br><br></p><ul><li>Understands the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product</li><li>Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership</li><li>Researches, analyzes, and documents member inquiries regarding program eligibility</li><li>Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments</li><li>Accurately documents all interactions in Salesforce and other relevant systems</li><li>Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP</li><li>Attends and participates in sales meetings, training programs, conventions, and special events</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required<br><br><strong>Bilingual English/Spanish/Cantonese or Mandarin preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License within 60 Days required:</strong> Current state driver's license Upon Hire requiredPay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 00:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Member Support Representative]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663880]]></requisitionid>
    <referencenumber><![CDATA[1663880]]></referencenumber>
    <apijobid><![CDATA[1663880]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663880/member-support-representative/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Sunrise]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33323]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides comprehensive support to Fidelis and Wellcare members by addressing inquiries, conducting outreach, and assisting with enrollment in various health plans, including Medicaid, Medicare, and other Fidelis Care products. This role requires in-depth product knowledge, consultative selling, and the ability to facilitate access to services to ensure member satisfaction and retention.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidate must reside in the greater Fort Lauderdale area. </p><p>Bilingual; Spanish is highly preferred. </p><p>Experience with Medicare / Medicaid sales and community engagement is highly preferred.</p><p><br><br></p><ul><li>Understands the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Identifies prospective enrollees and determines eligibility for participation in the Advantage Medicare product</li><li>Assists members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Answers application and service-related questions about Fidelis and Wellcare programs, helping to maintain and attract membership</li><li>Researches, analyzes, and documents member inquiries regarding program eligibility</li><li>Conducts outreach and follow-up calls to educate members on Wellcare products, acting as a liaison between members and various Fidelis and Wellcare departments</li><li>Accurately documents all interactions in Salesforce and other relevant systems</li><li>Gains and maintains thorough knowledge of Fidelis Care products, including options available through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA, and HARP</li><li>Attends and participates in sales meetings, training programs, conventions, and special events</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience, customer service including previous experience, in Healthcare preferably Medicare and/or Medicaid required<br><br><strong>Bilingual English/Spanish/Cantonese or Mandarin preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License within 60 Days required:</strong> Current state driver's license Upon Hire requiredPay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 00:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659905]]></requisitionid>
    <referencenumber><![CDATA[1659905]]></referencenumber>
    <apijobid><![CDATA[1659905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659905/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659905]]></requisitionid>
    <referencenumber><![CDATA[1659905A]]></referencenumber>
    <apijobid><![CDATA[1659905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659905/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Donna]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78537]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659905]]></requisitionid>
    <referencenumber><![CDATA[1659905B]]></referencenumber>
    <apijobid><![CDATA[1659905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659905/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Hidalgo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78557]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659905]]></requisitionid>
    <referencenumber><![CDATA[1659905C]]></referencenumber>
    <apijobid><![CDATA[1659905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659905/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mcallen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78501]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659905]]></requisitionid>
    <referencenumber><![CDATA[1659905D]]></referencenumber>
    <apijobid><![CDATA[1659905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659905/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Pharr]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78577]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659905]]></requisitionid>
    <referencenumber><![CDATA[1659905E]]></referencenumber>
    <apijobid><![CDATA[1659905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659905/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Weslaco]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78596]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658239]]></requisitionid>
    <referencenumber><![CDATA[1658239]]></referencenumber>
    <apijobid><![CDATA[1658239]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658239/senior-care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This position requires NY RN State Licensure. Hours are Monday - Friday 8am to 5pm EST.</p><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834A]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AL]]></city>
    <state><![CDATA[Alabama]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834B]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834C]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834D]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834E]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834F]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834G]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Prior Authorization (Hospice)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665834]]></requisitionid>
    <referencenumber><![CDATA[1665834H]]></referencenumber>
    <apijobid><![CDATA[1665834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665834/clinical-review-nurse-prior-authorization-hospice/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.</p><br><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the United States. Full-time, Monday through Friday, 8:00 a.m. to 5:00 p.m. in the employee's local time zone. Weekend coverage is required approximately once every six weeks (Saturday and Sunday), and rotating holidays with flexible scheduling provided during the week to accommodate weekend hours worked.</p><br><ul><li>Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria</li><li>Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care</li><li>Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member</li><li>Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care</li><li>Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines</li><li>Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members</li><li>Provides feedback on opportunities to improve the authorization review process for members</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience<br><br>Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.</p><br><p><strong>License/Certification:</strong></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li></ul><br><p><strong>Preferred qualifications include:</strong> Registered Nurse (RN) licensure with demonstrated experience in hospice and managed care environments.<br><br></p><p><br><br><br><br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[IT Technical Support Specialist III]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1666126]]></requisitionid>
    <referencenumber><![CDATA[1666126]]></referencenumber>
    <apijobid><![CDATA[1666126]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1666126/it-technical-support-specialist-iii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Newark]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[19713]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides on-site and remote technical support to end users and site IT infrastructure (including network, print, audio/video and office setup) by troubleshooting hardware and software problems. Analyzes events and applies technical knowledge following established procedures and standards to resolve immediate end user needs. Installs software, updates, and upgrades on the computers and workstations on the network. Acts as a technical resource for other Support Specialists.</p><br><p><strong>Key Details: </strong>This role is <strong>100% onsite in Newark, DE</strong> and requires working in the office five days per week. Experience with ServiceNow is highly preferred, along with experience supporting a large enterprise IT environment.</p><br><ul><li>Drives hardware delivery and setup; customize systems for unique end user needs</li><li>Analyzes, tests, and debug computer systems</li><li>Offers laptop/desktop break-fix assistance and remote desktop support</li><li>Supports operating systems, applications, security services, and hardware issue resolution for users (Android OS, iOS, Mac OS, Windows OS)</li><li>Resolves technical issues with Local Area Networks (LAN) and Wide Area Networks (WAN)</li><li>Works with IT Infrastructure teams to setups and maintain existing infrastructure environments and assist with local changes</li><li>Implements the necessary controls and procedures to protect information systems assets from intentional or inadvertent modification, disclosure, or destruction</li><li>Performs data transfer and manages imaging operations</li><li>Reports to users and management on status, resource needs, and projected outcomes of service tickets</li><li>Provides end user training and education</li><li>Act as a technical resource for information technology support specialist.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED<br>Requires 2 - 4 years of related experience. May require vocational or technical education in addition to prior work experience.<br>Vocation or technical education may include additional on-the-job training or continuous learning education<br><br><strong>Technical Skills:</strong><br></p><p>One or more of the following skills are desired.</p><br><ul><li>Experience with ServiceNow or equivalent ticketing tool</li><li>Technical knowledge of laptop PCs, virtual workstations, Windows OS, Apple iOS and Networking</li><li>Understanding of Active Directory, Networking, Voice, WiFi and IT infrastructure; able to coordinate with vendor or internal IT team to troubleshoot issues related to network and voice</li></ul><p><br><strong>Soft Skills:</strong><br></p><ul><li>Demonstrated customer service skills</li><li>Demonstrated interpersonal/verbal communication skills</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Pharmacist (Formulary & Quality)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662658]]></requisitionid>
    <referencenumber><![CDATA[1662658]]></referencenumber>
    <apijobid><![CDATA[1662658]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662658/clinical-pharmacist-formulary-quality/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Define and develop standard and custom formularies for assigned plan.</p><br><p><strong>Key Details:</strong> Indiana Clinical Pharmacist (Formulary & Quality). Current Indiana licensure highly preferred but will also candidates that are willing to be Indiana licensed within 90 days of hire. This is a remote opportunity for an Indiana-licensed Pharmacist working Monday through Friday on a daytime Eastern Time schedule. There are two open Clinical Pharmacist positions that support Indiana Medicaid pharmacy operations through either a Formulary & Policy focus or a Quality & Clinical Programs focus, with opportunities for collaboration and cross-coverage between the roles. Responsibilities include leading formulary, prior authorization, and clinical policy initiatives; supporting quality improvement and medication-related clinical programs; analyzing pharmacy and performance data; developing policies, workflows, educational materials, and communications; and partnering with cross-functional teams, providers, and vendors to implement state-driven and quality-focused initiatives. The ideal candidate will have experience in managed care, Medicaid, health plans, PBMs, formulary management, prior authorization, quality improvement, specialty drug management and/or population health and demonstrate strong clinical judgment, written communication, project management, data analysis, and collaboration skills. Success in this role requires the ability to manage competing priorities, translate complex requirements into actionable solutions, identify risks, and consistently deliver accurate, audit-ready work. This opportunity offers meaningful ownership, visibility, and the chance to directly impact member access, medication safety, quality outcomes, and regulatory compliance within Indiana Medicaid pharmacy programs.</p><p><br><br></p><ul><li>Develop clinical criteria for medications, recommend plan design changes, and clinical programs to be initiated</li><li>Monitor prior authorization requests</li><li>Provide clinical support to internal departments and address clinical related questions</li><li>Ensure appropriate quality controls and initiates opportunities for performance improvement in pharmacy/practice</li><li>Develop and implement programs designed to impact DUR for both Medicaid and Medicare</li><li>Develop, implement, and maintain policies and procedures for the pharmacy department</li><li>Participate in the coordination of the Medicare MTM program</li><li>Assist case management team with members including clinical rounds presentations</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree or advanced degree (Pharm.D., M.S.) in pharmacy. 2+ years of mail order, retail, hospital or managed care pharmacy experience or 1+ years of pharmacy residency program experience. Specialty drug management experience, preferred<br><br><strong>Licenses/Certifications: </strong>Current Pharmacist license with no restrictions. Current Indiana licensure highly preferred but will also candidates that are willing to be Indiana licensed within 90 days of hire. </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Risk Adjustment]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662941]]></requisitionid>
    <referencenumber><![CDATA[1662941]]></referencenumber>
    <apijobid><![CDATA[1662941]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662941/manager-risk-adjustment/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Manage the business processes related to risk adjustment and quality improvement across Centene’s for assigned products and plans.</p><p><strong>Key Details: </strong>Ideal candidate to live in the state of PA.</p><br><ul><li>Develop and implement action plans, across all departments affecting assigned products and plans, to address issues identified by the business units, including detailed workplans, issue logs, and progress reports</li><li>Identify and partner with various departments to implement assigned products business requirements</li><li>Develop and execute operational workflows specific to each product business requirements, competitive landscapes, and local market dynamics</li><li>Evaluate and manage the risk adjustment strategy across all functional areas that impact assigned products</li><li>Identify and support health plan initiatives related to assigned products</li><li>Prepare dashboards for senior management and identify improvement opportunities</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 4+ years of project management, operations, quality improvement or data analysis/reporting experience in the healthcare industry. Clinical or Social work experience preferred. Previous managed care or Medicare experience preferred. MLTSS experience is plus.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659904]]></requisitionid>
    <referencenumber><![CDATA[1659904]]></referencenumber>
    <apijobid><![CDATA[1659904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659904/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: </strong><strong>Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX</strong><strong><strong>; Mileage reimburse</strong>ment is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659904]]></requisitionid>
    <referencenumber><![CDATA[1659904A]]></referencenumber>
    <apijobid><![CDATA[1659904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659904/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Donna]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78537]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: </strong><strong>Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX</strong><strong><strong>; Mileage reimburse</strong>ment is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659904]]></requisitionid>
    <referencenumber><![CDATA[1659904B]]></referencenumber>
    <apijobid><![CDATA[1659904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659904/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mcallen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78504]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: </strong><strong>Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX</strong><strong><strong>; Mileage reimburse</strong>ment is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659904]]></requisitionid>
    <referencenumber><![CDATA[1659904C]]></referencenumber>
    <apijobid><![CDATA[1659904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659904/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Pharr]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78577]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: </strong><strong>Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX</strong><strong><strong>; Mileage reimburse</strong>ment is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659904]]></requisitionid>
    <referencenumber><![CDATA[1659904D]]></referencenumber>
    <apijobid><![CDATA[1659904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659904/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Juan]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78589]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: </strong><strong>Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX</strong><strong><strong>; Mileage reimburse</strong>ment is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659904]]></requisitionid>
    <referencenumber><![CDATA[1659904E]]></referencenumber>
    <apijobid><![CDATA[1659904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659904/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Weslaco]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78596]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: </strong><strong>Hidalgo County, TX near Donna, TX, Alamo, TX, Pharr, TX, San Juan, TX, McAllen, TX or Weslaco, TX</strong><strong><strong>; Mileage reimburse</strong>ment is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Concurrent Review]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660480]]></requisitionid>
    <referencenumber><![CDATA[1660480]]></referencenumber>
    <apijobid><![CDATA[1660480]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660480/clinical-review-nurse-concurrent-review/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs concurrent reviews, including determining member's 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 validate the necessity and setting of care being delivered to the member.</p><br><p><strong>Key Details:</strong> This is a remote position. The required schedule is Monday- Friday 8:00 am-5:00 pm Pacific Standard Time (PST) and also includes a regular weekend and holiday rotation. Must hold an active RN license in California. </p><br><ul><li>Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care</li><li>Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member</li><li>Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered</li><li>Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines</li><li>Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings</li><li>Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members</li><li>Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines</li><li>Reviews member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collaborates with care management on referral of members as appropriate</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. 2+ years of acute care experience required.<br><br><br>Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>For Health Net of California: RN license required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 21:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651808]]></requisitionid>
    <referencenumber><![CDATA[1651808]]></referencenumber>
    <apijobid><![CDATA[1651808]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651808/care-coordinator-ii/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere in the state of Missouri. Previous foster care experience is preferred. The work schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience</p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Concurrent Review NICU]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665337]]></requisitionid>
    <referencenumber><![CDATA[1665337]]></referencenumber>
    <apijobid><![CDATA[1665337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665337/clinical-review-nurse-concurrent-review-nicu/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs concurrent reviews, including determining member's 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 validate the necessity and setting of care being delivered to the member.</p><br><p><strong>Key Details</strong>: There are 3 positions available; remote/work from home. The work schedule is Monday - Friday 8am - 5pm based on the time zone in which you reside (prefer applicants reside in either central or eastern time zones). These positions require: Minimum 3 years of level III or IV NICU experience. NICU certification is helpful. Compact RN licensure is preferred with the ability to achieve licensures in non-compact states (cost reimbursed by the company). Role will support both Medicaid and Ambetter/market place insurance members.</p><br><ul><li>Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care</li><li>Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member</li><li>Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered</li><li>Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines</li><li>Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings</li><li>Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members</li><li>Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines</li><li>Reviews member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collaborates with care management on referral of members as appropriate</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience. 2+ years of acute care experience required.<br>Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LPN - Licensed Practical Nurse - State Licensure required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure For State of Nevada required</li></ul><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665228]]></requisitionid>
    <referencenumber><![CDATA[1665228]]></referencenumber>
    <apijobid><![CDATA[1665228]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665228/care-coordinator-ii/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details:</strong> Must reside in Kansas. Behavioral Health experience preferred. </p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br><ul><li></li><li>For Florida-Sunshine Health Plan - All interactions with members are done telephonically.</li><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (BH - Foster Care)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649663]]></requisitionid>
    <referencenumber><![CDATA[1649663]]></referencenumber>
    <apijobid><![CDATA[1649663]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649663/care-manager-bh-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports foster care youth ages 5-15 with their behavioral health needs, including those receiving residential treatment, frequent inpatient hospitalizations, and treatment foster care services. The schedule is Monday - Friday, 8am - 5pm. An LCSW, LMSW, LMFT, LMHC, or LPC license is strongly preferred.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Compliance Risk Adjustment]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665306]]></requisitionid>
    <referencenumber><![CDATA[1665306]]></referencenumber>
    <apijobid><![CDATA[1665306]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665306/manager-compliance-risk-adjustment/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Postition Purpose: </strong>Manages a team responsible for facilitation and leading external audits related to Risk Adjustment processes. Ensures visibility by way of reporting out audit deliverables and associated risk related for each audit. Collaborates with business areas to ensure effective prevention, detection, and correction of compliance issues as identified in external audits.</p><br><p><strong>Key Details: </strong> Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. </p><br><ul><li>Serves as the point of contact for external audits, and correspond with auditors related to audit acknowledgement, deliverables timelines and other inquiries.</li><li>Manages external audit deliverables submission responsibilities and respond to inquiries from state and federal regulatory agencies timely.</li><li>Quality Review all external audit deliverables for completeness and accuracy prior to submission to external auditors.</li><li>Communicate with both internal and external audit partners to clarify deliverables, audit requirements and deadlines.</li><li>Serves as a subject matter expert on external audit processes, policies, and quality improvement initiatives.</li><li>Socializes identified risks with internal partners including the Compliance Corrections team by timely entering Corrective Action Intake.</li><li>Supports the Corrective Action Plan development and review prior to submission to the external auditors.</li><li>Maintains detailed audit documentation including meeting minutes, action items, identified issues, and risk management plans.</li><li>Prepares and presents reports to stakeholders on risk adjustment audit performance and progress.</li><li>Supports strategy development to enhance risk adjustment accuracy and operational efficiency.</li><li>Provides operational and analytical support to the Risk Adjustment department.</li><li>Researches and recommends best practices for continuous improvement in risk adjustment.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor's Degree Audit, Compliance, Legal, or related field or equivalent experience required</li><li>5+ years Audit, risk adjustment and/or compliance required</li><li>Previous experience in risk adjustment oversight and/or coding planning preferred</li><li>Demonstrated understanding of risk adjustment regulatory landscape preferred</li><li>Risk Adjustment regulatory audit experience preferred</li><li>Medicare experience preferred<br></li></ul><p><strong>Licenses/Certifications:</strong> <br>Active Coding Credential from AHIMA or AAPC preferred<br>CPMA, RHIA, RHIT or Risk Adjustment Credential preferred<br></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661839]]></requisitionid>
    <referencenumber><![CDATA[1661839]]></referencenumber>
    <apijobid><![CDATA[1661839]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661839/care-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><br><p><strong>Key Details: </strong>This position is remote/work from home and qualified applicants must reside in the state of Florida and hold and active Florida licensure as listed below. The work schedule is Monday-Friday 8am - 5pm eastern time zone. Strongly preferred: Medicaid experience with Foster Care or adoptions and minimum of 1 year pediatric experience.</p><p><strong> </strong></p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required; one year of related professional pediatric care experience.</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mission]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78573]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175A]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Edinburg]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78539]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175B]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Edinburg]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78541]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175C]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Edinburg]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78542]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175D]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mission]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78572]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175E]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mission]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78574]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662175]]></requisitionid>
    <referencenumber><![CDATA[1662175F]]></referencenumber>
    <apijobid><![CDATA[1662175]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662175/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Pharr]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78577]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Hidalgo, TX Service Delivery Area: Service Delivery Area: </strong>Hidalgo County, TX around Edinburg, TX, McAllen, TX, Mission, TX or Pharr, TX; Mileage is reimbursed for member visits. </p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.<br></p><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665837]]></requisitionid>
    <referencenumber><![CDATA[1665837]]></referencenumber>
    <apijobid><![CDATA[1665837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665837/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[McAllen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78501]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role. Field visits and work remotely from home. Must reside in the Harlingen or Mercedes TX area.</p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665837]]></requisitionid>
    <referencenumber><![CDATA[1665837A]]></referencenumber>
    <apijobid><![CDATA[1665837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665837/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78550]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role. Field visits and work remotely from home. Must reside in the Harlingen or Mercedes TX area.</p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665837]]></requisitionid>
    <referencenumber><![CDATA[1665837B]]></referencenumber>
    <apijobid><![CDATA[1665837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665837/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78551]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role. Field visits and work remotely from home. Must reside in the Harlingen or Mercedes TX area.</p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665837]]></requisitionid>
    <referencenumber><![CDATA[1665837C]]></referencenumber>
    <apijobid><![CDATA[1665837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665837/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78552]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role. Field visits and work remotely from home. Must reside in the Harlingen or Mercedes TX area.</p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665837]]></requisitionid>
    <referencenumber><![CDATA[1665837D]]></referencenumber>
    <apijobid><![CDATA[1665837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665837/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78553]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid role. Field visits and work remotely from home. Must reside in the Harlingen or Mercedes TX area.</p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><br>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Manager IV]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651469]]></requisitionid>
    <referencenumber><![CDATA[1651469]]></referencenumber>
    <apijobid><![CDATA[1651469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651469/program-manager-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Program Manager IV leads the planning and delivery of transformational enterprise initiatives focused on optimizing healthcare operations and processes. Leading matrixed operations teams to deliver programs, ensuring operational readiness and alignment of systems, process, integration. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.</p><p><br><br></p><p><strong>*Note: </strong>The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.</li><li>Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.</li><li>Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.</li><li>Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.</li><li>Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.</li><li>Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.</li><li>Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.</li></ul><br><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.</p><br><p><strong> Highly</strong> <strong>preferred experience:</strong> </p><ul><li>Experience leading large-scale projects or programs involving healthcare operations, configuration management, provider data management, claims administration, payment platforms, or utilization management.</li><li>System Thinking E2E</li><li>Knowledge of healthcare payer systems, provider networks, benefit configuration, contract management, and claims processing workflows.</li></ul><br><p><strong>License/Certification:</strong> Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Manager IV]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651469]]></requisitionid>
    <referencenumber><![CDATA[1651469A]]></referencenumber>
    <apijobid><![CDATA[1651469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651469/program-manager-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Program Manager IV leads the planning and delivery of transformational enterprise initiatives focused on optimizing healthcare operations and processes. Leading matrixed operations teams to deliver programs, ensuring operational readiness and alignment of systems, process, integration. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.</p><p><br><br></p><p><strong>*Note: </strong>The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.</li><li>Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.</li><li>Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.</li><li>Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.</li><li>Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.</li><li>Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.</li><li>Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.</li></ul><br><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.</p><br><p><strong> Highly</strong> <strong>preferred experience:</strong> </p><ul><li>Experience leading large-scale projects or programs involving healthcare operations, configuration management, provider data management, claims administration, payment platforms, or utilization management.</li><li>System Thinking E2E</li><li>Knowledge of healthcare payer systems, provider networks, benefit configuration, contract management, and claims processing workflows.</li></ul><br><p><strong>License/Certification:</strong> Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Manager IV]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651469]]></requisitionid>
    <referencenumber><![CDATA[1651469B]]></referencenumber>
    <apijobid><![CDATA[1651469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651469/program-manager-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Program Manager IV leads the planning and delivery of transformational enterprise initiatives focused on optimizing healthcare operations and processes. Leading matrixed operations teams to deliver programs, ensuring operational readiness and alignment of systems, process, integration. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.</p><p><br><br></p><p><strong>*Note: </strong>The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.</li><li>Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.</li><li>Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.</li><li>Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.</li><li>Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.</li><li>Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.</li><li>Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.</li></ul><br><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.</p><br><p><strong> Highly</strong> <strong>preferred experience:</strong> </p><ul><li>Experience leading large-scale projects or programs involving healthcare operations, configuration management, provider data management, claims administration, payment platforms, or utilization management.</li><li>System Thinking E2E</li><li>Knowledge of healthcare payer systems, provider networks, benefit configuration, contract management, and claims processing workflows.</li></ul><br><p><strong>License/Certification:</strong> Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Manager IV]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651469]]></requisitionid>
    <referencenumber><![CDATA[1651469C]]></referencenumber>
    <apijobid><![CDATA[1651469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651469/program-manager-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Program Manager IV leads the planning and delivery of transformational enterprise initiatives focused on optimizing healthcare operations and processes. Leading matrixed operations teams to deliver programs, ensuring operational readiness and alignment of systems, process, integration. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.</p><p><br><br></p><p><strong>*Note: </strong>The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.</li><li>Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.</li><li>Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.</li><li>Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.</li><li>Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.</li><li>Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.</li><li>Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.</li></ul><br><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.</p><br><p><strong> Highly</strong> <strong>preferred experience:</strong> </p><ul><li>Experience leading large-scale projects or programs involving healthcare operations, configuration management, provider data management, claims administration, payment platforms, or utilization management.</li><li>System Thinking E2E</li><li>Knowledge of healthcare payer systems, provider networks, benefit configuration, contract management, and claims processing workflows.</li></ul><br><p><strong>License/Certification:</strong> Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Manager IV]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651469]]></requisitionid>
    <referencenumber><![CDATA[1651469D]]></referencenumber>
    <apijobid><![CDATA[1651469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651469/program-manager-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Program Manager IV leads the planning and delivery of transformational enterprise initiatives focused on optimizing healthcare operations and processes. Leading matrixed operations teams to deliver programs, ensuring operational readiness and alignment of systems, process, integration. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.</p><p><br><br></p><p><strong>*Note: </strong>The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.</li><li>Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.</li><li>Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.</li><li>Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.</li><li>Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.</li><li>Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.</li><li>Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.</li></ul><br><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.</p><br><p><strong> Highly</strong> <strong>preferred experience:</strong> </p><ul><li>Experience leading large-scale projects or programs involving healthcare operations, configuration management, provider data management, claims administration, payment platforms, or utilization management.</li><li>System Thinking E2E</li><li>Knowledge of healthcare payer systems, provider networks, benefit configuration, contract management, and claims processing workflows.</li></ul><br><p><strong>License/Certification:</strong> Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Manager IV]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651469]]></requisitionid>
    <referencenumber><![CDATA[1651469E]]></referencenumber>
    <apijobid><![CDATA[1651469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651469/program-manager-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Program Manager IV leads the planning and delivery of transformational enterprise initiatives focused on optimizing healthcare operations and processes. Leading matrixed operations teams to deliver programs, ensuring operational readiness and alignment of systems, process, integration. The Program Manager IV is also responsible for creating and presenting executive level communications to provide program updates and facilitate cross functional executive level discussion.</p><p><br><br></p><p><strong>*Note: </strong>The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Lead large scale, cross functional projects for implementation or process improvement including working with organizational leaders for restructuring and realignment of team members. Oversee all aspects of program planning, management, and execution (scope, schedule, and budget). Create comprehensive timelines and ensure the project team creates and maintains appropriate deliverables while following project management standards.</li><li>Drive large scale projects by coordinating the work of one or more project managers/business analysts who are managing the individual workgroups (Operations, Finance, Benefit Operations, etc.) involved in the project.</li><li>Create meaningful dashboards for executive level update and project status. Work with teams to create reports for ongoing analytics post project implementation.</li><li>Create and deliver best practice and training information to indirect reports (when applicable), peers, and other employees. Work with the training team to create/review training materials.</li><li>Prepare and deliver documents for Program Steering Committees to the Executive team. Work with functional business teams’ leaders to assess program risks and issue escalate as needed to the leadership level.</li><li>Proactively manage areas such as risk, budget/forecast, dependencies, etc. Prepare strategic analysis of potential business and/or operational opportunities as needed.</li><li>Serve as the first escalation point for project issues and risks. Work directly with the project teams to resolve issues and create risk mitigation plans. Escalate well-formulated issues and risks to leadership. Effectively communicate business and technology issues and solutions.</li></ul><br><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience required. Master’s degree preferred. 8+ years of Program or Project Management experience required. Previous experience as a lead in a functional area, managing cross-functional teams on large scale projects or supervisory experience including hiring, training, assigning work, and managing the performance of staff required. Proficiency in MS Office applications and project management tools required. Healthcare experience and/or managed care experience preferred.</p><br><p><strong> Highly</strong> <strong>preferred experience:</strong> </p><ul><li>Experience leading large-scale projects or programs involving healthcare operations, configuration management, provider data management, claims administration, payment platforms, or utilization management.</li><li>System Thinking E2E</li><li>Knowledge of healthcare payer systems, provider networks, benefit configuration, contract management, and claims processing workflows.</li></ul><br><p><strong>License/Certification:</strong> Project Management Professional (PMP) or Program Management Professional (PgMP) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421A]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Brownsville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78520]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421B]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Brownsville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78521]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421C]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Brownsville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78522]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421D]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Brownsville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78523]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421E]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Brownsville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78526]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421F]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78550]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421G]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78551]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421H]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78552]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421I]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78553]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660421]]></requisitionid>
    <referencenumber><![CDATA[1660421J]]></referencenumber>
    <apijobid><![CDATA[1660421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660421/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Benito]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78586]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area:</strong><strong> Service Delivery Area: Brownsville, TX, Harlingen, TX and San Benito, TX; Mileage reimbursement is provided for travel when conducting member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Solutions Strategist (ICHRA)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652921]]></requisitionid>
    <referencenumber><![CDATA[1652921]]></referencenumber>
    <apijobid><![CDATA[1652921]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652921/senior-business-solutions-strategist-ichra/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports the goals and outcomes of the organization by leading the transformation of our business strategy. Ensures deliverables are met, by assisting with design, execution, and value estimation and realization for initiatives.</p><ul><li>Partner with business leaders to identify opportunities for improvement</li><li>Drive assessment of business requirements against existing offerings and capabilities to identify and document gaps</li><li>Evaluate, assess, and design solutions</li><li>Assist in value estimation, cost-benefit analysis, and business case creation</li><li>Establish and maintain business architecture governance</li><li>Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis</li><li>Coordinate across business and delivery groups to ensure timely completion of key deliverables to include the launch of new offerings, capabilities and the implementation of process improvements</li><li>Collaborate with partners to define and manage the project scope, conduct requirements analysis, and execute on projects</li><li>Create and maintain core business architecture models, such as value streams, business capabilities, information maps, and strategy trees</li><li>Lead workshops, gather ideas, evaluate processes, and gather intelligence</li><li>Track and trend predicted business value versus actual value and business outcomes</li><li>Advise senior leadership on business strategies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><br><strong>Education/Experience:</strong><br>Bachelor's Degree Business Administration, Management, Information Technology, or a related field required. 5+ years Business Architecture, Business Analysis, Business Design required. Experience with Business Architecture Frameworks preferred. Workshop Facilitation preferred<br><br><strong>Licenses/Certifications:</strong><br>Business Architecture Certification preferred</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Other]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Solutions Strategist (ICHRA)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652921]]></requisitionid>
    <referencenumber><![CDATA[1652921A]]></referencenumber>
    <apijobid><![CDATA[1652921]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652921/senior-business-solutions-strategist-ichra/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports the goals and outcomes of the organization by leading the transformation of our business strategy. Ensures deliverables are met, by assisting with design, execution, and value estimation and realization for initiatives.</p><ul><li>Partner with business leaders to identify opportunities for improvement</li><li>Drive assessment of business requirements against existing offerings and capabilities to identify and document gaps</li><li>Evaluate, assess, and design solutions</li><li>Assist in value estimation, cost-benefit analysis, and business case creation</li><li>Establish and maintain business architecture governance</li><li>Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis</li><li>Coordinate across business and delivery groups to ensure timely completion of key deliverables to include the launch of new offerings, capabilities and the implementation of process improvements</li><li>Collaborate with partners to define and manage the project scope, conduct requirements analysis, and execute on projects</li><li>Create and maintain core business architecture models, such as value streams, business capabilities, information maps, and strategy trees</li><li>Lead workshops, gather ideas, evaluate processes, and gather intelligence</li><li>Track and trend predicted business value versus actual value and business outcomes</li><li>Advise senior leadership on business strategies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><br><strong>Education/Experience:</strong><br>Bachelor's Degree Business Administration, Management, Information Technology, or a related field required. 5+ years Business Architecture, Business Analysis, Business Design required. Experience with Business Architecture Frameworks preferred. Workshop Facilitation preferred<br><br><strong>Licenses/Certifications:</strong><br>Business Architecture Certification preferred</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Other]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Solutions Strategist (ICHRA)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652921]]></requisitionid>
    <referencenumber><![CDATA[1652921B]]></referencenumber>
    <apijobid><![CDATA[1652921]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652921/senior-business-solutions-strategist-ichra/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports the goals and outcomes of the organization by leading the transformation of our business strategy. Ensures deliverables are met, by assisting with design, execution, and value estimation and realization for initiatives.</p><ul><li>Partner with business leaders to identify opportunities for improvement</li><li>Drive assessment of business requirements against existing offerings and capabilities to identify and document gaps</li><li>Evaluate, assess, and design solutions</li><li>Assist in value estimation, cost-benefit analysis, and business case creation</li><li>Establish and maintain business architecture governance</li><li>Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis</li><li>Coordinate across business and delivery groups to ensure timely completion of key deliverables to include the launch of new offerings, capabilities and the implementation of process improvements</li><li>Collaborate with partners to define and manage the project scope, conduct requirements analysis, and execute on projects</li><li>Create and maintain core business architecture models, such as value streams, business capabilities, information maps, and strategy trees</li><li>Lead workshops, gather ideas, evaluate processes, and gather intelligence</li><li>Track and trend predicted business value versus actual value and business outcomes</li><li>Advise senior leadership on business strategies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><br><strong>Education/Experience:</strong><br>Bachelor's Degree Business Administration, Management, Information Technology, or a related field required. 5+ years Business Architecture, Business Analysis, Business Design required. Experience with Business Architecture Frameworks preferred. Workshop Facilitation preferred<br><br><strong>Licenses/Certifications:</strong><br>Business Architecture Certification preferred</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Other]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Solutions Strategist (ICHRA)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652921]]></requisitionid>
    <referencenumber><![CDATA[1652921C]]></referencenumber>
    <apijobid><![CDATA[1652921]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652921/senior-business-solutions-strategist-ichra/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports the goals and outcomes of the organization by leading the transformation of our business strategy. Ensures deliverables are met, by assisting with design, execution, and value estimation and realization for initiatives.</p><ul><li>Partner with business leaders to identify opportunities for improvement</li><li>Drive assessment of business requirements against existing offerings and capabilities to identify and document gaps</li><li>Evaluate, assess, and design solutions</li><li>Assist in value estimation, cost-benefit analysis, and business case creation</li><li>Establish and maintain business architecture governance</li><li>Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis</li><li>Coordinate across business and delivery groups to ensure timely completion of key deliverables to include the launch of new offerings, capabilities and the implementation of process improvements</li><li>Collaborate with partners to define and manage the project scope, conduct requirements analysis, and execute on projects</li><li>Create and maintain core business architecture models, such as value streams, business capabilities, information maps, and strategy trees</li><li>Lead workshops, gather ideas, evaluate processes, and gather intelligence</li><li>Track and trend predicted business value versus actual value and business outcomes</li><li>Advise senior leadership on business strategies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><br><strong>Education/Experience:</strong><br>Bachelor's Degree Business Administration, Management, Information Technology, or a related field required. 5+ years Business Architecture, Business Analysis, Business Design required. Experience with Business Architecture Frameworks preferred. Workshop Facilitation preferred<br><br><strong>Licenses/Certifications:</strong><br>Business Architecture Certification preferred</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Other]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Solutions Strategist (ICHRA)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652921]]></requisitionid>
    <referencenumber><![CDATA[1652921D]]></referencenumber>
    <apijobid><![CDATA[1652921]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652921/senior-business-solutions-strategist-ichra/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports the goals and outcomes of the organization by leading the transformation of our business strategy. Ensures deliverables are met, by assisting with design, execution, and value estimation and realization for initiatives.</p><ul><li>Partner with business leaders to identify opportunities for improvement</li><li>Drive assessment of business requirements against existing offerings and capabilities to identify and document gaps</li><li>Evaluate, assess, and design solutions</li><li>Assist in value estimation, cost-benefit analysis, and business case creation</li><li>Establish and maintain business architecture governance</li><li>Elicit requirements using interviews, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, task and workflow analysis</li><li>Coordinate across business and delivery groups to ensure timely completion of key deliverables to include the launch of new offerings, capabilities and the implementation of process improvements</li><li>Collaborate with partners to define and manage the project scope, conduct requirements analysis, and execute on projects</li><li>Create and maintain core business architecture models, such as value streams, business capabilities, information maps, and strategy trees</li><li>Lead workshops, gather ideas, evaluate processes, and gather intelligence</li><li>Track and trend predicted business value versus actual value and business outcomes</li><li>Advise senior leadership on business strategies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><br><strong>Education/Experience:</strong><br>Bachelor's Degree Business Administration, Management, Information Technology, or a related field required. 5+ years Business Architecture, Business Analysis, Business Design required. Experience with Business Architecture Frameworks preferred. Workshop Facilitation preferred<br><br><strong>Licenses/Certifications:</strong><br>Business Architecture Certification preferred</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Other]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Care Manager - LPC, LCSW, LMHC, or Psych RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662181]]></requisitionid>
    <referencenumber><![CDATA[1662181]]></referencenumber>
    <apijobid><![CDATA[1662181]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662181/ltss-care-manager-lpc-lcsw-lmhc-or-psych-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Corsicana]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75110]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Texas licensure required (LCSW, LPC, LMHC, LMFT, or RN with behavioral health/psychiatric experience). Candidates should have 5+ years of behavioral health case management and care coordination experience, preferably in community or field-based settings. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. CST.<br></p><p><strong>Service Delivery area is near Corsicana, TX, Ennis, TX, Palmer, TX, Rice, TX, or Waxahachie, TX. Travel for member visits is required; mileage is reimbursed. </strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.</li><li>Performs frequent home and/or other site visits (once a month or more) to assess member needs and coordinates resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, transportation, or activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and requires 2 – 4 years of related experience.</p><br><p><strong>Preferred Experience: </strong></p><br><ul><li>3+ years of direct clinical behavioral health (post-graduate) experience in case management, care coordination, treatment planning, psychological assessments, crisis intervention, and/or discharge planning</li><li>Direct work experience as a community or Field-based Case Manager or Care Coordinator is a PLUS</li><li>3+ years of experience assessing the needs of ADULT members living with complex Mental Health or Serious & Persistent Mental Illness (SPMI) conditions within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state MHAs</li><li>Strong clinical documentation and problem-solving skills required</li><li>Openness, adaptability, and flexibility for business changes are critical </li><li>Strong communication, organizational and time management skills </li><li>Proficient user with Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, Teams)</li><li>Working knowledge with Medicaid, STAR Plus, Medicaid Waiver, or any state and government sponsored program guidelines is a PLUS</li></ul><br><p><strong>License/Certification:</strong><br></p><ul><li>Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LMFT, LMHC, LPC and RN with direct Behavioral Health experience is required.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Care Manager - LPC, LCSW, LMHC, or Psych RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662181]]></requisitionid>
    <referencenumber><![CDATA[1662181A]]></referencenumber>
    <apijobid><![CDATA[1662181]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662181/ltss-care-manager-lpc-lcsw-lmhc-or-psych-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Navarro]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75109]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Texas licensure required (LCSW, LPC, LMHC, LMFT, or RN with behavioral health/psychiatric experience). Candidates should have 5+ years of behavioral health case management and care coordination experience, preferably in community or field-based settings. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. CST.<br></p><p><strong>Service Delivery area is near Corsicana, TX, Ennis, TX, Palmer, TX, Rice, TX, or Waxahachie, TX. Travel for member visits is required; mileage is reimbursed. </strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.</li><li>Performs frequent home and/or other site visits (once a month or more) to assess member needs and coordinates resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, transportation, or activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and requires 2 – 4 years of related experience.</p><br><p><strong>Preferred Experience: </strong></p><br><ul><li>3+ years of direct clinical behavioral health (post-graduate) experience in case management, care coordination, treatment planning, psychological assessments, crisis intervention, and/or discharge planning</li><li>Direct work experience as a community or Field-based Case Manager or Care Coordinator is a PLUS</li><li>3+ years of experience assessing the needs of ADULT members living with complex Mental Health or Serious & Persistent Mental Illness (SPMI) conditions within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state MHAs</li><li>Strong clinical documentation and problem-solving skills required</li><li>Openness, adaptability, and flexibility for business changes are critical </li><li>Strong communication, organizational and time management skills </li><li>Proficient user with Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, Teams)</li><li>Working knowledge with Medicaid, STAR Plus, Medicaid Waiver, or any state and government sponsored program guidelines is a PLUS</li></ul><br><p><strong>License/Certification:</strong><br></p><ul><li>Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LMFT, LMHC, LPC and RN with direct Behavioral Health experience is required.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Care Manager - LPC, LCSW, LMHC, or Psych RN]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662181]]></requisitionid>
    <referencenumber><![CDATA[1662181B]]></referencenumber>
    <apijobid><![CDATA[1662181]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662181/ltss-care-manager-lpc-lcsw-lmhc-or-psych-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Waxahachie]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75165]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Texas licensure required (LCSW, LPC, LMHC, LMFT, or RN with behavioral health/psychiatric experience). Candidates should have 5+ years of behavioral health case management and care coordination experience, preferably in community or field-based settings. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. CST.<br></p><p><strong>Service Delivery area is near Corsicana, TX, Ennis, TX, Palmer, TX, Rice, TX, or Waxahachie, TX. Travel for member visits is required; mileage is reimbursed. </strong></p><br><br><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.</li><li>Performs frequent home and/or other site visits (once a month or more) to assess member needs and coordinates resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, transportation, or activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and requires 2 – 4 years of related experience.</p><br><p><strong>Preferred Experience: </strong></p><br><ul><li>3+ years of direct clinical behavioral health (post-graduate) experience in case management, care coordination, treatment planning, psychological assessments, crisis intervention, and/or discharge planning</li><li>Direct work experience as a community or Field-based Case Manager or Care Coordinator is a PLUS</li><li>3+ years of experience assessing the needs of ADULT members living with complex Mental Health or Serious & Persistent Mental Illness (SPMI) conditions within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state MHAs</li><li>Strong clinical documentation and problem-solving skills required</li><li>Openness, adaptability, and flexibility for business changes are critical </li><li>Strong communication, organizational and time management skills </li><li>Proficient user with Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, Teams)</li><li>Working knowledge with Medicaid, STAR Plus, Medicaid Waiver, or any state and government sponsored program guidelines is a PLUS</li></ul><br><p><strong>License/Certification:</strong><br></p><ul><li>Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LMFT, LMHC, LPC and RN with direct Behavioral Health experience is required.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665758]]></requisitionid>
    <referencenumber><![CDATA[1665758]]></referencenumber>
    <apijobid><![CDATA[1665758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665758/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Jamaica]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11432]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.<br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based positions working in Queens, New York. Primarily within Jamaica and South Queens, Astoria, Jackson heights, and Elmhurst.. Fluency in a second language preferred, bilingual Spanish or Arabic highly preferred.</p><br><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level</li><li>Assist consumers with submitting required documents via scan, fax, or mail</li><li>Support existing members with renewals and recertifications</li><li>Help consumers with premium payment submissions when required</li><li>Provide culturally and linguistically appropriate assistance</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</li><li>Participate in ACA forums, workshops, and community events as requested</li><li>Maintain a daily tracking tool that entails detailed rep activity</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</li><li>Must be in compliance with all conflict-of-interest standards and regulations</li><li>Required to work evenings and weekends</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665758]]></requisitionid>
    <referencenumber><![CDATA[1665758A]]></referencenumber>
    <apijobid><![CDATA[1665758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665758/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Astoria]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11105]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.<br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based positions working in Queens, New York. Primarily within Jamaica and South Queens, Astoria, Jackson heights, and Elmhurst.. Fluency in a second language preferred, bilingual Spanish or Arabic highly preferred.</p><br><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level</li><li>Assist consumers with submitting required documents via scan, fax, or mail</li><li>Support existing members with renewals and recertifications</li><li>Help consumers with premium payment submissions when required</li><li>Provide culturally and linguistically appropriate assistance</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</li><li>Participate in ACA forums, workshops, and community events as requested</li><li>Maintain a daily tracking tool that entails detailed rep activity</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</li><li>Must be in compliance with all conflict-of-interest standards and regulations</li><li>Required to work evenings and weekends</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665758]]></requisitionid>
    <referencenumber><![CDATA[1665758B]]></referencenumber>
    <apijobid><![CDATA[1665758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665758/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Elmhurst]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11373]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.<br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based positions working in Queens, New York. Primarily within Jamaica and South Queens, Astoria, Jackson heights, and Elmhurst.. Fluency in a second language preferred, bilingual Spanish or Arabic highly preferred.</p><br><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level</li><li>Assist consumers with submitting required documents via scan, fax, or mail</li><li>Support existing members with renewals and recertifications</li><li>Help consumers with premium payment submissions when required</li><li>Provide culturally and linguistically appropriate assistance</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</li><li>Participate in ACA forums, workshops, and community events as requested</li><li>Maintain a daily tracking tool that entails detailed rep activity</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</li><li>Must be in compliance with all conflict-of-interest standards and regulations</li><li>Required to work evenings and weekends</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665758]]></requisitionid>
    <referencenumber><![CDATA[1665758C]]></referencenumber>
    <apijobid><![CDATA[1665758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665758/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Jackson Heights]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11372]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.<br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based positions working in Queens, New York. Primarily within Jamaica and South Queens, Astoria, Jackson heights, and Elmhurst.. Fluency in a second language preferred, bilingual Spanish or Arabic highly preferred.</p><br><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level</li><li>Assist consumers with submitting required documents via scan, fax, or mail</li><li>Support existing members with renewals and recertifications</li><li>Help consumers with premium payment submissions when required</li><li>Provide culturally and linguistically appropriate assistance</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</li><li>Participate in ACA forums, workshops, and community events as requested</li><li>Maintain a daily tracking tool that entails detailed rep activity</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</li><li>Must be in compliance with all conflict-of-interest standards and regulations</li><li>Required to work evenings and weekends</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Management Support Coordinator III]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664680]]></requisitionid>
    <referencenumber><![CDATA[1664680]]></referencenumber>
    <apijobid><![CDATA[1664680]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664680/care-management-support-coordinator-iii/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.</p><br><p><strong>Key Details: </strong>Successful candidates in this role: are critical thinkers, organized, action-oriented, have strong communication skills (verbal and written), flexible with business needs, quick learners, comfortable presenting findings and data to People Leaders and peers, and works well under pressure to handle escalations and tight deadlines. </p><br><p><em><strong>NOTE: This role assists People Leaders with data reporting on a weekly basis (up to 50%) and will need to have moderately strong Excel skills (i.e. data extraction, creating pivot tables, conditional formatting, etc) and/or curious to learn more with Gen AI tools.</strong></em></p><br><p>Work Schedule: Monday–Friday, 8:00 AM–5:00 PM (EST). Must be able to work the Eastern Time Zone</p><br><ul><li>Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling, and ongoing education for both the member and provider throughout care/service</li><li>Provides experienced support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service</li><li>May apply in-depth knowledge of assigned health plan(s) activities and resources</li><li>Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols</li><li>Applies in-depth knowledge of care management support activities including care plans and community resources</li><li>Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship</li><li>Works with care management team on escalating requests and inquiries to management</li><li>Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed</li><li>May support training of new hires</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED (minimum) and 2 - 4 years of related experience</p><br><p><strong>Transferrable Skills:</strong></p><ul><li>4+ years of experience processing healthcare or insurance authorizations and coordinating services for members with access to Medicaid Long-Term Services and Supports (LTSS)</li><li>Strong problem-solving skills, communication skills (i.e. be professional, customer-centric, inclusive, and tactful), and strong organizational and time management skills are required</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism</li><li>Must be comfortable presenting findings clearly and concisely to various stakeholders<br></li></ul>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743A]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AL]]></city>
    <state><![CDATA[Alabama]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743B]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743C]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743D]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DC]]></city>
    <state><![CDATA[District of Columbia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743E]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743F]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743G]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743H]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743I]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743J]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743K]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743L]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743M]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743N]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743O]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743P]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ME]]></city>
    <state><![CDATA[Maine]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743Q]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743R]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743S]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743T]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743U]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ND]]></city>
    <state><![CDATA[North Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743V]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743W]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743X]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743Y]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743Z]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743[]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743\]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743]]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-RI]]></city>
    <state><![CDATA[Rhode Island]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743^]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743_]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SD]]></city>
    <state><![CDATA[South Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743`]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743a]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743b]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743c]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VT]]></city>
    <state><![CDATA[Vermont]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743d]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Business Insights]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655743]]></requisitionid>
    <referencenumber><![CDATA[1655743e]]></referencenumber>
    <apijobid><![CDATA[1655743]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655743/manager-business-insights/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WV]]></city>
    <state><![CDATA[West Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Manager, Business Insights leads workforce capacity planning and staffing forecast initiatives that support operational performance and enterprise objectives. This role develops and manages staffing models using historical volume, membership forecasts, productivity, processing times, and other operational data to determine workforce needs across markets and lines of business. The Manager partners with business leaders to translate complex data into clear staffing and financial recommendations, influence workforce decisions, and help ensure teams are appropriately staffed to meet business and regulatory requirements. This individual works across Analytics, Finance, Strategy, Information Technology, and operational business areas.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>Highly Preferred Skills and Experiences:</p><div><p>Workforce capacity planning, workforce modeling, or staffing forecast experience is highly preferred.<br>Advanced Excel skills are highly preferred. Experience using Power BI as a data source and SQL to connect or integrate data with Excel is highly desirable.<br>Strong analytical judgment and critical thinking are strongly preferred, including the ability to translate complex data into clear staffing and financial recommendations.</p></div><div></div><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, including workforce capacity planning and staffing forecast initiatives, translating business goals into actionable solutions.</li><li>Partner cross-functionally at all levels of the organization and communicate findings and insights to non-technical business partners.</li><li>Independently engage with business leaders to understand market-specific business needs, evaluate staffing and capacity requirements, and align analytic capabilities with strategic objectives.</li><li>Facilitate cross-team project collaboration between state-based health plans and business units.</li><li>Research key business problems and proactively identify potential enterprise solutions.</li><li>Provide product ownership support for deployment and adoption of analytic tools and technology.</li><li>Support analytics organizational performance management by monitoring SLAs, customer satisfaction, staffing trends, and workforce capacity indicators.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in business, computer science or IT, healthcare administration, statistics, or related field.</li><li>4+ years of experience in general business, analytics or IT. Healthcare or consulting organization experience preferred.</li><li>Experience in technology product ownership, development, deployment, and user adoption preferred.</li><li>Working knowledge of analytical tools, including PowerBI, Tableau, Alteryx, SAS, or related tools preferred.</li><li>Experience in organizational performance management, continuous improvement and customer feedback mechanisms, or change management preferred.</li><li>Experience in communication and change management, learning and development, or human resources preferred.</li></ul><p><em><strong>By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.</strong></em></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664780]]></requisitionid>
    <referencenumber><![CDATA[1664780]]></referencenumber>
    <apijobid><![CDATA[1664780]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664780/ltss-service-care-manager/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details:</strong> Position requires remote work, plus approximately 50% travel to nursing facilities. Candidate must reside in Pennsylvania. Prefer candidate residing in/near Allegheny or surrounding northern counties (Armstrong, Beaver, Butler, West Moreland). Previous assessment experience and experience with Community Health Choices (CHC) strongly preferred. </p><br><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 2 – 4 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Data Analyst III Healthcare Analytics, Medical Economics]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648823]]></requisitionid>
    <referencenumber><![CDATA[1648823]]></referencenumber>
    <apijobid><![CDATA[1648823]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648823/data-analyst-iii-healthcare-analytics-medical-economics/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p> <br><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></p><p><strong>Position Purpose:</strong> Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes.</p><ul><li>Interpret and analyze data from multiple sources including claims, provider, member, and encounters data. Identify and assess the business impact of trends</li><li>Develop, maintain, and troubleshoot complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools</li><li>Contribute to the planning and execution of large-scale projects with limited direction from leadership</li><li>Assist in the design, testing, and implementation of process enhancements and identify opportunities for automation</li><li>Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers</li><li>Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines and thrive in a demanding, quickly changing environment</li><li>Demonstrate a sense of ownership over projects and ask probing questions to understand the business value of tasks</li><li>Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products</li><li>Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners</li><li>Independently engage with customers and business partners to gather requirements and validate results</li><li>Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</li><li>Provide technical guidance to junior analysts</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 4+ years of experience working with large databases, data verification, and data management or 2+ years of IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/querying languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 14:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179A]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78705]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179B]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Corpus Christi]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78415]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179C]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Lubbock]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79424]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179D]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mcallen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78504]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179E]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Antonio]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78216]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179F]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Temple]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76502]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179G]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Tyler]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75703]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager RN - STAR/CHIP]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662179]]></requisitionid>
    <referencenumber><![CDATA[1662179H]]></referencenumber>
    <apijobid><![CDATA[1662179]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662179/senior-care-manager-rn-starchip/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Waco]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76706]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This Senior Care Manager RN role supports members with physical health conditions, preventive care needs, and chronic disease management, such as asthma, diabetes, hypertension, high cholesterol, respiratory illnesses, or stress-related conditions. Knowledge and experience working with state-government sponsored programs (Medicaid, STAR CHIP) a PLUS. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m.(CST)</p><br><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical nursing RN experience with direct patient care, clinical assessment, person-centered care planning, member outreach, care transitions, access to care, family & patient education, and ongoing service coordination for members (ages: 0- 65), but primarily with the adult population.</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Dallas]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75227]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177A]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Dallas]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75216]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177B]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Dallas]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75217]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177C]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Desoto]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75115]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177D]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Garland]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75040]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177E]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Grand Prairie]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75050]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177F]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Grand Prairie]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75051]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177G]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Grand Prairie]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75052]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177H]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Lewisville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75067]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177I]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Lewisville]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75077]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177J]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mesquite]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75149]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177K]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Mesquite]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75150]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662177]]></requisitionid>
    <referencenumber><![CDATA[1662177L]]></referencenumber>
    <apijobid><![CDATA[1662177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662177/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Richardson]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75080]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>This is a hybrid RN Care Manager position that supports Duals AIP adult members with complex medical needs. Requires home visits to conduct the clinical health assessments with members and offers the flexibility and autonomy to coordinate LTSS needs and self-schedule member visits from your home office.</p><br><p>Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><br><p><strong>Service Delivery Area: South Dallas, TX near 75215,75210 75216,75217, or 75227, 75204, 75134, 75214, 75049, 75081; Mileage is reimbursed for member visits.</strong></p><p><br><br></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related clinical nursing experience. Bachelor's degree in nursing (BSN) is preferred.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>7+ years of clinical RN Case Management or Care Coordination with adult members in Assisted Living, Home Health, Hospice, Long-Term Care, Skilled Nursing facilities is preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organization/time management skills, and works well under quick TAT times and deadlines are required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.<br></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire is required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637A]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637B]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637C]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637D]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637E]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IT Assurance Analyst]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655637]]></requisitionid>
    <referencenumber><![CDATA[1655637F]]></referencenumber>
    <apijobid><![CDATA[1655637]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655637/senior-it-assurance-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the gathering and organization of assessment data and results to support risk reporting and monitoring processes. Advises, designs, and/or validates the status of IT controls and processes and assists in the design of corrective actions to address control deficiencies.</p><p><strong>Key Details: </strong>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM) Preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. </p><ul><li>Consults with control owner(s) to innovate and implement controls to minimize/mitigate risks, vulnerabilities and threats to IT as well as improve overall control design</li><li>Ensures stakeholders incorporate new controls and/or updates to controls into testing</li><li>Assists with the administration and enhancement of ServiceNow IRM, including process flow development, record maintenance, workflow optimization, and data quality activities</li><li>Ability to effectively collaborate within Agile teams and adapt to changing priorities in a sprint-based delivery model</li><li>Work closely with key stakeholders within IT to understand the overall business environment, processes, and procedures to design, build and maintain systems of controls across IT functions</li><li>Understands and assesses levels of risk and compliance (deriving from external and internal threats) across the enterprise</li><li>Maintain departmental work process for IT controls</li><li>Interface with business control personnel and provide technical guidance</li><li>Communicates, consults, and assists in remediation of control findings and gaps with IT and business stakeholders</li><li>Develops and/or matures metrics (KRI & KPI) to deliver reports and presentations to various levels of management personnel</li><li>Has the ability to determine if proposed technology solutions have cross-functional impact or risks to other units and to identify areas of efficiency</li><li>Manages stakeholders, identify, and manages issues and risks</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><p>One or more of the following skills are desired.</p><ul><li>Knowledge of Microsoft Office; Microsoft Project; Microsoft Visio, ServiceNow IRM, Jira</li><li>Experience with Data Analysis; Project Management</li><li>Experience auditing, configuring, developing, or administering ServiceNow Integrated Risk Management (IRM), Governance, Risk, and Compliance (GRC), or related workflow solutions </li><li>Experience with IT controls, risk management, compliance, control testing, or audit processes within ServiceNow</li><li>Agile/Scrum experience (sprints, backlog refinement, ceremonies, iterative delivery)</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li><li>Intermediate - Ability to communicate and make recommendations to upper management</li><li>Intermediate - Ability to drive multiple projects to successful completion</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Certified Information Systems Auditor (CISA) preferred</li><li>Certified in Risk and Information Systems Control preferred</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665702]]></requisitionid>
    <referencenumber><![CDATA[1665702]]></referencenumber>
    <apijobid><![CDATA[1665702]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665702/care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><br><p><strong>Key Details: </strong>This remote position requires up to 75% local travel to conduct in-home member visits throughout the assigned territory. Candidates must hold an active New Jersey Registered Nurse (RN) license. Strong preference will be given to candidates who reside in Bergen or Passaic County, as these counties make up the primary coverage area. The typical schedule is Monday through Friday, from 8:00 a.m. to 5:00 p.m. ET, with flexibility based on member and business needs.</p><br><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664942]]></requisitionid>
    <referencenumber><![CDATA[1664942]]></referencenumber>
    <apijobid><![CDATA[1664942]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664942/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Harrison]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72601]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details</strong>: Candidates must reside in or near Carroll, Boone, Madison, or Newton, Arkansas, and be able to travel throughout the assigned service area to conduct member visits and coordinate care</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039A]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039B]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039C]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039D]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039E]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039F]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039G]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039H]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039I]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator Behavioral Health]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642039]]></requisitionid>
    <referencenumber><![CDATA[1642039J]]></referencenumber>
    <apijobid><![CDATA[1642039]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642039/clinical-investigator-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct comprehensive reviews of medical records and documents supporting claims for providers, suppliers, and pharmacies to include but not limited to physicians, inpatient, outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit (SIU) related to coding and billing issues and identifies potential overpayments and suspected health care fraud and abuse. Position requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. Coordinate with internal and external resources in determining the appropriateness of codes found in administrative, medical, claim and financial records, develop reports of findings and recommendations, communicate complex results of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and pharmacies.</p><br><p><strong>Key Details: </strong>Candidates must be fully licensed with one of the approved licenses listed below upon the submission of the Centene application. One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP and 3 - 4 years of direct/board work experience and knowledge of FWA policies in state agency investigations or managed care investigations is highly preferred<br><br></p><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential fraud, waste, and abuse and inappropriate billing practices.</li><li>Investigate, analyze, and identify provider billing patterns to determine payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies.</li><li>Prepare summary of findings and recommend next steps for providers.</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices.</li><li>Collaborate with investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities.</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><br><p><strong>Education/Experience:</strong> Master’s Degree and 2 + years of direct board clinical behavioral health experience with a fully independent clinical license AND 2+ years of fraud, waste, and abuse experience is required. A Certified Professional Coder (CPC) certification is preferred but not required.</p><p><br><br><strong>Preferred Experience:</strong></p><p>· 2+ years of experience in state agency investigations, special investigations in managed care, behavioral health provider reviews, medical record reviews, behavioral health billing/coding analysis, or behavioral health compliance.</p><p>· 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals</p><p>· Direct experience or working knowledge with FWA policies in state agency investigations or managed care investigations is preferred</p><p>· Strong clinical documentation and problem-solving skills required</p><p>· Role requires openness, adaptability, and flexibility for business changes</p><p>· Strong communication, attention to detail, organizational and time management skills are required</p><p>· Skilled at utilizing Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, Word, PowerPoint, OneNote, Teams) and is open to utilizing Generative AI tools (e.g. ChatGPT, Claude, Gemini, etc) is preferred</p><p>· Comfortable with presenting findings in a concise and effective manner to various stakeholders is required</p><p>· Working knowledge of behavioral health billing and coding basics preferred</p><p><strong>License/Certification: One of the following Behavioral Health licenses is required - LMHC, LCSW, LMFT, LPC, LMHP, or LIMHP</strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 05:45:18 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Authorization Specialist III]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665513]]></requisitionid>
    <referencenumber><![CDATA[1665513]]></referencenumber>
    <apijobid><![CDATA[1665513]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665513/authorization-specialist-iii/]]></url>
    <company><![CDATA[Arkansas Health & Wellness]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Works with the utilization management team and supports the prior authorization request process to ensure that all authorization requests are addressed properly in the contractual timeline Documents some complex authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.</p><br><p><strong>Key Details:</strong> Qualified candidates must be located in the greater Little Rock, AR area. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><br><ul><li>Tracks and maintains authorization requests for services in accordance with the insurance prior authorization list and routes to the appropriate clinical reviewer</li><li>Verifies and assesses member insurance coverage and/or service/benefit eligibility via system tools and aligns authorization with the guidelines to ensure a timely adjudication for payment</li><li>Performs data entry to maintain and update some complex authorization requests into utilization management system</li><li>Maintains ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines</li><li>Develops in-depth knowledge of prior authorization review process and insurance coverage to support prior authorization process for clinical reviewers and providers</li><li>Researches health plan providers and polices to identify preferred in-network providers and requirements for referral authorization; provides supporting documentation to health plan</li><li>Provides some guidance and support of the authorization review process by researching and documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination</li><li>Maintains relationships with service providers and clinical reviewers to ensure referrals are addressed in a timely manner</li><li>Act as a subject matter expert to other team members for the overall authorization process and for multiple service types at different levels of urgency</li><li>Remains up-to-date on healthcare, authorization processes, policies and procedures</li><li>Strong knowledge of medical terminology and insurance</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience.</p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 00:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Regulatory & Filing Operations]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665208]]></requisitionid>
    <referencenumber><![CDATA[1665208]]></referencenumber>
    <apijobid><![CDATA[1665208]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665208/manager-regulatory-filing-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Manage assigned functional area (filing submissions; state legislative/regulatory interpretation and policy research; development of member materials or QHP templates, and/or product benefit database). Responsible for quality of their functional area outputs. Regulatory oversight and advocacy positioning, as it relates to functional area. Understand how cross-functional teams and business units work, including regulatory and/or benefit impacts to their functional areas. Serve as the Primary Point of Contact for Health Plan and State Department of Insurance (DOI) communications.</p><p><br><br></p><p><strong>Key Details</strong>: The role is fully remote within the United States. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p><br><br></p><ul><li>Manage the team’s review, interpretation, and summarization of current, proposed, and enacted legislation and/or regulatory updates, including risk assessments and/or risk feedback communications to business leads and leadership.</li><li>Manage, coordinate, develop, monitor, and lead projects (regulatory or filing) internal to the department and cross-functional business partners, including product filings and submissions (CMS and State DOIs).</li><li>Manage and perform quality assurance audits on department work product, including regulatory research, filings, member-facing policy documents, projects, and communications.</li><li>Manage the maintenance of the product benefit system utilized as the Source of Truth for all Qualified Health Plan (QHP) template and member document population.</li><li>Supervise and/or perform audit outputs from the Source of Truth system and/or document.</li><li>Achieve a solid understanding of the team’s performance and use that assessment as a catalyst for performance, quality improvement and growth development for staff.</li><li>Support the implementation of measurable, repeatable, scalable, and predictable processes related to organizational goals and drive continuous improvement to enable the department to scale efficiently and effectively.</li><li>Responsible for working with IT on system enhancements and/or fixes to the product benefit database.</li><li>Manages staff working with IT on product benefit database.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree, preferably in Business, Communications, Healthcare, Political Science, or 5+ years of regulatory experience, including policy analysis and/ or product filing or Qualified Health Plan (QHP documentation and template creation (CMS and/ or State DOI).</li><li>Experience in commercial health insurance or a highly regulated industry. </li><li>Pre-Law, Master’s Degree or JD desirable. </li><li>0-3 years of supervisory/management experience. </li><li>In depth knowledge of health products, procedures, and state insurance regulations. Experience providing product regulatory proposals and recommendations.</li></ul><br><ul><li><strong>Travel:</strong> 20% within continental United States.</li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 17:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LPC, LCSW, Psych RN, LTSS Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662986]]></requisitionid>
    <referencenumber><![CDATA[1662986]]></referencenumber>
    <apijobid><![CDATA[1662986]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662986/lpc-lcsw-psych-rn-ltss-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Corpus Christi]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78414]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Texas licensure required (LCSW, LPC, LMHC, LMFT, or RN with behavioral health/psychiatric experience). Candidates should have 5+ years of behavioral health case management and care coordination experience, preferably in community or field-based settings. Travel for member visits is required; mileage is reimbursed. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. CST.</p><br><p><strong>Service Delivery area is near Aransas Pass, TX, Corpus Christi, TX, Rockport, TX, Portland, TX, Port Lavaca, TX or Victoria, TX. Travel for member visits is required; mileage is reimbursed. Seeking candidates near the following zip codes: 78381, 78382, 78374, 78336, 77979, 77904, 77905, 77901, 78414,78415, 78401, 78402, 78404, 78410, or 78417.<br></strong><br></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.</li><li>Performs frequent home and/or other site visits (once a month or more), to assess member needs and coordinate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and requires 2 – 4 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>3+ years of direct clinical behavioral health (post-graduate) experience in case management, care coordination, treatment planning, psychological assessments, crisis intervention, and/or discharge planning</li><li>Direct work experience as a community or Field-based Case Manager or Care Coordinator is a PLUS</li><li>3+ years of experience assessing the needs of ADULT members living with complex Mental Health or Serious & Persistent Mental Illness (SPMI) conditions within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state MHAs</li><li>Strong clinical documentation and problem-solving skills required</li><li>Openness, adaptability, and flexibility for business changes are critical</li><li>Strong communication, organizational and time management skills</li><li>Proficient user with Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, Teams)</li><li>Working knowledge with Medicaid, STAR Plus, Medicaid Waiver, or any state and government sponsored program guidelines is a PLUS</li></ul><br><br><p><strong>License/Certification:</strong></p><ul><li>Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LMFT, LMHC, LPC and RN with direct Behavioral Health experience is required.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 00:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LPC, LCSW, Psych RN, LTSS Care Manager]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662986]]></requisitionid>
    <referencenumber><![CDATA[1662986A]]></referencenumber>
    <apijobid><![CDATA[1662986]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662986/lpc-lcsw-psych-rn-ltss-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Corpus Christi]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78415]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Texas licensure required (LCSW, LPC, LMHC, LMFT, or RN with behavioral health/psychiatric experience). Candidates should have 5+ years of behavioral health case management and care coordination experience, preferably in community or field-based settings. Travel for member visits is required; mileage is reimbursed. Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m. CST.</p><br><p><strong>Service Delivery area is near Aransas Pass, TX, Corpus Christi, TX, Rockport, TX, Portland, TX, Port Lavaca, TX or Victoria, TX. Travel for member visits is required; mileage is reimbursed. Seeking candidates near the following zip codes: 78381, 78382, 78374, 78336, 77979, 77904, 77905, 77901, 78414,78415, 78401, 78402, 78404, 78410, or 78417.<br></strong><br></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc.</li><li>Performs frequent home and/or other site visits (once a month or more), to assess member needs and coordinate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and requires 2 – 4 years of related experience.</p><br><p><strong>Preferred Experience:</strong></p><br><ul><li>3+ years of direct clinical behavioral health (post-graduate) experience in case management, care coordination, treatment planning, psychological assessments, crisis intervention, and/or discharge planning</li><li>Direct work experience as a community or Field-based Case Manager or Care Coordinator is a PLUS</li><li>3+ years of experience assessing the needs of ADULT members living with complex Mental Health or Serious & Persistent Mental Illness (SPMI) conditions within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals, or local and state MHAs</li><li>Strong clinical documentation and problem-solving skills required</li><li>Openness, adaptability, and flexibility for business changes are critical</li><li>Strong communication, organizational and time management skills</li><li>Proficient user with Microsoft Office applications (MS 365 Co-Pilot, Excel, Outlook, OneNote, Word, PowerPoint, Teams)</li><li>Working knowledge with Medicaid, STAR Plus, Medicaid Waiver, or any state and government sponsored program guidelines is a PLUS</li></ul><br><br><p><strong>License/Certification:</strong></p><ul><li>Licensed Behavioral Health Professional or RN based on state contract requirements: LCSW, LMFT, LMHC, LPC and RN with direct Behavioral Health experience is required.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 00:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Authorization Specialist I]]></title>
    <date><![CDATA[Mon, 05 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665836]]></requisitionid>
    <referencenumber><![CDATA[1665836]]></referencenumber>
    <apijobid><![CDATA[1665836]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665836/authorization-specialist-i/]]></url>
    <company><![CDATA[Meridian Illinois]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports the prior authorization request to ensure all authorization requests are addressed properly and in the contractual timeline. Aids utilization management team to document authorization requests and obtain accurate and timely documentation for services related to the members healthcare eligibility and access.</p><br><br><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><br><ul><li>Supports authorization requests for services in accordance with the insurance prior authorization list</li><li>Supports and performs data entry to maintain and update authorization requests into utilization management system</li><li>Assists utilization management team with ongoing tracking and appropriate documentation on authorizations and referrals in accordance with policies and guidelines</li><li>Contributes to the authorization review process by documenting necessary medical information such as history, diagnosis, and prognosis based on the referral to the clinical reviewer for determination</li><li>Remains up-to-date on healthcare, authorization processes, policies and procedures</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED. Entry-level position typically requiring little or no previous experience. Understanding of medical terminology and insurance preferred.</p>Pay Range: $16.35 - $23.46 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 07 Oct 2026 00:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664176]]></requisitionid>
    <referencenumber><![CDATA[1664176]]></referencenumber>
    <apijobid><![CDATA[1664176]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664176/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This fully remote role supports the California Market. Open to applicants in other states if they are able to the work the schedule: Monday through Friday, 9-6 pm or 9:30am - 6pm pacific time zone (depending on lunch) with rotating holidays and occasional over time. Preference will be given to applicants with behavioral health and utilization management or review experience.</p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 17:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[IT Technical Support Specialist IV]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664782]]></requisitionid>
    <referencenumber><![CDATA[1664782]]></referencenumber>
    <apijobid><![CDATA[1664782]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664782/it-technical-support-specialist-iv/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78741]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides lead level support on on-site and remote technical support to end users and site IT infrastructure (including network, print, audio/video and office setup) by troubleshooting hardware and software problems. Provides expertise in analyzing events and applies expert technical knowledge following established procedures and standards to resolve immediate end user needs. Installs software, updates, and upgrades on the computers and workstations on the network.</p><br><p><strong>Key Details:</strong> This position is based onsite five days per week at the South Austin, Texas office.</p><br><ul><li>Leads the process for hardware delivery and setup; customize systems for unique end user needs</li><li>Oversees the analysis, testing, and debugging of computer systems</li><li>Provide second level support for laptop/desktop break-fix assistance and remote desktop support</li><li>Supports operating systems, applications, security services, and hardware issue resolution for users (Android OS, iOS, Mac OS, Windows OS)</li><li>Resolves technical issues with Local Area Networks (LAN) and Wide Area Networks (WAN)</li><li>Meets and reviews with IT Infrastructure teams to setups and maintain existing infrastructure environments and assist with local changes</li><li>Determines the necessary controls and procedures to protect information systems assets from intentional or inadvertent modification, disclosure, or destruction</li><li>Performs data transfer and manages imaging operations</li><li>Reports to users and management on status, resource needs, and projected outcomes of service tickets</li><li>Provides end user training and education</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED<br>Requires 4+ years of related experience. May require vocational or technical education in addition to prior work experience.<br>Vocation or technical education may include additional on-the-job training or continuous learning education<br><br><strong>Technical Skills:</strong><br></p><p>One or more of the following skills are desired.</p><ul><li>Experience with ServiceNow or equivalent ticketing tool</li><li>Technical knowledge of laptop PCs, virtual workstations, Windows OS, Apple iOS and Networking</li><li>Understanding of Active Directory, Networking, Voice, WiFi and IT infrastructure; able to coordinate with vendor or internal IT team to troubleshoot issues related to network and voice</li></ul><p><br><strong>Soft Skills:</strong><br></p><ul><li>Demonstrated customer service skills</li><li>Demonstrated interpersonal/verbal communication skills</li></ul>Pay Range: $30.58 - $55.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 19:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658426]]></requisitionid>
    <referencenumber><![CDATA[1658426]]></referencenumber>
    <apijobid><![CDATA[1658426]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658426/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><p><strong>Key Details: </strong>This is a fully remote Behavioral Health position with a preferred schedule of Monday through Friday, 8:00 AM to 5:00 PM CST. Participation in a holiday rotation is required. Candidates with hospital-based behavioral health or inpatient psychiatric experience are strongly preferred.</p><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><ul><li><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.</li></ul><ul><li><strong>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.</strong></li><li><strong>Master’s degree for behavioral health clinicians required.</strong></li><li><strong>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.</strong></li><li><strong>Knowledge of mental health and substance abuse utilization review process preferred.</strong></li><li><strong>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.</strong></li></ul><p><strong>License/Certification:</strong></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 17:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Behavioral Health Clinical Liaison]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658691]]></requisitionid>
    <referencenumber><![CDATA[1658691]]></referencenumber>
    <apijobid><![CDATA[1658691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658691/behavioral-health-clinical-liaison/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and services related to behavioral health and substance use.</p><br><p><strong>Key Details: </strong>This is a remote position. Candidate must reside in and be licensed in the state of Missouri. Outpatient experience strongly preferred.</p><br><ul><li>Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs</li><li>Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts</li><li>Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations</li><li>Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve</li><li>Act as the clinical representative in various meetings</li><li>Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction</li><li>Serve as resource and liaison on utilization, quality improvement and case management activities</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><br><strong>Education/Experience:</strong><br><br><strong>Master's Degree In Social Work or Behavioral Health required</strong><br>4+ years experience providing behavioral health outpatient care in a community setting or independent practice required<br><br>Experience with assessment of treatment plans related to mental health and substance abuse across the continuum of care required<br><br>Experience with managed care, case management, utilization management, or quality improvement required<br><br><br><br><strong>Licenses/Certifications:</strong><br>LCSW - Licensed Clinical Social Worker required or<br>LMHC - Licensed Mental Health Counselor required or<br>LPC - Licensed Professional Counselor required or<br>LMFT - Licensed Marital and Family Therapist required or<br>LMHP - Licensed Mental Health Professional required or<br><br><strong>Licensed Clinical Psychologist required or:</strong><br><strong>*State specific licensure may be required for the following states:</strong> AZ, FL, GA, NV, SC, NC, and WA required</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Behavioral Health Clinical Liaison]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658691]]></requisitionid>
    <referencenumber><![CDATA[1658691A]]></referencenumber>
    <apijobid><![CDATA[1658691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658691/behavioral-health-clinical-liaison/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Clayton]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[63105]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Serve as a liaison for external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical records and services related to behavioral health and substance use.</p><br><p><strong>Key Details: </strong>This is a remote position. Candidate must reside in and be licensed in the state of Missouri. Outpatient experience strongly preferred.</p><br><ul><li>Interpret and present program results and develop data-driven analysis and metrics used to measure effectiveness and ROI of all current and new programs</li><li>Partner with various staff, along with internal and external departments on provider education and outreach; determine where there are gaps and work to develop and deploy education efforts</li><li>Partner with regional leadership for providers requiring a clinical interpretation of results related to health plan reporting, data and quality incentive payments; facilitate discussions to make recommendations</li><li>Implement and manage procedures for tracking, identifying and problem-solving operational issues, including issues between the provider network, community, and the facility, and make recommendations to solve</li><li>Act as the clinical representative in various meetings</li><li>Collaborate with staff to identify internal and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction</li><li>Serve as resource and liaison on utilization, quality improvement and case management activities</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><br><strong>Education/Experience:</strong><br><br><strong>Master's Degree In Social Work or Behavioral Health required</strong><br>4+ years experience providing behavioral health outpatient care in a community setting or independent practice required<br><br>Experience with assessment of treatment plans related to mental health and substance abuse across the continuum of care required<br><br>Experience with managed care, case management, utilization management, or quality improvement required<br><br><br><br><strong>Licenses/Certifications:</strong><br>LCSW - Licensed Clinical Social Worker required or<br>LMHC - Licensed Mental Health Counselor required or<br>LPC - Licensed Professional Counselor required or<br>LMFT - Licensed Marital and Family Therapist required or<br>LMHP - Licensed Mental Health Professional required or<br><br><strong>Licensed Clinical Psychologist required or:</strong><br><strong>*State specific licensure may be required for the following states:</strong> AZ, FL, GA, NV, SC, NC, and WA required</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vendor and Financial Operations Manager]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653982]]></requisitionid>
    <referencenumber><![CDATA[1653982]]></referencenumber>
    <apijobid><![CDATA[1653982]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653982/vendor-and-financial-operations-manager/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Serves as a strategic business partner overseeing both vendor relationship management and financial performance for assigned business units or delegated entities. Integrates operational oversight with fiscal accountability, ensuring budget discipline, accuracy in financial reporting, and optimal vendor outcomes.</p><p><strong>Key Details: </strong>Applicants for this job have the flexibility to work remote from home anywhere in the United States.</p><p>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br><br>Leads end-to-end processes related to annual budget (AOP) development, forecasting, invoice and spend management, vendor performance, and RFP oversight for assigned functional area(s), while collaborating cross-functionally to align business goals with fiscal responsibility.</p><ul><li>Leads the detailed preparation and management of the annual operating plan (AOP), monthly budget, and reforecast cycles for functional area(s).</li><li>Integrates actual results into budgeting models (Cognos/Hyperion) and ensures consistency with accounting standards and company policies.</li><li>Analyzes monthly variances, identifies key drivers, and provides actionable insights to leadership.</li><li>Monitors SG&A budgets, ensuring cost efficiency and adherence to financial targets.</li><li>Manages invoice validation, accruals, and vendor payment tracking, ensuring accuracy and timeliness.</li><li>Supports executive presentations, providing financial summaries, trends, and recommendations for decision-making.</li><li>Performs ad hoc and complex financial analyses to evaluate business performance and identify improvement opportunities.</li><li>Serves as the primary relationship manager for assigned vendors, ensuring contractual compliance, performance monitoring, and financial accountability.</li><li>Develops, tracks, and maintains vendor scorecards, SLA dashboards, and corrective action plans as needed.</li><li>Partners with Procurement on RFP development, bid evaluation, and vendor selection to ensure alignment with organizational and financial objectives.</li><li>Conducts regular vendor review meetings to assess operational performance, cost effectiveness, and alignment with strategic goals.</li><li>Collaborates with internal departments (Medical Management, Provider Services, Finance, and Operations) to ensure vendor deliverables meet business needs and quality standards.</li><li>Identifies and implements process improvements that optimize vendor performance and reduce costs.</li><li>Delivers clear and timely reporting on vendor and financial metrics for internal and external stakeholders.</li><li>Supports the preparation of reports and responses for executive management and board-level presentations.</li><li>Maintains operational integrity, ensuring adherence to contracts, company policies, and applicable regulations.</li><li>Leads or contributes to special projects, RFPs, and cross-functional initiatives that drive strategic and financial impact.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree Accounting, Finance, Business, or related field required. Master's Degree preferred.</p><p>5+ years Financial analysis, budgeting, or in an FP&A role supporting business operations required. 5+ years Vendor management, procurement, or operations management required. Healthcare or managed care preferred. Proven experience presenting to executive leadership and managing RFP or sourcing processes preferred.<br><br><strong>Licenses/Certifications:</strong><br>Certified Public Accountant (CPA) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 11:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664294]]></requisitionid>
    <referencenumber><![CDATA[1664294]]></referencenumber>
    <apijobid><![CDATA[1664294]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664294/quality-practice-advisor/]]></url>
    <company><![CDATA[WellCare of Kentucky]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><p><strong>Key Details:</strong> 50% of travel is required. Travel Region 1 - Paducah, KY (south Evansville to TN line) North Indiana, IL, through KY Mayfield, Ky – Hopkinsville</p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li></ul><br><ul><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li></ul><br><ul><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li></ul><br><ul><li>Identifies specific practice needs where Centene can provide support.</li></ul><br><ul><li>Develops, enhances and maintains provider clinical relationship across product lines.</li></ul><br><ul><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li></ul><br><ul><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li></ul><br><ul><li>Complies with all policies and standards.</li></ul><p><strong><br><br>Education/Experience:</strong> <br><br>Bachelor's Degree or equivalent required<br><br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><br><br><strong><br><br>Licenses/Certifications:</strong> <br> One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS<br><br><strong>Registered Health Information Technician (RHIT®):</strong> For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply<br><br><strong>For the Kentucky plan only:</strong> License/Certification preferred, not required: CADC, CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS, + 3 years HEDIS experience<br></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 11:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925A]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925B]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925C]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925D]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-ID]]></city>
    <state><![CDATA[Idaho]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925E]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925F]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Inpatient Medicare Medical Director]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664925]]></requisitionid>
    <referencenumber><![CDATA[1664925G]]></referencenumber>
    <apijobid><![CDATA[1664925]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664925/remote-inpatient-medicare-medical-director/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><br><p><strong>License/Certifications:</strong> </p><br><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. </li><li>Certification in Internal or Family Medicine, preferred.</li><li> Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br></li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator - Foster Care]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665417]]></requisitionid>
    <referencenumber><![CDATA[1665417]]></referencenumber>
    <apijobid><![CDATA[1665417]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665417/care-navigator-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports foster care members from birth to age 15 by completing assessments and assisting them with meeting their healthcare goals. Previous foster care experience is strongly preferred. The work schedule is Monday – Friday, 8am – 5pm.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664172]]></requisitionid>
    <referencenumber><![CDATA[1664172]]></referencenumber>
    <apijobid><![CDATA[1664172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664172/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This fully remote role supports the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm eastern or central. Preference will be given to applicants who reside in either central or eastern time zone United States and have prior utilization management or review experience. </p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664172]]></requisitionid>
    <referencenumber><![CDATA[1664172A]]></referencenumber>
    <apijobid><![CDATA[1664172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664172/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This fully remote role supports the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm eastern or central. Preference will be given to applicants who reside in either central or eastern time zone United States and have prior utilization management or review experience. </p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664172]]></requisitionid>
    <referencenumber><![CDATA[1664172B]]></referencenumber>
    <apijobid><![CDATA[1664172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664172/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This fully remote role supports the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm eastern or central. Preference will be given to applicants who reside in either central or eastern time zone United States and have prior utilization management or review experience. </p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664172]]></requisitionid>
    <referencenumber><![CDATA[1664172C]]></referencenumber>
    <apijobid><![CDATA[1664172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664172/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This fully remote role supports the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm eastern or central. Preference will be given to applicants who reside in either central or eastern time zone United States and have prior utilization management or review experience. </p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664172]]></requisitionid>
    <referencenumber><![CDATA[1664172D]]></referencenumber>
    <apijobid><![CDATA[1664172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664172/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This fully remote role supports the Ambetter / Marketplace brand by reviewing behavioral health authorizations requests for the following settings: inpatient, residential treatment, and partial hospitalization. The schedule is Monday through Friday, 8-5 pm eastern or central. Preference will be given to applicants who reside in either central or eastern time zone United States and have prior utilization management or review experience. </p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><br><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II (Foster Care)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662336]]></requisitionid>
    <referencenumber><![CDATA[1662336]]></referencenumber>
    <apijobid><![CDATA[1662336]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662336/care-coordinator-ii-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong> Applicants for this position have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides telephonic support to Foster Care children. Previous experience with this population is strongly preferred. The work schedule is Monday – Friday, 8am – 5pm</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br></p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 08:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations Coordinator]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655841]]></requisitionid>
    <referencenumber><![CDATA[1655841]]></referencenumber>
    <apijobid><![CDATA[1655841]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655841/community-relations-coordinator/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Work with Marketing & Community Relations Manager to develop and implement community outreach plan for the Health Plan.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Participate as a member of the Marketing team in developing and implementing strategies to support the department and company</li><li>Contribute to the attainment of member growth goals</li><li>Maintain thorough knowledge of Healthcare programs and associated regulatory marketing guidelines</li><li>Identify and develop relationships with new community contacts and organizations to pursue outreach engagements</li><li>Develop and implement promotional plan for new outreach opportunities</li><li>Identify and coordinate outreach activities and necessary materials at community and health events</li><li>Attend community and health events to distribute Health Plan information</li><li>Support manager with scheduling and delivery of health education presentations</li><li>Organize Health Plan staff and other resources in the participation and the support of select community events and activities</li><li>Distribute written material to customers who call in and request</li><li>Support Health Plan sponsored programs in schools</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>High school diploma or equivalent and 3+ years of community outreach experience or Bachelor’s degree in Communications, Marketing, or related field. Bachelor’s degree preferred. 2+ years of community outreach experience. Experience in working with government-sponsored population, especially Medicare, Medicaid and SCHIP. Experience in public speaking.<br><br><strong>For Oklahoma Complete Health:</strong> Ability to lift up to forty pounds required. Ability to travel the entire state required. Bi-lingual in Spanish preferred.<br><br><strong>This team needs someone bilingual in English and Spanish. Also, applicants must be within a 30-minute drive of Oklahoma City, OK to be considered for this position. This is a remote role that requires up to 80% local travel/time in the field.</strong></p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations Coordinator]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655841]]></requisitionid>
    <referencenumber><![CDATA[1655841A]]></referencenumber>
    <apijobid><![CDATA[1655841]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655841/community-relations-coordinator/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Oklahoma City]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[73134]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Work with Marketing & Community Relations Manager to develop and implement community outreach plan for the Health Plan.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Participate as a member of the Marketing team in developing and implementing strategies to support the department and company</li><li>Contribute to the attainment of member growth goals</li><li>Maintain thorough knowledge of Healthcare programs and associated regulatory marketing guidelines</li><li>Identify and develop relationships with new community contacts and organizations to pursue outreach engagements</li><li>Develop and implement promotional plan for new outreach opportunities</li><li>Identify and coordinate outreach activities and necessary materials at community and health events</li><li>Attend community and health events to distribute Health Plan information</li><li>Support manager with scheduling and delivery of health education presentations</li><li>Organize Health Plan staff and other resources in the participation and the support of select community events and activities</li><li>Distribute written material to customers who call in and request</li><li>Support Health Plan sponsored programs in schools</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>High school diploma or equivalent and 3+ years of community outreach experience or Bachelor’s degree in Communications, Marketing, or related field. Bachelor’s degree preferred. 2+ years of community outreach experience. Experience in working with government-sponsored population, especially Medicare, Medicaid and SCHIP. Experience in public speaking.<br><br><strong>For Oklahoma Complete Health:</strong> Ability to lift up to forty pounds required. Ability to travel the entire state required. Bi-lingual in Spanish preferred.<br><br><strong>This team needs someone bilingual in English and Spanish. Also, applicants must be within a 30-minute drive of Oklahoma City, OK to be considered for this position. This is a remote role that requires up to 80% local travel/time in the field.</strong></p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator - Foster Care]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665350]]></requisitionid>
    <referencenumber><![CDATA[1665350]]></referencenumber>
    <apijobid><![CDATA[1665350]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665350/care-navigator-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports foster care members aged 10-21 by completing assessments and assisting them with meeting their healthcare goals. Previous foster care experience is strongly preferred. The work schedule is Monday – Friday, 8am – 5pm.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332A]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78701]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332B]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78702]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332C]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78703]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332D]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78704]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332E]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78705]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332F]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78719]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332G]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78726]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332H]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78727]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332I]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78730]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332J]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78731]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332K]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78741]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332L]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78744]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332M]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78746]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332N]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78747]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332O]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78751]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332P]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78757]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332Q]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78758]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332R]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Buda]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78610]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332S]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Cedar Creek]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78612]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332T]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Dale]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78616]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332U]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Del Valle]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78617]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332V]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Manchaca]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78652]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332W]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Manor]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78653]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health, STAR Kids]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659332]]></requisitionid>
    <referencenumber><![CDATA[1659332X]]></referencenumber>
    <apijobid><![CDATA[1659332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659332/ltss-service-care-manager-behavioral-health-star-kids/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[San Marcos]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78666]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a Hybrid position - In Person Member Engagement via home visits and work from home. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, LPC, or RN with direct Behavioral Health experience) is required for the applicable state upon application submission.</p><p><strong>Service Delivery Area(s): Central Austin, South Austin, Southeast Austin or Northwest Austin, TX; Mileage reimbursement is provided when traveling for member visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member visits is required</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related behavioral health/mental health experience.</p><p><strong>Preferred Experience:</strong></p><ul><li>5+ years of Behavioral Health Case Management experience, preferably within inpatient psychiatric hospitals, community-based counseling programs, school or college/university settings, residential treatment centers, or local or state LIDDAs, MHA/BHAs for youth</li><li>Direct experience as a Field-based Case Manager or Social Worker is strongly preferred</li><li> Experience collaborating with medical and behavioral health providers and managing community resources for Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Licensed Behavioral Health Professional or RN based on state contract requirements (e.g., LPC, LCSW, LMFT, LMHC, RN with BH experience) is required</p></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422A]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422B]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422C]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422D]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422E]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422F]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422G]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422H]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Regulatory Operations]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664422]]></requisitionid>
    <referencenumber><![CDATA[1664422I]]></referencenumber>
    <apijobid><![CDATA[1664422]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664422/director-regulatory-operations/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Direct and oversee regulatory compliance operations to ensure fully compliance with all applicable laws and regulations for assigned products/services.</p><br><br><p><strong>Key Details</strong>: The role is fully remote. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><br><br><ul><li>Oversee, administer, and implement various aspects of the Ambetter Regulatory Operations program, including regulatory complaints, complaint escalations and grievance support. </li><li>Ability to research and apply CMS, DOI, OIG, and HIPPA regulations to create processes and strategies while ensuring corporate compliance.</li><li>Coordinate and document Centene responses to CMS/Regulator Request for Information/Response.</li><li>Provide guidance to various departments regarding compliance/regulatory issues and ensure implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Identify, evaluate and analyze the impact of CMS and Marketplace regulatory issues and advise management concerning impact.</li><li>Partner with various departments to ensure that state and/or federal regulatory requirements are communicated and met.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Ensure all Marketplace products and services are being tested for compliance with program regulations, insurance regulations, and regulatory requirements for business entities.</li><li>Develop policies, procedures, and process to comply with federal program regulations, and any applicable state regulations; ensure policies and procedures are updated according to CMS/contract requirements.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of regulatory, compliance, operations, or related experience, preferably in a health care environment Advanced degree preferred.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658057]]></requisitionid>
    <referencenumber><![CDATA[1658057]]></referencenumber>
    <apijobid><![CDATA[1658057]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658057/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Tampa]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33634]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><br><p>Candidates residing in Hillsborough County are strongly preferred. This field-based role supports local community outreach; bilingual Spanish skills are highly preferred.</p><br><br><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><div></div><div><div><div><div><div><div><div><div><div><p><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire required</p></div></div></div></div></div></div></div></div></div>Pay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 06:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658057]]></requisitionid>
    <referencenumber><![CDATA[1658057A]]></referencenumber>
    <apijobid><![CDATA[1658057]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658057/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Tampa]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33634]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><br><p>Candidates residing in Hillsborough County are strongly preferred. This field-based role supports local community outreach; bilingual Spanish skills are highly preferred.</p><br><br><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><div></div><div><div><div><div><div><div><div><div><div><p><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire required</p></div></div></div></div></div></div></div></div></div>Pay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 06:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Resource Coordinator II]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645100]]></requisitionid>
    <referencenumber><![CDATA[1645100]]></referencenumber>
    <apijobid><![CDATA[1645100]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645100/community-resource-coordinator-ii/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate.</p><p><strong>Key Details: </strong>Applicants for this position have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides telephonic support to foster care members. Previous experience with this population is strongly preferred. The work schedule is Monday – Friday, 8am – 5pm</p><ul><li>Provides support to members to connect them to known community and care resources in a cost- effective manner</li><li>Supports the coordination of community outreach resources available to members and promotes awareness of care/services</li><li>Serves as support for members on community and care resource inquiries and opportunities available to members</li><li>Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection</li><li>Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements</li><li>Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support</li><li>Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization</li><li>Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization</li><li>Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach</li><li>May make visits to individual homes and/or community organizations</li><li>Working Knowledge of Social Determinants of Health (SDOH) barriers</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Requires a High School diploma or GED<br>Requires 1 – 2 years of related experiencePay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 16:00:16 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator III]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645419]]></requisitionid>
    <referencenumber><![CDATA[1645419]]></referencenumber>
    <apijobid><![CDATA[1645419]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645419/care-coordinator-iii/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Columbus]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[43219]]></postalcode>
    <description><![CDATA[<p>****NOTE: This is a work-from-home, remote role with occasional travel (up to 10%) to our various Ohio offices for essential business meetings. This position supports Long Term Care (LTC) Care Coordination through activities such as member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up. <strong>Preference will be given to applicants with experience in one or more of the following areas: managed care, physician office or health system operations, healthcare administration, and medical terminology. Must reside in Ohio.</strong></p><p>Additional Details:<br>• Line of Business: Buckeye Community Health Plan<br>• Department: MED-Case Management<br>• Schedule: 8am-5pm ET, with the potential for overtime, including evenings and weekends as needed ****</p><p><strong>Position Purpose:</strong> 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 achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.</p><ul><li><p>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</p></li><li><p>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</p></li><li><p>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans</p></li><li><p>Develops in-depth knowledge of care management services including responding to some complex or escalated issues</p></li><li><p>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care</p></li><li><p>Performs service assessments/screening for members with some complex needs and documents the member’s care needs.</p></li><li><p>Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed</p></li><li><p>Works with care management team with triaging, adjusting, and escalating complex requests to management</p></li><li><p>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</p></li><li><p>Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager</p></li><li><p>Provide education on benefits and resources available</p></li><li><p>May assist with training and development needs</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience<br> </p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator III]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645419]]></requisitionid>
    <referencenumber><![CDATA[1645419A]]></referencenumber>
    <apijobid><![CDATA[1645419]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645419/care-coordinator-iii/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Cleveland]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[44102]]></postalcode>
    <description><![CDATA[<p>****NOTE: This is a work-from-home, remote role with occasional travel (up to 10%) to our various Ohio offices for essential business meetings. This position supports Long Term Care (LTC) Care Coordination through activities such as member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up. <strong>Preference will be given to applicants with experience in one or more of the following areas: managed care, physician office or health system operations, healthcare administration, and medical terminology. Must reside in Ohio.</strong></p><p>Additional Details:<br>• Line of Business: Buckeye Community Health Plan<br>• Department: MED-Case Management<br>• Schedule: 8am-5pm ET, with the potential for overtime, including evenings and weekends as needed ****</p><p><strong>Position Purpose:</strong> 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 achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.</p><ul><li><p>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</p></li><li><p>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</p></li><li><p>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans</p></li><li><p>Develops in-depth knowledge of care management services including responding to some complex or escalated issues</p></li><li><p>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care</p></li><li><p>Performs service assessments/screening for members with some complex needs and documents the member’s care needs.</p></li><li><p>Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed</p></li><li><p>Works with care management team with triaging, adjusting, and escalating complex requests to management</p></li><li><p>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</p></li><li><p>Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager</p></li><li><p>Provide education on benefits and resources available</p></li><li><p>May assist with training and development needs</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience<br> </p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator III]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645419]]></requisitionid>
    <referencenumber><![CDATA[1645419B]]></referencenumber>
    <apijobid><![CDATA[1645419]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645419/care-coordinator-iii/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Dayton]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[45424]]></postalcode>
    <description><![CDATA[<p>****NOTE: This is a work-from-home, remote role with occasional travel (up to 10%) to our various Ohio offices for essential business meetings. This position supports Long Term Care (LTC) Care Coordination through activities such as member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up. <strong>Preference will be given to applicants with experience in one or more of the following areas: managed care, physician office or health system operations, healthcare administration, and medical terminology. Must reside in Ohio.</strong></p><p>Additional Details:<br>• Line of Business: Buckeye Community Health Plan<br>• Department: MED-Case Management<br>• Schedule: 8am-5pm ET, with the potential for overtime, including evenings and weekends as needed ****</p><p><strong>Position Purpose:</strong> 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 achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.</p><ul><li><p>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</p></li><li><p>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</p></li><li><p>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans</p></li><li><p>Develops in-depth knowledge of care management services including responding to some complex or escalated issues</p></li><li><p>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care</p></li><li><p>Performs service assessments/screening for members with some complex needs and documents the member’s care needs.</p></li><li><p>Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed</p></li><li><p>Works with care management team with triaging, adjusting, and escalating complex requests to management</p></li><li><p>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</p></li><li><p>Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager</p></li><li><p>Provide education on benefits and resources available</p></li><li><p>May assist with training and development needs</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience<br> </p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator III]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645419]]></requisitionid>
    <referencenumber><![CDATA[1645419C]]></referencenumber>
    <apijobid><![CDATA[1645419]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645419/care-coordinator-iii/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>****NOTE: This is a work-from-home, remote role with occasional travel (up to 10%) to our various Ohio offices for essential business meetings. This position supports Long Term Care (LTC) Care Coordination through activities such as member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up. <strong>Preference will be given to applicants with experience in one or more of the following areas: managed care, physician office or health system operations, healthcare administration, and medical terminology. Must reside in Ohio.</strong></p><p>Additional Details:<br>• Line of Business: Buckeye Community Health Plan<br>• Department: MED-Case Management<br>• Schedule: 8am-5pm ET, with the potential for overtime, including evenings and weekends as needed ****</p><p><strong>Position Purpose:</strong> 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 achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.</p><ul><li><p>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</p></li><li><p>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</p></li><li><p>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans</p></li><li><p>Develops in-depth knowledge of care management services including responding to some complex or escalated issues</p></li><li><p>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care</p></li><li><p>Performs service assessments/screening for members with some complex needs and documents the member’s care needs.</p></li><li><p>Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed</p></li><li><p>Works with care management team with triaging, adjusting, and escalating complex requests to management</p></li><li><p>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</p></li><li><p>Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager</p></li><li><p>Provide education on benefits and resources available</p></li><li><p>May assist with training and development needs</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience<br> </p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator III]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645419]]></requisitionid>
    <referencenumber><![CDATA[1645419D]]></referencenumber>
    <apijobid><![CDATA[1645419]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645419/care-coordinator-iii/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Toledo]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[43615]]></postalcode>
    <description><![CDATA[<p>****NOTE: This is a work-from-home, remote role with occasional travel (up to 10%) to our various Ohio offices for essential business meetings. This position supports Long Term Care (LTC) Care Coordination through activities such as member outreach and mailings, appointment scheduling and reminders, prescription coordination, and provider follow-up. <strong>Preference will be given to applicants with experience in one or more of the following areas: managed care, physician office or health system operations, healthcare administration, and medical terminology. Must reside in Ohio.</strong></p><p>Additional Details:<br>• Line of Business: Buckeye Community Health Plan<br>• Department: MED-Case Management<br>• Schedule: 8am-5pm ET, with the potential for overtime, including evenings and weekends as needed ****</p><p><strong>Position Purpose:</strong> 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 achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.</p><ul><li><p>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</p></li><li><p>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</p></li><li><p>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans</p></li><li><p>Develops in-depth knowledge of care management services including responding to some complex or escalated issues</p></li><li><p>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care</p></li><li><p>Performs service assessments/screening for members with some complex needs and documents the member’s care needs.</p></li><li><p>Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed</p></li><li><p>Works with care management team with triaging, adjusting, and escalating complex requests to management</p></li><li><p>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</p></li><li><p>Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager</p></li><li><p>Provide education on benefits and resources available</p></li><li><p>May assist with training and development needs</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience<br> </p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Care Member Advocate]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665330]]></requisitionid>
    <referencenumber><![CDATA[1665330]]></referencenumber>
    <apijobid><![CDATA[1665330]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665330/quality-care-member-advocate/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Serves as a vital link between members and the healthcare system, focusing on improving health outcomes by identifying and closing care gaps. This role emphasizes community engagement, member education, and collaboration with providers and internal teams to ensure members receive timely, appropriate care and support.</p><br><p><strong>Key Details:</strong> This hybrid position is designed to support meaningful member engagement through member education, community resources, and collaboration with providers to ensure members receive care and support. There is a balanced combination of remote work and in-person home visits, with approximately 50% of time dedicated to each. The standard schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. MST; however, flexibility is a key requirement to effectively meet members’ needs, accommodate visit schedules, and ensure high-quality service delivery.</p><br><p><strong>Service Delivery Area: Candidates must be based in Maricopa County. Mileage reimbursement is provided for travel in the community for member visit</strong>s.</p><br><ul><li>Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources.</li></ul><br><ul><li>Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination.</li></ul><br><ul><li>Serve as a member advocate by helping individuals navigate complex healthcare and social service systems. Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements, ensuring members receive the support needed to close care gaps and maintain continuity of care</li></ul><br><ul><li>Collaborate with providers to share quality performance data (e.g., HEDIS, CAHPS) and support improvement initiatives.</li></ul><br><ul><li>Educate members on preventive care, chronic condition management, and available community resources.</li></ul><br><ul><li>Document member interactions, care gap closures, and referrals in the appropriate systems.</li></ul><br><ul><li>Partner with internal departments (e.g., Quality, Care Management, Provider Relations) to align efforts and improve member outcomes.</li></ul><br><ul><li>Monitor and report on outreach effectiveness and care gap closure metrics.</li></ul><br><ul><li>Maintain compliance with state and federal regulations and organizational policies.</li></ul><br><ul><li>Participate in seasonal campaigns and quality initiatives to improve member engagement and health outcomes.</li></ul><br><ul><li>Serve as a community ambassador, building relationships with local organizations and stakeholders.</li><li>Performs other duties as assigned.</li></ul><br><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br><br>Bachelor's Degree Social Work, Public Health, Nursing, or related field; or equivalent experience required<br><br>2+ years In community health or healthcare quality required<br><br>Experience working with health plan members and navigating community resources required<br><br>Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required<br><br>Strong communication and interpersonal skills <br><strong><br><br>Licenses/Certifications:</strong> <br>LCSW- License Clinical Social Worker preferred<br>RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663243]]></requisitionid>
    <referencenumber><![CDATA[1663243]]></referencenumber>
    <apijobid><![CDATA[1663243]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663243/care-manager-rn/]]></url>
    <company><![CDATA[Peach State Health Plan]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>Must reside in the state of Georgia. Med/Surg experience highly preferred. </p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Patient Care Advocate]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655751]]></requisitionid>
    <referencenumber><![CDATA[1655751]]></referencenumber>
    <apijobid><![CDATA[1655751]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655751/patient-care-advocate/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. Fluency in both English and Spanish is highly preferred. Candidates must be located in Maricopa County, Arizona.</p><ul><li>Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.</li></ul><ul><li>Acts as the face of WellCare in the provider community with the provider and office staff where their services are embedded.</li></ul><ul><li>Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements.</li></ul><ul><li>Assesses provider performance data to identify and strategizes opportunities for provider improvement.</li></ul><ul><li>Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters).</li></ul><ul><li>Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider’s office.</li></ul><ul><li>Conducts face-to-face education with the member and their family, in the provider’s office, about care gaps identified, and barriers to care.</li></ul><ul><li>Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements.</li></ul><ul><li>Arranges transportation and follow-up appointments for member as needed.</li></ul><ul><li>Documents all actions taken regarding contact related to member.</li></ul><ul><li>Interacts with other departments including customer service to resolve member issues.</li></ul><ul><li>Refers to case or disease management as appropriate.</li></ul><ul><li>Completes special assignments and projects instrumental to the function of the department.</li></ul><ul><li>Performs other duties as assigned.</li></ul><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br><br><strong>Required:</strong> a Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field or equivalent work experience required (a total of 4 years of experience required for the position); work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment.<br><br><strong>License/Certification:</strong> One of the following is preferred. Licensed Practical Nurse (LPN); Licensed Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred.</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663977]]></requisitionid>
    <referencenumber><![CDATA[1663977]]></referencenumber>
    <apijobid><![CDATA[1663977]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663977/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><br><p><strong>Key Details:</strong> This is a fully remote role. Preference will be given to applicants who reside in Florida. The schedule is Monday through Friday 8:00 am to 5:00 pm eastern time with occasional weekends and holidays.</p><br><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665355]]></requisitionid>
    <referencenumber><![CDATA[1665355]]></referencenumber>
    <apijobid><![CDATA[1665355]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665355/care-navigator/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><br><br><strong>Key Details:</strong> This is a field-based position, and applicants must reside in Craig, Delaware, Mayes, Nowata, Osage, Ottawa, Pawnee, Rogers, Tulsa, or Washington County, Oklahoma. The ideal candidate should have experience working with children and families, behavioral health or mental health, assessment, community-based referrals and resources, care coordination, and problem-solving. Strong communication, customer service, computer, organization, and time management skills are also essential. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.<br><br><br></p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul><br><br>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Pharmacy Grad Summer 2027 Intern (Grad)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663881]]></requisitionid>
    <referencenumber><![CDATA[1663881]]></referencenumber>
    <apijobid><![CDATA[1663881]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663881/pharmacy-grad-summer-2027-intern-grad/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.<br><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li></ul><br><ul><li>Apply academic knowledge and learn new skills by contributing to various projects</li></ul><br><ul><li>Communicate project status and results to staff mentors and management</li></ul><br><ul><li>Research various legal, regulatory, and other topics within functional area and industry</li></ul><br><ul><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree or equivalent undergraduate coursework completed. Must be enrolled in a graduate program at an accredited university or college in a field related to the hiring department through the internship period.<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, ICHRA Digital Product & Experience]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653099]]></requisitionid>
    <referencenumber><![CDATA[1653099]]></referencenumber>
    <apijobid><![CDATA[1653099]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653099/vice-president-ichra-digital-product-experience/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Leads the strategy, development, and execution of product, customer experience, digital and operational capabilities for the ICHRA business. Responsible for translating customer and market insights into scalable solutions, driving digital innovation, operational excellence, and business growth. Partners across product, technology, operations, and external stakeholders to deliver differentiated experiences, optimize performance, and achieve strategic outcomes in a highly matrixed environment.</p><p><strong>Key Details:</strong> Applicants for this role have the flexibility to work remotely anywhere in the Continental United States.</p><ul><li>Lead the end-to-end ICHRA product strategy, roadmap, and capability development across employer, broker, administrator, and member experiences.</li><li>Translate customer, broker, employer, administrator, member, and market insights into scalable products, digital, service, and operational solutions that support growth and improve stakeholder experience.</li><li>Partner with technology, operations, and business leaders to deliver scalable, customer-centric solutions, drive platform and process optimization, lead strategic technology investments, and ensure successful execution of key initiatives through influence, stakeholder alignment, and operational rigor.</li><li>Lead the design and continuous improvement of customer, broker, employer, and administrator experiences across digital and service channels, enhancing engagement, satisfaction, retention, and overall business performance.</li><li>Monitor and optimize key business performance metrics, ensuring strategic objectives are effectively translated into operational execution and measurable outcomes.</li><li>Execute projects and activities to ensure business is meeting all product goals.</li><li>Performs other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's degree in a related field required. Master's Degree preferred.</li><li>10+ years of product management, business operations, customer experience, strategy, or related disciplines required.</li><li>Experience in strategic management required.</li><li>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</li></ul>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 12:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652879]]></requisitionid>
    <referencenumber><![CDATA[1652879]]></referencenumber>
    <apijobid><![CDATA[1652879]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652879/care-manager-rn/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><p>This is a remote role based in Ohio. Candidates must reside within designated Ohio counties to be eligible for consideration, as the position requires local travel and in-person member visits.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 07:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664773]]></requisitionid>
    <referencenumber><![CDATA[1664773]]></referencenumber>
    <apijobid><![CDATA[1664773]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664773/care-manager-rn/]]></url>
    <company><![CDATA[Peach State Health Plan]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details:</strong> Must reside in Georgia. Must have OB experience. </p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664773]]></requisitionid>
    <referencenumber><![CDATA[1664773A]]></referencenumber>
    <apijobid><![CDATA[1664773]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664773/care-manager-rn/]]></url>
    <company><![CDATA[Peach State Health Plan]]></company>
    <city><![CDATA[Atlanta]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[30346]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details:</strong> Must reside in Georgia. Must have OB experience. </p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 10:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337A]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Missouri City]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77459]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337B]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Missouri City]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77489]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337C]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Pearland]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77581]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337D]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Pearland]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77584]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337E]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77373]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337F]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77386]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337G]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77388]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337H]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Spring]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77389]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337I]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Sugar Land]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77479]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659337]]></requisitionid>
    <referencenumber><![CDATA[1659337J]]></referencenumber>
    <apijobid><![CDATA[1659337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659337/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Sugar Land]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77498]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays</p><p><strong>Service Delivery Area: Pearland, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (up to 75% monthly travel for home visits) to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator -  Foster Care]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1665219]]></requisitionid>
    <referencenumber><![CDATA[1665219]]></referencenumber>
    <apijobid><![CDATA[1665219]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1665219/care-navigator-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team makes telephonic outreach to foster care members/guardians to complete assessments and assist them with meeting their healthcare goals. Previous foster care experience is strongly preferred. The work schedule is Monday – Friday, 8am – 5pm.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br>.<br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 08:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[MBA Summer 2027 Intern (Graduate)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660523]]></requisitionid>
    <referencenumber><![CDATA[1660523]]></referencenumber>
    <apijobid><![CDATA[1660523]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660523/mba-summer-2027-intern-graduate/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>We are seeking curious, innovative, and strategic thinkers who are passionate about solving complex business challenges and driving organizational impact. Interns may contribute to projects across Strategy, Business Operations, Product Management, Process Improvement, Corporate Development, Healthcare Operations, Marketing, and Enterprise Transformation.</p><p><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.</p><ul><li><p>Learn various job functions within the Managed Care industry and explore various career opportunities</p></li><li><p>Apply academic knowledge and learn new skills by contributing to various projects</p></li><li><p>Communicate project status and results to staff mentors and management</p></li><li><p>Research various legal, regulatory, and other topics within functional area and industry</p></li><li><p>Attend training and development presentations to enhance professional competencies</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree or equivalent undergraduate coursework completed. Must be enrolled in a graduate program at an accredited university or college in a field related to the hiring department through the internship period.<br><br><strong>Salary Range: </strong>$21.00/hr - $30.00/hr</p><div><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></div><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 06:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior RN Care Manager]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663952]]></requisitionid>
    <referencenumber><![CDATA[1663952]]></referencenumber>
    <apijobid><![CDATA[1663952]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663952/senior-rn-care-manager/]]></url>
    <company><![CDATA[Managed Health Services Indiana]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details:</strong> This position serves pregnant and post-partem members with a history of substance misuse. It is fully remote and requires candidates to reside in Indiana. Care Managers work from home and conduct face-to-face visits with members throughout the state and are compensated for mileage incurred. The schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. eastern. Preference will be given to applicants with past professional experience related to maternal health and/or substance abuse.</p><br><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Contracting & Network Development]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643363]]></requisitionid>
    <referencenumber><![CDATA[1643363]]></referencenumber>
    <apijobid><![CDATA[1643363]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643363/director-contracting-network-development/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.</p><ul><li>Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations</li><li>Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.</li><li>Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources</li><li>Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives</li><li>Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets</li><li>Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning</li><li>Ability to travel</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.</p><p><strong>Applicants must be in the state of Pennsylvania to be considered for this role. This is a remote position that requires occasional travel across the state of Pennsylvania for internal and provider-facing meetings. </strong></p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 12:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Contracting & Network Development]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643363]]></requisitionid>
    <referencenumber><![CDATA[1643363A]]></referencenumber>
    <apijobid><![CDATA[1643363]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643363/director-contracting-network-development/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Mechanicsburg]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[17050]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.</p><ul><li>Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations</li><li>Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.</li><li>Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources</li><li>Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives</li><li>Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets</li><li>Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning</li><li>Ability to travel</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.</p><p><strong>Applicants must be in the state of Pennsylvania to be considered for this role. This is a remote position that requires occasional travel across the state of Pennsylvania for internal and provider-facing meetings. </strong></p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 12:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Contracting & Network Development]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643363]]></requisitionid>
    <referencenumber><![CDATA[1643363B]]></referencenumber>
    <apijobid><![CDATA[1643363]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643363/director-contracting-network-development/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversee activities of the provider contracting, network development and/or provider relations functions and aid in formulating and administering organizational policies and procedures.</p><ul><li>Oversee provider contracting activities to ensure efficiency and maintain compliance with the business unit’s policies and standards, government laws and regulations</li><li>Implement development activities for the recruitment and contracting of provider networks in new and prospective markets, and existing market expansions.</li><li>Support new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources</li><li>Perform complex financial analyses to identify medical cost improvement opportunities, develop strategies to reach financial goals, and execute contracting strategies to meet goals and objectives</li><li>Oversee contracting and network development staff and external consultants in the development of provider networks for new and expansion markets</li><li>Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning</li><li>Ability to travel</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.</p><p><strong>Applicants must be in the state of Pennsylvania to be considered for this role. This is a remote position that requires occasional travel across the state of Pennsylvania for internal and provider-facing meetings. </strong></p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 12:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663897]]></requisitionid>
    <referencenumber><![CDATA[1663897]]></referencenumber>
    <apijobid><![CDATA[1663897]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663897/care-manager-rn/]]></url>
    <company><![CDATA[New Hampshire Healthy Families]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><p><strong>Key Details</strong>: This position supports New Hampshire Health Families Medicaid population. Candidates should have both strong physical AND behavioral health experience to treat the whole member. </p><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 15:00:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Office Services Coordinator]]></title>
    <date><![CDATA[Sun, 04 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663162]]></requisitionid>
    <referencenumber><![CDATA[1663162]]></referencenumber>
    <apijobid><![CDATA[1663162]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663162/senior-office-services-coordinator/]]></url>
    <company><![CDATA[WellCare of Kentucky]]></company>
    <city><![CDATA[Louisville]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[40223]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Lead the coordination of the office services activities and support services while providing administrative support to the entire corporation. Coordinate the day-to-day work function of Office Services, acting as lead person to include the overflow from Office Services Manager special projects.</p><br><p><strong>Key Details:</strong></p><p>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><br><p>This is a full-time, in-office role located in Louisville, Kentucky. The schedule is Monday through Friday, 8:00 AM to 5:00 PM. EST.<br></p><ul><li>Responsible for leading special projects as assigned by the Office Services Manager.</li><li>Primary contact in absence of Office Services Manager.</li><li>Handle requests via phone, email or walk in taking action to resolve issues for all locations.</li><li>Escalate customer concerns to management when appropriate.</li><li>Orders shipping and copier supplies for all locations.</li><li>Conduct administrative duties and maintenance on shipping website ensuring accuracy of active accounts and users’ logins. Oversee maintenance of all office equipment, printers and copiers.</li><li>Train department employees in daily job responsibilities, Demonstrate the ability to handle confidential information with integrity and discretion.</li><li>May be required to be able to bend, crawl and lift up to 30 lbs on a frequent basis for multiple office locations.</li><li>Working knowledge of personal computers and associated business software.</li><li>Ability to operate postage meter and track all expenditures associated with the postage machine.</li><li>Capable of operating mechanical equipment with proper safety guidelines and operating procedures.</li></ul><strong>Education/Experience:</strong> Requires a high school diploma with at least 3 years of experience in a related area. Familiar with a variety of the field’s concepts, practices, and procedures. Basic knowledge of equipment troubleshooting.Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Finance Analyst III - Managed Care]]></title>
    <date><![CDATA[Fri, 02 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657973]]></requisitionid>
    <referencenumber><![CDATA[1657973]]></referencenumber>
    <apijobid><![CDATA[1657973]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657973/finance-analyst-iii-managed-care/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> With the Corporate Quality and Affordability Initiatives Finance team, you will analyze complex financial information and translate data into meaningful insights that support business decisions. Independently lead financial projects and initiatives, partnering with stakeholders to drive financial performance and organizational goals.<br></p><p><strong>Key Details: </strong>This is a fully remote role. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><ul><li>Partner with Medical Economics to drive trend analysis and KPI tracking and monitoring. </li><li>Monitor execution and performance of initiatives and work with cross-functional leaders to drive initiatives focused on performance improvement, implementing Corrective Action Plans as needed.</li><li>Drive strategic initiatives focused on medical expense optimization, improving overall efficiency and effectiveness, and resource allocation.</li><li>Assess return on investment (ROI) projections and analyze anticipated value outcomes.</li><li>Develop integrated revenue/expense analyses, projections, reports, and presentations.</li><li>Create and analyze monthly, quarterly, and annual reports and ensures financial information has been recorded accurately.</li><li>Identify trends and developments in competitive environments and presents findings to senior management.</li><li>Perform financial forecasting and reconciliation of internal accounts</li><li>Handle complex and high-level financial analysis.</li><li>Present and discuss analysis with upper management.</li></ul><br><p><strong>Preferred Skills:</strong></p><p>Experience with Healthcare Payor finance and accounting</p><p>High-level financial modeling capabilities</p><p>Ability to work with large datasets that can at times be ambiguous</p><p><strong>Education/Experience:</strong> Bachelor's degree in related field or equivalent experience. 4+ years of financial or data analysis experience. Advanced skills in Microsoft Excel.</p><br><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Sat, 03 Oct 2026 07:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664798]]></requisitionid>
    <referencenumber><![CDATA[1664798]]></referencenumber>
    <apijobid><![CDATA[1664798]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664798/care-manager/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><br><br><p><strong>Key Details:</strong> This is a remote position; however, applicants must reside in Kansas. Candidates must hold an active Licensed Master’s Behavioral Health Professional license (e.g., LCSW, LMSW, LMFT, LMHC, or LPC) or meet RN requirements with behavioral health experience. The ideal candidate will have strong behavioral health clinical knowledge and assessment skills, along with excellent communication and customer service skills. Experience with discharge planning, problem-solving, care coordination, computer systems, organizational management, time management, and working with multidisciplinary teams is highly preferred. The work schedule is Monday through Friday, 8:00 AM to 5:00 PM</p><br><br><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Consumer Experience Analyst]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659958]]></requisitionid>
    <referencenumber><![CDATA[1659958]]></referencenumber>
    <apijobid><![CDATA[1659958]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659958/senior-consumer-experience-analyst/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Consumer Experience Analyst Sr. is responsible for utilizing a variety of analytical techniques, current system applications, consumer research data, call center and other ad hoc and system generated reports and other data sources within the organization to address business objectives. This position will be tasked with supporting organizational initiatives using benchmark data and insights as well as offering support for internal and external processes. The Senior Consumer Experience Analyst will also suggest improvements based on data analysis.<br></p><p><strong>Key Details:</strong> The role designs workflows, defines business requirements, supports testing and stakeholder validation, and serves as a cross-functional subject-matter expert. Healthcare experience is preferred.</p><ul><li>Develops and maintains the Member Experience processes and journey maps.</li><li>Effectively and accurately communicates analysis results and/or trends to stakeholders including deliverables, conclusions and recommendations for change or improvement by partnering with Consumer Experience Managers.</li><li>Evaluates the effectiveness of consumer-centric campaigns and outreach by tracking outreach effectiveness and providing feedback of findings with actionable recommendations for performance improvements.</li><li>Utilizes Member Insights data to aggregate key performance metrics by consumer-facing channels which may include analyzing outcomes to ensure business needs are met.</li><li>Delivers analytics of consumer activity across a range of business lines using a variety of tools; devises, runs, and analyzes A/B tests and provides UAT support for Member Experience Initiatives.</li><li>Selects appropriate methods and tools to guide completion of assignments.</li><li>Manages the analytics applications and resources related to consumer activity.</li></ul><p>Highly Preferred Experience & Skills</p><ul><li>Healthcare experience</li><li>Experience leading cross-functional initiatives from discovery through implementation</li><li>Skilled in journey mapping, stakeholder engagement, and user acceptance testing</li><li>Strong communicator who translates business requirements into functional outcomes</li><li>90% Remote and 10% Travel for in office meetings/trainings.</li><li>Strong preference for candidates located in the Eastern or Central time zones.</li></ul><p><strong>Education/Experience:</strong> </p><p>Bachelor’s degree in Economics, Statistics, Marketing, or related field experience. Four to six years of data extraction, reporting and analysis in a professional environment, with previous experience with Microsoft Access preferred. Minimum of three years data collection and analysis experience in a consumer oriented industry<br><br><strong>License/Certification:</strong> <br><strong>Government Security/Clearance/Citizenship Requirements:</strong></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Sun, 04 Oct 2026 00:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651460]]></requisitionid>
    <referencenumber><![CDATA[1651460]]></referencenumber>
    <apijobid><![CDATA[1651460]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651460/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><br><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates should reside in Palm Beach County, Broward County, or surrounding communities. This is a remote, field-based role, and requires community outreach, member engagement, and participation in local events. Medicare Advantage sales experience is strongly preferred.</p><p><br><br></p><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire requiredPay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651460]]></requisitionid>
    <referencenumber><![CDATA[1651460A]]></referencenumber>
    <apijobid><![CDATA[1651460]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651460/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Lauderhill]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33313]]></postalcode>
    <description><![CDATA[<p><br><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates should reside in Palm Beach County, Broward County, or surrounding communities. This is a remote, field-based role, and requires community outreach, member engagement, and participation in local events. Medicare Advantage sales experience is strongly preferred.</p><p><br><br></p><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire requiredPay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651460]]></requisitionid>
    <referencenumber><![CDATA[1651460B]]></referencenumber>
    <apijobid><![CDATA[1651460]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651460/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Plantation]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33322]]></postalcode>
    <description><![CDATA[<p><br><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates should reside in Palm Beach County, Broward County, or surrounding communities. This is a remote, field-based role, and requires community outreach, member engagement, and participation in local events. Medicare Advantage sales experience is strongly preferred.</p><p><br><br></p><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire requiredPay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651460]]></requisitionid>
    <referencenumber><![CDATA[1651460C]]></referencenumber>
    <apijobid><![CDATA[1651460]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651460/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Sunrise]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33323]]></postalcode>
    <description><![CDATA[<p><br><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates should reside in Palm Beach County, Broward County, or surrounding communities. This is a remote, field-based role, and requires community outreach, member engagement, and participation in local events. Medicare Advantage sales experience is strongly preferred.</p><p><br><br></p><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire requiredPay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651460]]></requisitionid>
    <referencenumber><![CDATA[1651460D]]></referencenumber>
    <apijobid><![CDATA[1651460]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651460/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Ft Lauderdale]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33301]]></postalcode>
    <description><![CDATA[<p><br><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates should reside in Palm Beach County, Broward County, or surrounding communities. This is a remote, field-based role, and requires community outreach, member engagement, and participation in local events. Medicare Advantage sales experience is strongly preferred.</p><p><br><br></p><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire requiredPay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sales Representative (Medicare)]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651460]]></requisitionid>
    <referencenumber><![CDATA[1651460E]]></referencenumber>
    <apijobid><![CDATA[1651460]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651460/sales-representative-medicare/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[West Palm Beach]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33409]]></postalcode>
    <description><![CDATA[<p><br><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all products to present and prospective accounts in his/her assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education and assistance to Medicare individuals. Distribute health education materials and arrange for health screenings. Provide Facilitated Enrollment, help facilitate the continuance of health insurance, and offer assistance with recertification.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates should reside in Palm Beach County, Broward County, or surrounding communities. This is a remote, field-based role, and requires community outreach, member engagement, and participation in local events. Medicare Advantage sales experience is strongly preferred.</p><p><br><br></p><ul><li>Identify prospective enrollees and determine eligibility for participation in the Advantage Medicare product</li><li>Understand and apply all policies and procedures pertaining to:</li><li>Disclosures and provisions of the Advantage Medicare product</li><li>Enrollment and disenrollment</li><li>Develop a presence in the local community to help generate enrollments</li><li>Conduct home visits and personalized appointments as needed to complete the enrollment process</li><li>Market Advantage on-site at hospitals, senior centers, assisted living facilities, community events and other sites as designated</li><li>Understand the covered benefits, non-covered benefits, exclusions and exemptions</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies—this includes providing enrollees with all corresponding materials and documentation</li><li>Keep alert to competitive products and marketing practices, and to keep management informed concerning them</li><li>Conduct and participate in telemarketing/outreach efforts as required</li><li>Attend and participate in sales meetings, training programs, conventions, and special events</li><li>Complete applications in a timely and accurate manner</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing representatives and company operations</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><br><strong>Education/Experience:</strong> High School Diploma , GED or equivalent required<br>1+ years marketing, sales or community relations experience including previous managed care experience, preferably in Medicare required<br><br><strong>Bilingual in Spanish preferred:</strong> Specific language skills by some plans may be required<br><br><strong>State Accident and Health Insurance Agent License Upon Hire required:</strong> Current state driver's license Upon Hire requiredPay Range: $48,300.00 - $82,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664783]]></requisitionid>
    <referencenumber><![CDATA[1664783]]></referencenumber>
    <apijobid><![CDATA[1664783]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664783/care-manager/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><br><strong>Key Details:</strong> This is a remote position; however, applicants must reside in Kansas. Candidates must hold an active Licensed Master’s Behavioral Health Professional license (e.g., LCSW, LMSW, LMFT, LMHC, or LPC) or meet RN requirements with behavioral health experience. The ideal candidate will have strong behavioral health clinical knowledge and assessment skills, along with excellent communication and customer service skills. Experience with discharge planning, problem-solving, care coordination, computer systems, organizational management, time management, and working with multidisciplinary teams is highly preferred. The work schedule is Tuesday through Saturday, 10:00 AM to 6:00 PM, or Sunday through Thursday, 10:00 AM to 6:00 PM.<br><br></p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><br><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 13:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Improvement Coordinator II]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649717]]></requisitionid>
    <referencenumber><![CDATA[1649717]]></referencenumber>
    <apijobid><![CDATA[1649717]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649717/quality-improvement-coordinator-ii/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> <br>Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers.<br><ul><li>Perform quality on site reviews of delegated entities, physician office/clinics, resolve quality issues, generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC).</li></ul><br><ul><li>Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care issues.</li></ul><br><ul><li>Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities</li></ul><br><ul><li>Function as the primary liaison between community resources/agencies and the company related to clinical initiatives and technical guidance.</li></ul><br><ul><li>Schedule and chair meetings with delegated entities in accordance with their contract.</li></ul><br><ul><li>Gather data and compile various utilization and quality improvement reports.</li></ul><br><ul><li>Develop and implement Corrective Action Plans.</li></ul><br><ul><li>Recommend changes/enhancements to the Quality Improvement policies and procedures.</li></ul><br><ul><li>Identify best practices, research new processes and recommend program enhancements.</li></ul><br><ul><li>Coordinate QIC activities and monthly meetings.</li></ul><br><ul><li>Oversee the enforcement of contract terms regarding data submission for delegated entities.</li></ul><br><ul><li>Participate in the development of reporting and data outcome reports.</li><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><strong><br><br>Education/Experience:</strong> <br>Bachelor’s degree in Nursing preferred. 3+ years of clinical, quality improvement or healthcare experience. 2+ years of experience in quality function in a healthcare setting.<br><br><strong>License/Certification:</strong> LPN, LVN, RN, PA, or LCSW license preferred. CPHQ (Certified Professional in Healthcare Quality) preferred.<br><br><br>Pay Range: $33.71 - $60.67 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 15:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664939]]></requisitionid>
    <referencenumber><![CDATA[1664939]]></referencenumber>
    <apijobid><![CDATA[1664939]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664939/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This position has a field component and requires the individual to live in TX. </p><br><p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners</li></ul><p><br><br></p><ul><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned</li></ul><br><ul><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Network Development & Contracting - Sunshine State Health Plan]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658424]]></requisitionid>
    <referencenumber><![CDATA[1658424]]></referencenumber>
    <apijobid><![CDATA[1658424]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658424/vp-network-development-contracting-sunshine-state-health-plan/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Location: </strong>Remote in FL<strong><br><br>Position Purpose:</strong> Oversee provider network and contracting related activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management.</p><ul><li>Oversee the coordination and negotiation for the contracting department, including analysis of various information to support contract negotiations.</li><li>Ensure development of provider networks across expansion markets.</li><li>Evaluate provider network cost, coverage, and growth and recommend expansion opportunities.</li><li>Oversee budgeting and forecasting initiatives for various product lines to networks costs and provider contracts.</li><li>Review provider contracting rates to ensure strategic focus is on target with overall company strategy.</li><li>Participate in unit cost and selective contracting initiatives.</li><li>Establish the department’s strategic vision, objectives, and policies and procedures, including developing, implementing, and maintaining production and quality standards.</li><li>Support market expansion and M&A activities by leading provider contract analysis related to due diligence.</li><li>Assist health plan CEO and/or COO vendors in key provider relations and strategy.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree or equivalent, in Business Administration, Healthcare Administration or related field required. MBA or MHA degree preferred. 10+ years of network development and provider relations or contracting management in a health care or managed care environment required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p><br><p>Preferred Experience: All contracting for Medicaid, Medicare and Marketplace lines of business covering the FL market.</p><p><br>Valid driver’s license.</p>Pay Range: $207,000.00 - $392,100.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653983]]></requisitionid>
    <referencenumber><![CDATA[1653983]]></referencenumber>
    <apijobid><![CDATA[1653983]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653983/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details: </strong>Must reside in the state of Florida. ABA treatment. Must be willing to work Mon - Friday 8-5est.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Asset and Configuration Analyst II]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664421]]></requisitionid>
    <referencenumber><![CDATA[1664421]]></referencenumber>
    <apijobid><![CDATA[1664421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664421/asset-and-configuration-analyst-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Brentwood]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[63144]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Tracks and manages the IT (Information Technology) asset life cycle from selection and depreciation to retirement and replacement. Assists in identifying, controlling, recording, reporting, auditing, and verifying configuration items and asset records, including versions, baselines, constituent components, their attributes, and relationships.</p><br><p><strong>Key Details:</strong> This is an <strong>onsite role</strong> supporting the Brentwood, MO Depot and O'Fallon, MO Data Center, with travel between locations as needed. <strong>This is not a remote or desktop support position.</strong> The focus is on infrastructure hardware, physical asset management, depot operations, data center readiness, ServiceNow data accuracy, RFID inventory, chain-of-custody documentation, and audit support. The role will require operation of material handling equipment. Candidates must be willing and able to obtain company-sponsored certification for equipment operation and comply with all applicable safety requirements.</p><br><ul><li>Plans, monitors, and records hardware assets and/or software licenses to ensure they comply with vendor contracts and asset life cycle policy requiring a very high level of attention life cycle detail.</li><li>Applies a continuous improvement approach in enhancing the strategies employed in technology spending, as well as in tracking company assets within the Configuration Management Database (CMDB) and other asset management tools throughout their life cycle</li><li>Ensures effective management of the CMDB and Asset Management tools and the accuracy of content in the tools</li><li>Provides KPI/metric information and standardized reporting on a scheduled and ad-hoc basis</li><li>Defines and enhances schemes for identifying hardware and software-related assets as well as CIs (configuration items), including versioning and dependencies in the asset management tools, attributes, the contract management library, asset tables and the CMDB</li><li>Manages inventory of CIs and assets (including dependencies and attributes), making sure that modifications, withdrawals, and additions of existing ones are correctly recorded by teams within the tools to ensure compliance with vendor contracts</li><li>Performs verification and audit of CMDB and other asset management toolset content; verifies software assets with license contracts, confirms hardware assets with actual inventory, and initiates corrective actions including reclamation</li><li>Designs and improves processes relating to software and hardware asset management</li><li>Creates, monitors and tracks requisitions through approval to the creation of the purchase orders and validates accuracy of incoming order</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong><br></p><p>One or more of the following skills are desired.</p><br><ul><li>Knowledge of Other: ITSM (Information Technology Service Management) and ServiceNow tools; licensing agreements involving software; IT Service Management processes including continuous improvement</li><li>Experience with Other: CMDB and the specific business services that it supports</li><li> Data center operations, including ServiceNow data accuracy, RFID inventory management, chain-of-custody documentation, and audit support.</li></ul><p><br><strong>Soft Skills:</strong><br></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>IAITAM (International Association of Information Technology Asset Managers) CITAM (Certified IT Asset Manager); CHAMP (Certified Hardware Asset Management Professional); CITAD (Certified IT Asset Disposal) preferred</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 19:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Asset and Configuration Analyst II]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664421]]></requisitionid>
    <referencenumber><![CDATA[1664421A]]></referencenumber>
    <apijobid><![CDATA[1664421]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664421/asset-and-configuration-analyst-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[O'Fallon]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[63366]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Tracks and manages the IT (Information Technology) asset life cycle from selection and depreciation to retirement and replacement. Assists in identifying, controlling, recording, reporting, auditing, and verifying configuration items and asset records, including versions, baselines, constituent components, their attributes, and relationships.</p><br><p><strong>Key Details:</strong> This is an <strong>onsite role</strong> supporting the Brentwood, MO Depot and O'Fallon, MO Data Center, with travel between locations as needed. <strong>This is not a remote or desktop support position.</strong> The focus is on infrastructure hardware, physical asset management, depot operations, data center readiness, ServiceNow data accuracy, RFID inventory, chain-of-custody documentation, and audit support. The role will require operation of material handling equipment. Candidates must be willing and able to obtain company-sponsored certification for equipment operation and comply with all applicable safety requirements.</p><br><ul><li>Plans, monitors, and records hardware assets and/or software licenses to ensure they comply with vendor contracts and asset life cycle policy requiring a very high level of attention life cycle detail.</li><li>Applies a continuous improvement approach in enhancing the strategies employed in technology spending, as well as in tracking company assets within the Configuration Management Database (CMDB) and other asset management tools throughout their life cycle</li><li>Ensures effective management of the CMDB and Asset Management tools and the accuracy of content in the tools</li><li>Provides KPI/metric information and standardized reporting on a scheduled and ad-hoc basis</li><li>Defines and enhances schemes for identifying hardware and software-related assets as well as CIs (configuration items), including versioning and dependencies in the asset management tools, attributes, the contract management library, asset tables and the CMDB</li><li>Manages inventory of CIs and assets (including dependencies and attributes), making sure that modifications, withdrawals, and additions of existing ones are correctly recorded by teams within the tools to ensure compliance with vendor contracts</li><li>Performs verification and audit of CMDB and other asset management toolset content; verifies software assets with license contracts, confirms hardware assets with actual inventory, and initiates corrective actions including reclamation</li><li>Designs and improves processes relating to software and hardware asset management</li><li>Creates, monitors and tracks requisitions through approval to the creation of the purchase orders and validates accuracy of incoming order</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong><br></p><p>One or more of the following skills are desired.</p><br><ul><li>Knowledge of Other: ITSM (Information Technology Service Management) and ServiceNow tools; licensing agreements involving software; IT Service Management processes including continuous improvement</li><li>Experience with Other: CMDB and the specific business services that it supports</li><li> Data center operations, including ServiceNow data accuracy, RFID inventory management, chain-of-custody documentation, and audit support.</li></ul><p><br><strong>Soft Skills:</strong><br></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li></ul><p><br><strong>License/Certification:</strong><br></p><ul><li>IAITAM (International Association of Information Technology Asset Managers) CITAM (Certified IT Asset Manager); CHAMP (Certified Hardware Asset Management Professional); CITAD (Certified IT Asset Disposal) preferred</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 19:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662035]]></requisitionid>
    <referencenumber><![CDATA[1662035]]></referencenumber>
    <apijobid><![CDATA[1662035]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662035/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Batesville]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72501]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details</strong>: This field-based role serves members throughout Independence, Izard, Sharp, and Fulton Counties, Arkansas. Candidates must reside in Izard, Sharp, or Stone County to effectively support the assigned membership and meet travel requirements. </p><p><br><br></p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Coordinator]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663627]]></requisitionid>
    <referencenumber><![CDATA[1663627]]></referencenumber>
    <apijobid><![CDATA[1663627]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663627/ltss-service-care-coordinator/]]></url>
    <company><![CDATA[Iowa Total Care]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong>Remote Iowa. Monday-Friday 8AM to 5PM CST. Bachelor's degree required and 1+ years of experience with populations served.</p><br><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 1 year of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br>For Iowa Plan Only: Bachelor's degree required and 1+ years of experience with populations served, or RN with 6+ years of experience with population served .<br><br><br>Physically Disabled/Elderly<br>Candidate must meet one of the 3 following criteria:<br>1. RN licensed in Illinois.<br>2. Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology.<br>3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly<br><br>Brain Injury/HIV/AIDS<br>Candidate must meet one of the 3 following criteria:<br>1. A Registered Nurse (RN) licensed in Illinois and a bachelor’s degree in nursing, social work, social sciences or counseling or four (4) years of case management experience<br>2. Certified or Licensed social worker with Bachelor’s degree in either social work, social sciences or counseling or a Masters of social work<br>3. Unlicensed social worker: minimum of bachelor’s degree in social work, social sciences, or counseling<br><br>In addition to meeting one of the above criteria, must have experience working with:<br>• Addictive and dysfunctional family systems<br>• Racial and ethnic minorities<br>• Homosexuals and bisexuals<br>• Persons with AIDS, and<br>• Substance abusers<br>.<br>For Superior Health Plan Only: Direct experience working with individuals who have disabilities and/or with vulnerable populations who have chronic or complex conditions, including children and young adults within three of the last five years. Other state specific requirements may apply. required.</p>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Commercial Product Manager]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664372]]></requisitionid>
    <referencenumber><![CDATA[1664372]]></referencenumber>
    <apijobid><![CDATA[1664372]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664372/commercial-product-manager/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Support the product teams focus on offering quality, competitive product solutions for growth and retention of our Ambetter marketplace members. Support the annual Product Development Life Cycle for the Commercial Marketplace (Ambetter) products in all states, working as part of a cross-functional effort to deliver on business objectives and bring innovative product solutions to market. Responsible for the supporting development of product design, competitive intelligence, pricing and demographic analysis of our customers and products.</p><p><strong>Key Details: </strong>The ideal candidate will bring proven product development or product management experience, preferably with similar products (i.e. - HIE, Health Exchange, Marketplace). Applicants can work remotely within the continental United States. <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </em></p><br><br><ul><li>Support the design, build and management of a competitive commercial product portfolio.</li><li>Ensures continued market relevance for commercial product portfolios to supports short and long term growth planning.</li><li>Support the development of commercial products, make recommendations to team, and support initiatives to improve product performance.</li><li>Perform competitive intelligence and market analysis, industry assessment, and monitor internal business performance.</li><li>Utilize designated product tools to document, track and reduce issues and errors.</li><li>Establish, document and updates processes for delivery of core and ancillary business requirements to ensure product quality and benefit intent.</li><li>Lead intermediate projects, participate as a cross-functional team member, serve as product subject matter expert for assigned product or product element, and develop ongoing internal and external product trainings.</li><li>Ensure developed products are in line with federal/state regulator requirements and supports product-related regulatory filing efforts.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor's degree or equivalent experience. </li><li>3+ years experience in product development and product management, including tenured experience with similar, or assigned product(s) preferred. </li><li>Knowledge of health care, general insurance, insurance operations, sales operations, business analysis, key performance indicators, and portfolio management highly preferred.</li></ul>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Care Management - LTSS]]></title>
    <date><![CDATA[Thu, 01 Oct 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663953]]></requisitionid>
    <referencenumber><![CDATA[1663953]]></referencenumber>
    <apijobid><![CDATA[1663953]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663953/supervisor-care-management-ltss/]]></url>
    <company><![CDATA[Iowa Total Care]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supervises the care coordination team that serves long-term care members to promote quality and efficacy of care management delivery. Supervises day-to-day escalations and care management issues related to members or providers.</p><br><p><strong>Key Details: </strong> This is a remote position; however, the associate will maintain a small member caseload within an assigned southwest and south-central Iowa territory. Regular travel throughout the service area is required to conduct in-person member visits, assessments, and care coordination activities.</p><br><ul><li>Monitors and reviews long-term care management required documentation to maintain and ensure compliance with federal and state regulations and contractual agreements</li><li>Assigns caseloads and work assignments to long-term care management team based on state requirements, care management staff experience, and member needs</li><li>Works with long-term care senior management on escalated and complex care cases, and provides guidance to junior team members to address member concerns</li><li>Educates and provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, members, and providers</li><li>Evaluates long-term care management team performance and provides feedback regarding performance, goals, and career milestones</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Assists with onboarding, hiring, and training long-term care management team members</li><li>Leads and champions change within scope of responsibility</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 4+ years of related experience.<br>For Iowa Only: Bachelors degree required and 4+ years experience with populations served; or RN with 6+ years of experience with population served.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong><br></p><ul><li>For Iowa Plan Only: Bachelor's degree required and 4+ years of experience with populations served, or RN with 6+ years of experience with population served required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator - Foster Care]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663759]]></requisitionid>
    <referencenumber><![CDATA[1663759]]></referencenumber>
    <apijobid><![CDATA[1663759]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663759/care-navigator-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team makes telephonic outreach to foster care members/guardians to complete assessments and assist them with meeting their healthcare goals. Previous foster care or pediatric experience is strongly preferred. The work schedule is Monday – Friday, 8am – 5pm.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager RN]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649751]]></requisitionid>
    <referencenumber><![CDATA[1649751]]></referencenumber>
    <apijobid><![CDATA[1649751]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649751/care-manager-rn/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Centene's Sunshine State Health Plan is looking for a Florida licensed RN to support our Medicaid/Medicare MMA membership.</strong></p><p><strong>Applicants must reside in the state of Florida, and be able to work a Monday - Friday 8am - 5pm schedule eastern time zone.</strong></p><p><strong>Ideal applicants will have clinical experience working with chronic conditions or diseases, case management, time management and communication skills; managed care experience very helpful.</strong></p><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 08:00:17 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Pharmacy Technician (Onsite Specialty)]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651217]]></requisitionid>
    <referencenumber><![CDATA[1651217]]></referencenumber>
    <apijobid><![CDATA[1651217]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651217/pharmacy-technician-onsite-specialty/]]></url>
    <company><![CDATA[AcariaHealth Pharmacy]]></company>
    <city><![CDATA[Houston]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77043]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Work with the Pharmacists to accurately assist prescription orders in a timely manner</p><br><p><strong>Key Job Details:</strong> Pharmacy Technician II (Onsite Specialty Outreach - Customer Service - Phone Outreach with Data Entry). This Licensed Pharmacy Technician II role is located at 1311 W. Sam Houston Pkwy N. Houston, TX 77043 and works a regular schedule of 9:30 AM to 6:00 PM CST. As part of a Specialty Pharmacy Outreach team, you will spend the majority of your day providing customer service support through outbound and inbound phone interactions, while accurately performing data entry and documentation. Responsibilities include contacting medical offices to obtain prescription clarifications, communicating with patients regarding prescription status updates, supporting pharmacist callback queues by assisting with refill and prescription requests, completing pre-QA and data entry activities, and responding to email escalations. Successful candidates will be comfortable managing a high volume of phone work, demonstrate strong attention to detail, maintain a positive and professional demeanor, stay current with required trainings, and possess solid computer skills, including the ability to type at least 40 words per minute. Previous experience in Specialty Pharmacy, particularly Infusion and/or Oncology, is highly preferred. Please attach an up-to-date resume that meets the Education / Experience & Licensure / Certification requirements to your application.</p><br><ul><li>Interact with various departments to provide accurately fill prescriptions on a timely basis</li><li>Work under direct supervision of a pharmacist</li><li>Maintain and update reports</li><li>Comply with safety, quality assurance, accreditation, legal, state, and federal regulatory requirements</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience: </strong>High school diploma or equivalent. 2+ years of pharmacy technician or medical office (i.e. biller, coder, office assistance, or prior authorization/certification) experience. Familiarity with drugs commonly used to treat chronic/debilitating illnesses.</p><br><p><strong>License/Certification: </strong>State (Texas -TSBP) pharmacy technician license(s) relative to where the employee and assigned pharmacy are located</p>Pay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663715]]></requisitionid>
    <referencenumber><![CDATA[1663715]]></referencenumber>
    <apijobid><![CDATA[1663715]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663715/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><p><strong>Key Details: </strong>For this role, we are seeking candidates who live in Wichita, KS</p><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 07:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Case Auditor]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664406]]></requisitionid>
    <referencenumber><![CDATA[1664406]]></referencenumber>
    <apijobid><![CDATA[1664406]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664406/case-auditor/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Case Auditor ensures accuracy, consistency, and compliance within care management operations by conducting comprehensive audits of case management activities, documentation, and processes. This role supports the organizations mission to deliver high-quality, member-centered care by identifying gaps, ensuring adherence to regulatory and accreditation standards (e.g. NCQA, CMS, HEDIS, state guidelines), and driving continuous improvement initiatives.</p><p><br><br></p><p><strong>Key Details:</strong> This is a remote position; however, applicants must reside in Oklahoma. The ideal candidate will have experience with auditing, case management, NCQA, HEDIS, and healthcare regulatory requirements. Candidates should be computer savvy and have excellent communication, customer service, organizational, and time-management skills. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.</p><p><br><br></p><ul><li>Audit and Quality Review:</li><li>Conduct regular audits of care management records, documentation, and workflows to ensure compliance with internal policies and procedures, NCQA standards, and regulatory requirements. </li><li>Identify trends, discrepancies, or potential areas of risk, providing actionable recommendations to leadership.</li><li>Develop and maintain audit tools, scorecards, and tracking systems to ensure consistent and objective reviews.</li><li>Process Improvement & Compliance</li><li>Collaborate with care management leadership to address audit findings and implement corrective action plans.</li><li>Support development and updating of care management policies and procedures along with training materials based on audit results and findings.</li><li>Monitor implementation of process changes to ensure sustained compliance and improved quality outcomes.</li><li>Training & Support:</li><li>Provide feedback and guidance to care management leadership on documentation requirements, best practices, and quality standards.</li><li>Participate in training sessions to support ongoing staff education related to compliance and care management excellence.</li><li>Reporting & Data Analysis</li><li>Prepare audit reports and present findings to management with clear insights and recommendations.</li><li>Track performance metrics, compliance trends, and improvement initiatives to measure program effectiveness.Collaboration</li><li>Work closely with leadership to ensure alignment of audit activities with organizational goals.</li><li>Participate in internal and external audits as needed.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience. May require vocational or technical education in addition to prior work experience.<br></p><p>Vocation or technical education may include additional on-the-job training or continuous learning education.</p>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 15:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663716]]></requisitionid>
    <referencenumber><![CDATA[1663716]]></referencenumber>
    <apijobid><![CDATA[1663716]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663716/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><p><strong>Key Details: </strong>For this role, we are seeking candidates who live in Kansas City, KS</p><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.</p><p>Strong understanding of Kansas HCBS and LTSS waiver programs, including eligibility, service delivery, and regulatory requirements, is preferred.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 17:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663761]]></requisitionid>
    <referencenumber><![CDATA[1663761]]></referencenumber>
    <apijobid><![CDATA[1663761]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663761/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This position is a field based role requiring the candidate to live in NJ.</p><br><p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners</li></ul><p><br><br></p><ul><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned</li></ul><br><ul><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations, or Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 15:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vendor Relations Manager]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1664307]]></requisitionid>
    <referencenumber><![CDATA[1664307]]></referencenumber>
    <apijobid><![CDATA[1664307]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1664307/vendor-relations-manager/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Manages up-front third party evaluations and relationships with Delegation partners for performance management standards, financial responsibility and proactively implements appropriate business solutions as required. Acts as the critical link between our Delegation partners and internal Departments. As the company's operations representative, this position manages the facilitation from initial launch of services through day-to-day interactions.</p><br><p><strong>Key Details:</strong> This position is remote with up to 10% travel required. </p><br><br><ul><li>Provide direct Account Management responsibilities including scheduling regular meetings with delegated entities, agenda management, documentation and minutes.</li><li>Create SLA performance dashboards and reporting with Delegated entity.</li><li>Maintains regular communications with leads at Delegated entity and works internally to communicate plan needs to Delegated entities.</li><li>Directs, monitors and/or contributes to special projects and other planning initiatives that are highly complex and involve oversight of the Delegated Care Management/Utilization Management entities.</li><li>Ensures that payments are accurate and timely for care management services rendered.</li></ul><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Public Administration or related field or equivalent experience. Five plus years of experience supporting working with Primary Care Providers, Account Management experience working in Healthcare or related field, able to present to executive-level teams at the delegated entitiesPay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 15:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662939]]></requisitionid>
    <referencenumber><![CDATA[1662939]]></referencenumber>
    <apijobid><![CDATA[1662939]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662939/quality-practice-advisor/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</p><br><p>Candidates must reside in Texas, with preference given to those located in East Dallas/Northeast Texas (including Sulphur Springs, Longview,</p><p>Paris, Gilmer, and surrounding communities). This hybrid role requires both local travel and remote duties.<br></p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><strong>Licenses/Certifications:</strong> <br> One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS<br><strong>Registered Health Information Technician (RHIT®):</strong> For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply<br><br><strong>For Superior HealthPlan:</strong> license/certification is preferred</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 17:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Wed, 30 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662325]]></requisitionid>
    <referencenumber><![CDATA[1662325]]></referencenumber>
    <apijobid><![CDATA[1662325]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662325/quality-practice-advisor/]]></url>
    <company><![CDATA[SilverSummit Healthplan]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><br><p><strong>Key Detail</strong>s: Candidates must reside in Nevada, as this position requires occasional travel. One of the following active licenses or certifications is required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS. Preferred qualifications include provider experience, HEDIS knowledge, medical coding experience, quality improvement experience, and health plan experience.</p><br><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><p>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><strong>Licenses/Certifications:</strong> <br> One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II (Foster Care)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663642]]></requisitionid>
    <referencenumber><![CDATA[1663642]]></referencenumber>
    <apijobid><![CDATA[1663642]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663642/care-coordinator-ii-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details:</strong> Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports adolescents in foster care (13-26). The work schedule is Monday – Friday, 8am – 5pm.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience</p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager - Foster Care (BH)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663645]]></requisitionid>
    <referencenumber><![CDATA[1663645]]></referencenumber>
    <apijobid><![CDATA[1663645]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663645/care-manager-foster-care-bh/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. Previous foster care experience is preferred. The work schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 08:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Behavioral Health Utilization Management]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661531]]></requisitionid>
    <referencenumber><![CDATA[1661531]]></referencenumber>
    <apijobid><![CDATA[1661531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661531/supervisor-behavioral-health-utilization-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supervises the behavioral health (BH) utilization review clinicians to ensure appropriate care for members and supervises day-to-day activities of BH utilization management team.</p><br><p><strong>Key details</strong>: Centene is hiring a remote Supervisor, Behavioral Health Utilization Management, to support the Specialty Behavioral Health Program team. The candidate will hold a Texas, active clinical license. Preferred qualifications include, prior leadership experience, knowledge of various levels of care and Texas Administrative Code, Local Mental Health Authorities (LMHAs) guidelines, conducting retrospective audits, and familiarity with Medicaid, community mental health, foster care or familiar with the Texas Department of Family and Protective Services or Child Protective Services.</p><br><ul><li>Monitors behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines</li><li>Monitors and tracks UM BH resources to ensure adherence to performance, quality, and efficiency standards</li><li>Works with BH utilization management team to resolve complex BH care member issues related to BH</li><li>Maintains knowledge of regulations, accreditation standards, and industry best practices related to BH utilization management</li><li>Works with BH utilization management team and senior management to identify opportunities for process and quality improvements within utilization management</li><li>Educates and provides resources for BH utilization management team on key initiatives and to facilitate on-going communication between BH utilization management team, members, and providers</li><li>Works with the BH senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services</li><li>Evaluates BH utilization management team performance and provides feedback regarding performance, goals, and career milestones</li><li>Provides coaching and guidance to the BH utilization management team for optimal performance management and provides counseling and corrective action when required</li><li>Assists with onboarding, hiring, and training BH utilization management team members</li><li>Attends company meetings in absence of people leader</li><li>Acts as primary contact for escalated calls/issues that require research or special handling</li><li>Leads and manage others in a matrixed/cross functional environment</li><li>Leads and champions change within scope of responsibility</li><li>Presents information and responds to questions from peers, leaders and internal/external customers</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 4+ years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Knowledge of BH utilization management principles preferred.<br>Prior supervisory experience preferred preferred.<br>Understanding of medical necessity criteria for a broad range of BH services preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>Board Certified Behavior Analyst (BCBA) For ABA - one of the above listed licenses, or Board Certified Behavior Analyst (BCBA) required required</li></ul><br>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 12:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643560]]></requisitionid>
    <referencenumber><![CDATA[1643560]]></referencenumber>
    <apijobid><![CDATA[1643560]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643560/care-manager/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This is a remote position that requires up to 75% travel.</p><p>This role is eligible for a <strong>$2,500 sign-on bonus</strong>.</p><p>This position supports foster care members in Reno, McPherson, Rice, Harvey, and neighboring counties. </p><p><strong>Candidates must reside in Reno, McPherson, Rice, or Harvey County to be considered.</strong></p><p>Experience working with foster care populations or within child welfare systems is preferred.</p><br><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Accreditation Specialist]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649722]]></requisitionid>
    <referencenumber><![CDATA[1649722]]></referencenumber>
    <apijobid><![CDATA[1649722]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649722/accreditation-specialist/]]></url>
    <company><![CDATA[Peach State Health Plan]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</strong></p><div><div><div><div><div><div><div><div><div><p><strong>**Applicants for this role have the flexibility to work remotely within the continental United States. To support the needs of the business, preferred schedule is based on Eastern Standard Time zone.**</strong></p></div></div></div></div></div></div></div></div></div><p><strong>Position Purpose:</strong> Develop Performance Improvement projects to improve clinical quality and performance measure outcomes.</p><ul><li>Develop and coordinate delegation oversight mechanisms and act as liaison for the Plan with Corporate Delegation Oversight.</li><li>Develop and maintain accreditation readiness schedule.</li><li>Creates policy and procedures to support accreditation activities.</li><li>Conduct training and education programs for Plan, provider network, delegated vendors to support NCQA and HEDIS activities.</li><li>Develop QI, NCQA and HEDIS projects with delegated vendors to support accreditation maintenance and HEDIS reporting.</li><li>Coordinate assigned NCQA and HEDIS work plan activities.</li><li>Assist with delegation oversight audits and coordinate corrective action plans to ensure compliance with all state, federal, contract and accreditation requirements.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in Business, related field or equivalent experience. 3+ years of related quality improvement, HEDIS and/or NCQA experience.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651332]]></requisitionid>
    <referencenumber><![CDATA[1651332]]></referencenumber>
    <apijobid><![CDATA[1651332]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651332/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Hope]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[71801]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.<ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li> <li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li> <li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li> <li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li> <li>May support performing service assessments/screenings for members and documenting the member’s care needs</li> <li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li> <li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li> <li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li> <li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>This is a field-based role supporting members with behavioral health and developmental disabilities needs. Candidates should have strong experience working with the DD population. Applicants must reside in or be able to support members throughout Hempstead and Howard counties in Arkansas. Additional travel may be required throughout Little River and Sevier counties.</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Utilization Management]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662716]]></requisitionid>
    <referencenumber><![CDATA[1662716]]></referencenumber>
    <apijobid><![CDATA[1662716]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662716/supervisor-utilization-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.<ul><li>Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards</li> <li>Collaborates with utilization management team to resolve complex care member issues</li> <li>Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management</li> <li>Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management</li> <li>Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers</li> <li>Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures</li> <li>Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services</li> <li>Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones</li> <li>Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards</li> <li>Assists with onboarding, hiring, and training utilization management team members</li> <li>Leads and champions change within scope of responsibility</li><li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.<br><br><br><br>Knowledge of utilization management principles preferred.<br><br><strong>License/Certification:</strong><br><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li><li>For Health Net Federal Services: Must have current and active licensure or certification that permits independent assessment required</li><li>For Health Net Federal Services (Medical Management): Certified Managed Care Nurse (CMCN) within 1-1/2 Yrs required</li><li>For Health Net Federal Services: US citizenship and current National Agency Check government security clearance required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Utilization Management]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662716]]></requisitionid>
    <referencenumber><![CDATA[1662716A]]></referencenumber>
    <apijobid><![CDATA[1662716]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662716/supervisor-utilization-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Phoenix]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[85001]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.<ul><li>Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards</li> <li>Collaborates with utilization management team to resolve complex care member issues</li> <li>Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management</li> <li>Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management</li> <li>Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers</li> <li>Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures</li> <li>Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services</li> <li>Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones</li> <li>Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards</li> <li>Assists with onboarding, hiring, and training utilization management team members</li> <li>Leads and champions change within scope of responsibility</li><li>Performs other duties as assigned</li> <li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.<br><br><br><br>Knowledge of utilization management principles preferred.<br><br><strong>License/Certification:</strong><br><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li><li>For Health Net Federal Services: Must have current and active licensure or certification that permits independent assessment required</li><li>For Health Net Federal Services (Medical Management): Certified Managed Care Nurse (CMCN) within 1-1/2 Yrs required</li><li>For Health Net Federal Services: US citizenship and current National Agency Check government security clearance required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Finance FP&A]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662097]]></requisitionid>
    <referencenumber><![CDATA[1662097]]></referencenumber>
    <apijobid><![CDATA[1662097]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662097/senior-manager-finance-fpa/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This is a remote position and can be located anywhere in the US, </p><br><p>Position Purpose: Oversee the maintenance of revenue forecast functions with emphasis on membership reporting and modeling.<strong><br></strong></p><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT</p><p>• Oversee preparation of accurate and timely financial reports related to key revenue drivers such as membership volume <br>• Oversee the financial and business analyses based on information from sales/marketing/provider network and regulatory changes<br>• Assess and model market penetration based on sales/marketing and provider network metrics</p><p>• Develop scenario planning and event driven analysis for membership volume impact in relationship to management decisions around market entry/exit<br>• Develop multi-year membership and revenue projection model and scenario planning<br>• Prepare budget and forecast and analyze financial results across multiple dimensions such as geography and sales channel for membership and revenue <br>• Manage the month end, quarter end, and year end closing process and support the production of analytical packages for periodic business review <br>• Develop/manage financial/data analysts to drive continuous improvement in timely and accurate reporting of multi-dimension revenue and membership data</p><p><strong>Education/Experience:</strong> Bachelor's degree in Accounting, Finance, or equivalent experience. 5+ years of accounting, financial analysis or finance related experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Experience in public accounting, operations, financial analysis, information systems and health care or insurance preferred.</p><br><p><strong>Skills Preferred</strong>: Excel Model, Proficiency in Financial/Data System tools such as Hyperion, SQL <br><br><strong>License/Certification:</strong> CPA preferred.</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Payment Integrity - Data Mining Programs]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651691]]></requisitionid>
    <referencenumber><![CDATA[1651691]]></referencenumber>
    <apijobid><![CDATA[1651691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651691/senior-manager-payment-integrity-data-mining-programs/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.</p><ul><li>Manage internal and external vendors cost avoidance and cost recovery initiatives</li><li>Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category</li><li>Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings</li><li>Evaluate and streamline existing processes and implement new processes to reduce costs</li><li>Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans</li><li>Assist health plans in understanding the rules, regulations and processes around cost recovery</li><li>Monitor other departments’ performance and processes and evaluate for cost recovery</li><li>Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience. 6+ years of data analysis, finance or accounting experience. Experience with government programs auditing, and compliance monitoring programs preferred. Project management experience preferred.<br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 07:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Payment Integrity - Data Mining Programs]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651691]]></requisitionid>
    <referencenumber><![CDATA[1651691A]]></referencenumber>
    <apijobid><![CDATA[1651691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651691/senior-manager-payment-integrity-data-mining-programs/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.</p><ul><li>Manage internal and external vendors cost avoidance and cost recovery initiatives</li><li>Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category</li><li>Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings</li><li>Evaluate and streamline existing processes and implement new processes to reduce costs</li><li>Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans</li><li>Assist health plans in understanding the rules, regulations and processes around cost recovery</li><li>Monitor other departments’ performance and processes and evaluate for cost recovery</li><li>Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience. 6+ years of data analysis, finance or accounting experience. Experience with government programs auditing, and compliance monitoring programs preferred. Project management experience preferred.<br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 07:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Payment Integrity - Data Mining Programs]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651691]]></requisitionid>
    <referencenumber><![CDATA[1651691B]]></referencenumber>
    <apijobid><![CDATA[1651691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651691/senior-manager-payment-integrity-data-mining-programs/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.</p><ul><li>Manage internal and external vendors cost avoidance and cost recovery initiatives</li><li>Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category</li><li>Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings</li><li>Evaluate and streamline existing processes and implement new processes to reduce costs</li><li>Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans</li><li>Assist health plans in understanding the rules, regulations and processes around cost recovery</li><li>Monitor other departments’ performance and processes and evaluate for cost recovery</li><li>Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience. 6+ years of data analysis, finance or accounting experience. Experience with government programs auditing, and compliance monitoring programs preferred. Project management experience preferred.<br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 07:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Payment Integrity - Data Mining Programs]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651691]]></requisitionid>
    <referencenumber><![CDATA[1651691C]]></referencenumber>
    <apijobid><![CDATA[1651691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651691/senior-manager-payment-integrity-data-mining-programs/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.</p><ul><li>Manage internal and external vendors cost avoidance and cost recovery initiatives</li><li>Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category</li><li>Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings</li><li>Evaluate and streamline existing processes and implement new processes to reduce costs</li><li>Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans</li><li>Assist health plans in understanding the rules, regulations and processes around cost recovery</li><li>Monitor other departments’ performance and processes and evaluate for cost recovery</li><li>Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience. 6+ years of data analysis, finance or accounting experience. Experience with government programs auditing, and compliance monitoring programs preferred. Project management experience preferred.<br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 07:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Payment Integrity - Data Mining Programs]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651691]]></requisitionid>
    <referencenumber><![CDATA[1651691D]]></referencenumber>
    <apijobid><![CDATA[1651691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651691/senior-manager-payment-integrity-data-mining-programs/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.</p><ul><li>Manage internal and external vendors cost avoidance and cost recovery initiatives</li><li>Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category</li><li>Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings</li><li>Evaluate and streamline existing processes and implement new processes to reduce costs</li><li>Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans</li><li>Assist health plans in understanding the rules, regulations and processes around cost recovery</li><li>Monitor other departments’ performance and processes and evaluate for cost recovery</li><li>Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience. 6+ years of data analysis, finance or accounting experience. Experience with government programs auditing, and compliance monitoring programs preferred. Project management experience preferred.<br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 07:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Payment Integrity - Data Mining Programs]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651691]]></requisitionid>
    <referencenumber><![CDATA[1651691E]]></referencenumber>
    <apijobid><![CDATA[1651691]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651691/senior-manager-payment-integrity-data-mining-programs/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee and monitor the performance of both internal and external cost recovery and cost containment initiatives according to targeted project metrics and forecasted recovery and cost avoidance goals for each Health Plan.</p><ul><li>Manage internal and external vendors cost avoidance and cost recovery initiatives</li><li>Partner with health plans to identify and contain cost through collaboration with national vendors for each recovery category</li><li>Develop annual budget and projected target for each national vendor and assist them with achieving projected annual savings</li><li>Evaluate and streamline existing processes and implement new processes to reduce costs</li><li>Present trends and cost containment opportunities, recommend action plans, and assist with the implementation of those plans</li><li>Assist health plans in understanding the rules, regulations and processes around cost recovery</li><li>Monitor other departments’ performance and processes and evaluate for cost recovery</li><li>Compile and Present reporting packages for Senior Management on current cost avoidance and cost recovery initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Accounting, Finance, Healthcare Management, related field or equivalent experience. 6+ years of data analysis, finance or accounting experience. Experience with government programs auditing, and compliance monitoring programs preferred. Project management experience preferred.<br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 07:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior HEDIS Quality & Audit Analyst]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653774]]></requisitionid>
    <referencenumber><![CDATA[1653774]]></referencenumber>
    <apijobid><![CDATA[1653774]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653774/senior-hedis-quality-audit-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<div><div><div><div><div><div><div><div><div><p><strong>Position Purpose: </strong>The Senior HEDIS Quality & Audit Analyst serves as an enterprise subject matter expert responsible for advanced HEDIS quality oversight, audit readiness, and submission support activities. This role independently interprets regulatory and audit requirements, leads complex HEDIS audit workstreams, and ensures accurate, timely, and audit-defensible documentation and submissions in alignment with NCQA and CMS expectations.<br><br>Operating with a high degree of autonomy, the Senior Analyst provides expert guidance on audit risk, regulatory interpretation, and submission requirements while partnering with Health Plans, National and State Auditors, IT, Analytics, and Quality stakeholders.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><div><div><div><div><div><div><div><div><div><p>Applicants for this role have the flexibility to work remotely within the continental United States.</p></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><ul><li>Serve as a senior subject matter expert for HEDIS quality oversight, audit readiness, and submission support activities.</li><li>Independently lead complex NCQA audit workstreams, including Roadmaps, Section 5 documentation, measure-specific evidence, CAHPS and auditor communications.</li><li>Interpret and apply federal and state regulatory requirements, and applicable state regulations, to HEDIS documentation, workflows, and data use.</li><li>Provide expert guidance on reporting population applicability/management, measure selection, and submission requirements.</li><li>Identify, assess, and mitigate audit and submission risks; lead root cause analysis and development of corrective actions for high-risk or complex issues.</li><li>Support CMS submission activities, including PLD coordination, testing validation, and final submission readiness.</li><li>Develop, refine, and maintain enterprise standards, templates, controls, and documentation to ensure audit-defensible outcomes.</li><li>Act as an escalation point for complex audit findings, regulatory interpretation questions, and submission decisions.</li><li>Contribute to leadership-level reporting, audit narratives, and governance materials.</li><li>Drive continuous improvement initiatives to strengthen HEDIS audit readiness and submission accuracy.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Healthcare or related field, or equivalent experience required<br>Master's Degree Healthcare or related field preferred<br>4+ years Related experience in HEDIS, Quality Audits, or regulated healthcare environments required<br>Project management experience in HEDIS, regulatory, audit, or quality improvement experience, preferably in a healthcare environment preferred<br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 20:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medicare Compliance Advisory Project Manager II]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663754]]></requisitionid>
    <referencenumber><![CDATA[1663754]]></referencenumber>
    <apijobid><![CDATA[1663754]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663754/medicare-compliance-advisory-project-manager-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Plans, organizes, monitors, and oversees projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives.</p><br><p><strong>Key Details: </strong> Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.</p><br><ul><li>Support management of departmental meetings (e.g. CMS Account Management, Medicare Compliance Committee, etc.), preparations, notes, action items, and follow-up.</li><li>Oversee the Medicare Compliance Officer Mailbox, maintain the CMS Inquiry Log and Issue Disclosure.</li><li>Manage access and administration for HPMS, Acumen, and EPOC.</li><li>Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment, and closure.</li><li>Utilize corporate and industry standard project management tools and techniques to effectively manage projects.</li><li>Maintain detailed project documentation including meeting minutes, action items, issues lists, and risk management plans.</li><li>Effectively communicate project status to all stakeholders.</li><li>Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks.</li><li>Coordinate cross-functional meetings with various functional areas to meet overall stakeholder expectations and company's objectives.</li><li>Provide functional and technical knowledge across multiple business and technical areas.</li><li>Monitor the creation of all project deliverables to ensure adherence to quality standards including design documents, test plans, training materials, and operations documentation.</li><li>Create and communicate project milestone documents, dashboards, ROI tables, and departmental success metrics.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor's degree in related area or equivalent experience. </li><li>3+ years of project management experience. </li><li>Experience working with and leading diverse groups and matrix managed environments. </li><li>Proficient with project management tools, MS-Project or other project management software, and MS-Office applications. </li><li>Healthcare, Medicare, and/or Compliance experience preferred.</li></ul><br><p><strong>License/Certification:</strong> PMP or CAPM certification preferred.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 12:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Cash Applications Coordinator]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663884]]></requisitionid>
    <referencenumber><![CDATA[1663884]]></referencenumber>
    <apijobid><![CDATA[1663884]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663884/senior-cash-applications-coordinator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Tampa]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33634]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Enters, uploads, and posts daily cash receipts and transmits EFT files to banks. Establishes member bank account information for account drafts, sets up new member EFTs, and balances daily receipts with system postings. Performs daily cash receipt reconciliations against Treasury cash reports and bank deposits using bank uploads and downloads data into the Peradigm Payment System. Processes refunds, makes member account adjustments, and maintains member EFT master files within the banking system.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates must reside within the continental United States, with preference given to those located in the Tampa, Florida area. Candidates residing in the Tampa area may be expected to attend onsite training and work onsite; candidates residing outside the Tampa area will not be required to commute to the office.<br></p><ul><li>Coordinates EFT member set up, termination and maintenance in banking systems according to established procedures.</li><li>Posts premium payments in Peradigm Payment System according to established procedures.</li><li>Processes SSA member tansactions and cash posting for CAID utilizing good judgement to determine approved non premium transactions.</li><li>Reconciles daily cash logs to Peradigm and daily treasury notifications on a daily and monthly bases.</li><li>Data enters all approved refunds and member account Adjustments in Peradigm.</li><li>Runs open unapplied payment reports, initiate action on unidentified payments and updates/posts all prepayments for new members.</li><li>Trains new and existing staff.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br><strong>Required:</strong> Associate's degree in related field and 2+ years of experience in general accounting or accounts receivable.<br><br><br></p>Pay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 20:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Director]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663867]]></requisitionid>
    <referencenumber><![CDATA[1663867]]></referencenumber>
    <apijobid><![CDATA[1663867]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663867/medical-director/]]></url>
    <company><![CDATA[Peach State Health Plan]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Officer to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><br><p><strong>Key Details:</strong> This role requires a Board Certified Physician that is licensed in the state of Georgia. <br><br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Officer in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Officer in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong> <br>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred.<br><br><strong>License/Certifications:</strong> Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. (Certification in Psychiatry specialty Is required.) Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</p>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Enterprise Product Management - Enterprise Integration & Platform Modernization]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662674]]></requisitionid>
    <referencenumber><![CDATA[1662674]]></referencenumber>
    <apijobid><![CDATA[1662674]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662674/vp-enterprise-product-management-enterprise-integration-platform-modernization/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Location:</strong> Remote Nationwide <strong><br><br>Position Purpose:</strong> </p><br><p><strong>Product Portfolio: Enterprise Integration & Common Core Platforms</strong></p><p>This executive will lead the strategy, roadmap, and delivery of Centene's Common Core platform portfolio, providing the foundational capabilities that enable enterprise modernization, operational visibility, and system interoperability. The role is accountable for establishing enterprise integration standards, standardized data models, event-driven architectures, observability capabilities, and reusable platform services that connect fragmented systems and simplify operations. Working across business, operations, technology, and data organizations, this leader will accelerate system modernization, improve traceability and reconciliation, reduce integration complexity, and create the foundation required for future platform consolidation and enterprise transformation. Success will be measured through improved operational transparency, reduced manual effort, faster business change adoption, and increased enterprise agility.<br></p><ul><li>Establishes and maintains enterprise-wide product vision aligned to corporate strategy.</li><li>Defines multi-year transformation roadmaps across interconnected products, experiences, and capabilities.</li><li>Prioritizes investments that maximize enterprise value and strategic differentiation.</li><li>Drives alignment across business units, markets, and corporate functions.</li><li>Develops clear business cases and value realization plans for transformational initiatives.</li><li>Establishes enterprise product management standards spanning discovery, product definition, requirements, prioritization, delivery, release, adoption, performance measurement, optimization, and lifecycle management</li><li>Owns the integrated dependency map and sequencing across structural products, enabled initiatives, lines of business, data capabilities, platforms, and enterprise architecture.</li><li>Owns end-to-end outcomes across complex customer and business journeys.</li><li>Leads redesign of enterprise capabilities through integration of: People, Process, Technology, Data, Governance, and Performance management</li><li>Chairs cross-functional governance forums to resolve competing priorities across organizations while maintaining focus on enterprise value creation.</li><li>Partners with technology to establish and maintain an integrated delivery roadmap, including scope, milestones, dependencies, resourcing assumptions, acceptance criteria, and release plans.</li><li>Holds business and technology partners accountable for execution against approved requirements, scope, milestones, quality standards, dependencies, and intended business outcomes.</li><li>Maintains accountability beyond implementation through stabilization, optimization, ongoing product performance, support-model readiness, lifecycle management, and value realization.</li><li>Serves as the accountable business counterpart to Tech Product Owners and technology delivery leaders across the product lifecycle.</li><li>Translates business strategy, user needs, operational requirements, and regulatory obligations into clear, prioritized, and testable product requirements and business acceptance criteria.</li><li>Leads enterprise adoption and operational readiness efforts so that delivered capabilities are embedded within day-to-day operations and produce intended business outcomes.</li><li>Travel up to 25%</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><p>Bachelor's Degree in Business Administration, Management, or a related field; MBA or advanced degree preferred. 10+ years experience in leading large-scale transformation initiatives and enterprise product management.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $207,000.00 - $392,100.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 17:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior UAS LTSS Assessor (RN)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663257]]></requisitionid>
    <referencenumber><![CDATA[1663257]]></referencenumber>
    <apijobid><![CDATA[1663257]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663257/senior-uas-ltss-assessor-rn/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details</strong>:</p><br><p>This is a field position conducting UAS Assessments for our MLTC member population with Fidelis. Orange or Rockland county residency and NY RN Licensure required to be eligible for this role.</p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior UAS LTSS Assessor (RN)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663257]]></requisitionid>
    <referencenumber><![CDATA[1663257]]></referencenumber>
    <apijobid><![CDATA[1663257]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663257/senior-uas-ltss-assessor-rn/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details</strong>:</p><br><p>This is a field position conducting UAS Assessments for our MLTC member population with Fidelis. Orange or Rockland county residency and NY RN Licensure required to be eligible for this role.</p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663249]]></requisitionid>
    <referencenumber><![CDATA[1663249]]></referencenumber>
    <apijobid><![CDATA[1663249]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663249/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details</strong>:</p><br><p>This is a field position conducting UAS Assessments for our MLTC member population with Fidelis. Schulyer/Steuben/Livingston/Alleghany county residency and NY RN Licensure required to be eligible for this role.</p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663249]]></requisitionid>
    <referencenumber><![CDATA[1663249A]]></referencenumber>
    <apijobid><![CDATA[1663249]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663249/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Bath]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[14810]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details</strong>:</p><br><p>This is a field position conducting UAS Assessments for our MLTC member population with Fidelis. Schulyer/Steuben/Livingston/Alleghany county residency and NY RN Licensure required to be eligible for this role.</p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Payment Integrity - Appeals & Disputes]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663758]]></requisitionid>
    <referencenumber><![CDATA[1663758]]></referencenumber>
    <apijobid><![CDATA[1663758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663758/supervisor-payment-integrity-appeals-disputes/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing software systems.<br></p><ul><li>Ensure Coding Analytics team consistently meets production standards and passes quality audits.<br></li><li>Oversee relationships with health plans, claims, and other departments resulting in a significant impact on Centene’s ability to meet key performance indicators.<br></li><li>Identify and implement best practices and operational efficiencies.<br></li><li>Serve as a health plan account liaison by lending expertise to code editing decisions.<br></li><li>Research coding questions and issues.<br></li><li>Provide expert testimony in state fair hearings and to leadership of health plans when discussing state complaints from providers.<br></li><li>Triage and resolve escalated health plan, Claims department, and provider inquires and/or issues.<br></li><li>Responsible for communication across IT, health plans, vendors, and all other affected departments.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Associate’s degree in Medical Billing and Coding, Healthcare, related field, or equivalent experience. 5+ years of account management, nursing, healthcare management, medical billing, or CPT coding, claims, coding analysis and trends, and/or data management experience.<br>Experience using code editing software systems in a managed care organization preferred.<br><br><strong>Licenses/Certifications:</strong> Current state’s RN license or Certified Professional Coder (CPC) preferred.<br><br><br></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Payment Integrity - Appeals & Disputes]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663758]]></requisitionid>
    <referencenumber><![CDATA[1663758A]]></referencenumber>
    <apijobid><![CDATA[1663758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663758/supervisor-payment-integrity-appeals-disputes/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing software systems.<br></p><ul><li>Ensure Coding Analytics team consistently meets production standards and passes quality audits.<br></li><li>Oversee relationships with health plans, claims, and other departments resulting in a significant impact on Centene’s ability to meet key performance indicators.<br></li><li>Identify and implement best practices and operational efficiencies.<br></li><li>Serve as a health plan account liaison by lending expertise to code editing decisions.<br></li><li>Research coding questions and issues.<br></li><li>Provide expert testimony in state fair hearings and to leadership of health plans when discussing state complaints from providers.<br></li><li>Triage and resolve escalated health plan, Claims department, and provider inquires and/or issues.<br></li><li>Responsible for communication across IT, health plans, vendors, and all other affected departments.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Associate’s degree in Medical Billing and Coding, Healthcare, related field, or equivalent experience. 5+ years of account management, nursing, healthcare management, medical billing, or CPT coding, claims, coding analysis and trends, and/or data management experience.<br>Experience using code editing software systems in a managed care organization preferred.<br><br><strong>Licenses/Certifications:</strong> Current state’s RN license or Certified Professional Coder (CPC) preferred.<br><br><br></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Payment Integrity - Appeals & Disputes]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663758]]></requisitionid>
    <referencenumber><![CDATA[1663758B]]></referencenumber>
    <apijobid><![CDATA[1663758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663758/supervisor-payment-integrity-appeals-disputes/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing software systems.<br></p><ul><li>Ensure Coding Analytics team consistently meets production standards and passes quality audits.<br></li><li>Oversee relationships with health plans, claims, and other departments resulting in a significant impact on Centene’s ability to meet key performance indicators.<br></li><li>Identify and implement best practices and operational efficiencies.<br></li><li>Serve as a health plan account liaison by lending expertise to code editing decisions.<br></li><li>Research coding questions and issues.<br></li><li>Provide expert testimony in state fair hearings and to leadership of health plans when discussing state complaints from providers.<br></li><li>Triage and resolve escalated health plan, Claims department, and provider inquires and/or issues.<br></li><li>Responsible for communication across IT, health plans, vendors, and all other affected departments.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Associate’s degree in Medical Billing and Coding, Healthcare, related field, or equivalent experience. 5+ years of account management, nursing, healthcare management, medical billing, or CPT coding, claims, coding analysis and trends, and/or data management experience.<br>Experience using code editing software systems in a managed care organization preferred.<br><br><strong>Licenses/Certifications:</strong> Current state’s RN license or Certified Professional Coder (CPC) preferred.<br><br><br></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Payment Integrity - Appeals & Disputes]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663758]]></requisitionid>
    <referencenumber><![CDATA[1663758C]]></referencenumber>
    <apijobid><![CDATA[1663758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663758/supervisor-payment-integrity-appeals-disputes/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing software systems.<br></p><ul><li>Ensure Coding Analytics team consistently meets production standards and passes quality audits.<br></li><li>Oversee relationships with health plans, claims, and other departments resulting in a significant impact on Centene’s ability to meet key performance indicators.<br></li><li>Identify and implement best practices and operational efficiencies.<br></li><li>Serve as a health plan account liaison by lending expertise to code editing decisions.<br></li><li>Research coding questions and issues.<br></li><li>Provide expert testimony in state fair hearings and to leadership of health plans when discussing state complaints from providers.<br></li><li>Triage and resolve escalated health plan, Claims department, and provider inquires and/or issues.<br></li><li>Responsible for communication across IT, health plans, vendors, and all other affected departments.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Associate’s degree in Medical Billing and Coding, Healthcare, related field, or equivalent experience. 5+ years of account management, nursing, healthcare management, medical billing, or CPT coding, claims, coding analysis and trends, and/or data management experience.<br>Experience using code editing software systems in a managed care organization preferred.<br><br><strong>Licenses/Certifications:</strong> Current state’s RN license or Certified Professional Coder (CPC) preferred.<br><br><br></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Payment Integrity - Appeals & Disputes]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663758]]></requisitionid>
    <referencenumber><![CDATA[1663758D]]></referencenumber>
    <apijobid><![CDATA[1663758]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663758/supervisor-payment-integrity-appeals-disputes/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Lead clinical coding compliance nurses and non-clinical team members through the code editing adjudication process that includes prepay compliance, adjustments, and appeals for multiple code editing software systems.<br></p><ul><li>Ensure Coding Analytics team consistently meets production standards and passes quality audits.<br></li><li>Oversee relationships with health plans, claims, and other departments resulting in a significant impact on Centene’s ability to meet key performance indicators.<br></li><li>Identify and implement best practices and operational efficiencies.<br></li><li>Serve as a health plan account liaison by lending expertise to code editing decisions.<br></li><li>Research coding questions and issues.<br></li><li>Provide expert testimony in state fair hearings and to leadership of health plans when discussing state complaints from providers.<br></li><li>Triage and resolve escalated health plan, Claims department, and provider inquires and/or issues.<br></li><li>Responsible for communication across IT, health plans, vendors, and all other affected departments.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Associate’s degree in Medical Billing and Coding, Healthcare, related field, or equivalent experience. 5+ years of account management, nursing, healthcare management, medical billing, or CPT coding, claims, coding analysis and trends, and/or data management experience.<br>Experience using code editing software systems in a managed care organization preferred.<br><br><strong>Licenses/Certifications:</strong> Current state’s RN license or Certified Professional Coder (CPC) preferred.<br><br><br></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[UAS Senior LTSS Assessor (RN)]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663360]]></requisitionid>
    <referencenumber><![CDATA[1663360]]></referencenumber>
    <apijobid><![CDATA[1663360]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663360/uas-senior-ltss-assessor-rn/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong></p><br><p>This is a field position conducting UAS Assessments for our MLTC member population with Fidelis. Suffolk county residency and NY RN Licensure required to be eligible for this role.</p><br><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome </li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs </li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services </li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines </li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) </li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness </li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, Medicare Strategy & Performance]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661318]]></requisitionid>
    <referencenumber><![CDATA[1661318]]></referencenumber>
    <apijobid><![CDATA[1661318]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661318/senior-manager-medicare-strategy-performance/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> <br>Lead a team of professionals responsible for the strategic and operational execution of the strategic plan, typically including individual state initiatives as well as broad, national strategic efforts. Responsible for a large budget that is very complex in nature, in support of the Health Care product's strategic and business initiatives.<br><ul><li>Support the strategic and business planning process and lead larger scale, cross-functional initiatives that are intended to deliver on annual business and strategic plans.</li></ul><br><ul><li>Support planning and prioritization of initiatives as part of the strategic and business planning process, and ensures that initiatives are executed timely and well.</li></ul><br><ul><li>Collaborate with finance and analytic teams to develop cost/benefit analysis, support business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment, and project budgetary information.</li></ul><br><ul><li>Integrate multiple project plans to create a cohesive plan and/or program with identifiable critical path.</li></ul><br><ul><li>Task dependencies, project inter-relationships and major milestones, and manage the project plan, schedule and resources, ensuring successful completion within scope, budget, time, and quality parameters.</li></ul><br><ul><li>Lead and review post-implementation project reviews to close project and to address post-project issues, concerns, and improvement areas.</li></ul><br><ul><li>Responsible for keeping abreast of business needs and issues related to the success of the Health Care product based on regulatory or policy changes, contract changes, industry trends and/or corporate goals.</li></ul><br><ul><li>Support the preparation of communications and presentations to all levels of the organization as well as to external audiences as appropriate, to socialize product goals, communicate progress, identify and quantify potentials risks, and track performance.</li><li>Performs other duties as assigned.</li></ul><br><ul><li>Complies with all policies and standards.</li></ul><strong><br><br>Education/Experience:</strong> <br>Bachelor’s degree in Business Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years of managed care experience in a HMO, MSO, provider managed care setting or related experience. 3+ years of supervisory/management experience.<br><br><strong>License/Certification:</strong> Project Management Professional Certification preferred.<br><br><br>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Cash Applications Coordinator]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663886]]></requisitionid>
    <referencenumber><![CDATA[1663886]]></referencenumber>
    <apijobid><![CDATA[1663886]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663886/senior-cash-applications-coordinator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Tampa]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33634]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Enters, uploads, and posts daily cash receipts and transmits EFT files to banks. Establishes member bank account information for account drafts, sets up new member EFTs, and balances daily receipts with system postings. Performs daily cash receipt reconciliations against Treasury cash reports and bank deposits using bank uploads and downloads data into the Peradigm Payment System. Processes refunds, makes member account adjustments, and maintains member EFT master files within the banking system.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><br><p>Candidates must reside within the continental United States, with preference given to those located in the Tampa, Florida area. Candidates residing in the Tampa area may be expected to attend onsite training and work onsite; candidates residing outside the Tampa area will not be required to commute to the office.<br></p><ul><li>Coordinates EFT member set up, termination and maintenance in banking systems according to established procedures.</li><li>Posts premium payments in Peradigm Payment System according to established procedures.</li><li>Processes SSA member tansactions and cash posting for CAID utilizing good judgement to determine approved non premium transactions.</li><li>Reconciles daily cash logs to Peradigm and daily treasury notifications on a daily and monthly bases.</li><li>Data enters all approved refunds and member account Adjustments in Peradigm.</li><li>Runs open unapplied payment reports, initiate action on unidentified payments and updates/posts all prepayments for new members.</li><li>Trains new and existing staff.Additional Responsibilities:</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br><strong><br>Required:</strong> Associate's degree in related field and 2+ years of experience in general accounting or accounts receivable.<br><br><br></p>Pay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 20:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator - Foster Care]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662157]]></requisitionid>
    <referencenumber><![CDATA[1662157]]></referencenumber>
    <apijobid><![CDATA[1662157]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662157/care-navigator-foster-care/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><strong>Key Details: </strong> Applicants for this position have the flexibility to work remotely from their home anywhere within the state of Michigan. This role provides telephonic support to foster care and Children's Special Health Care Services members. The work schedule is Monday - Friday, 8am - 4:30pm. </p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.</p><p><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong><br></p><ul><li>Current state’s clinical license preferred</li></ul>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Enterprise Product Management - Member Experience & Omnichannel Engagement]]></title>
    <date><![CDATA[Tue, 29 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662671]]></requisitionid>
    <referencenumber><![CDATA[1662671]]></referencenumber>
    <apijobid><![CDATA[1662671]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662671/vp-enterprise-product-management-member-experience-omnichannel-engagement/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Location: </strong>Remote Nationwide<br><strong><br></strong></p><p><strong>Position Purpose:</strong></p><p><br><strong>Product Portfolio: Member Experience & Omnichannel Engagement</strong></p><p>This executive will lead the strategy, roadmap, and delivery of Centene's enterprise Member Experience and Omnichannel Engagement portfolio, focused on creating seamless, personalized interactions across digital, mobile, web, contact center, and outreach channels. The role is accountable for enterprise capabilities including member preferences and consent management, customer interaction history, audience segmentation, outreach orchestration, digital self-service, and channel modernization. Working across business, operations, technology, analytics, and market teams, this leader will simplify the member engagement processes, improve member experience, and establish the foundation for future personalization and journey orchestration. Success will be measured through increased digital adoption, improved outreach effectiveness, reduced member abrasion, and accelerated realization of enterprise transformation value.<br></p><ul><li>Establishes and maintains enterprise-wide product vision aligned to corporate strategy.</li><li>Defines multi-year transformation roadmaps across interconnected products, experiences, and capabilities.</li><li>Prioritizes investments that maximize enterprise value and strategic differentiation.</li><li>Drives alignment across business units, markets, and corporate functions.</li><li>Develops clear business cases and value realization plans for transformational initiatives.</li><li>Establishes enterprise product management standards spanning discovery, product definition, requirements, prioritization, delivery, release, adoption, performance measurement, optimization, and lifecycle management</li><li>Owns the integrated dependency map and sequencing across structural products, enabled initiatives, lines of business, data capabilities, platforms, and enterprise architecture.</li><li>Owns end-to-end outcomes across complex customer and business journeys.</li><li>Leads redesign of enterprise capabilities through integration of: People, Process, Technology, Data, Governance, and Performance management</li><li>Chairs cross-functional governance forums to resolve competing priorities across organizations while maintaining focus on enterprise value creation.</li><li>Partners with technology to establish and maintain an integrated delivery roadmap, including scope, milestones, dependencies, resourcing assumptions, acceptance criteria, and release plans.</li><li>Holds business and technology partners accountable for execution against approved requirements, scope, milestones, quality standards, dependencies, and intended business outcomes.</li><li>Maintains accountability beyond implementation through stabilization, optimization, ongoing product performance, support-model readiness, lifecycle management, and value realization.</li><li>Serves as the accountable business counterpart to Tech Product Owners and technology delivery leaders across the product lifecycle.</li><li>Translates business strategy, user needs, operational requirements, and regulatory obligations into clear, prioritized, and testable product requirements and business acceptance criteria.</li><li>Leads enterprise adoption and operational readiness efforts so that delivered capabilities are embedded within day-to-day operations and produce intended business outcomes.</li><li>Performs other duties as assigned.</li><li>Travel up to 25%</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Bachelor's Degree in Business Administration, Management, or a related field; MBA or advanced degree preferred. 10+ years experience in leading large-scale transformation initiatives and enterprise product management.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $207,000.00 - $392,100.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 30 Sep 2026 17:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (BH - Foster Care)]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662657]]></requisitionid>
    <referencenumber><![CDATA[1662657]]></referencenumber>
    <apijobid><![CDATA[1662657]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662657/care-manager-bh-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><strong>Key Details: </strong> Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports adolescents in foster care (16-26). The work schedule is Monday – Friday, 8am – 5pm.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Director]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663167]]></requisitionid>
    <referencenumber><![CDATA[1663167]]></referencenumber>
    <apijobid><![CDATA[1663167]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663167/medical-director/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><br><p><strong>Key Details: </strong>Must be Board Certified Physician with an active New York MD or DO state license. The ideal candidate will reside in NY or have working ties to the state (previous resident, education, residency, fellowship, etc.) </p><br><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li><li>Participates in provider network development and new market expansion as appropriate.</li><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong> <br>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred.<br><br><strong>License/Certifications:</strong> Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. (Certification in Psychiatry specialty Is required.) Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</p>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 10:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Compliance]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662983]]></requisitionid>
    <referencenumber><![CDATA[1662983]]></referencenumber>
    <apijobid><![CDATA[1662983]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662983/manager-compliance/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Manage the compliance department functions, including but not limited to, periodic monitoring and auditing activities based on established compliance program, policies, and practices to ensure and maintain compliance with federal, state, and local regulatory, contractual and legal requirements.<br></p><p><strong>Key Details: </strong> Applicants for this job have the flexibility to work remote from home, however candidate must reside in Indiana per contract requirements. </p><br><ul><li>Manage approval and submission of timely and accurate contract and regulatory required report deliverables.</li><li>Oversee all contracts updates including creating new and updating existing contracts with Health Plans, States and consultants/vendors.</li><li>Conduct periodic assessments to ensure compliance against contract requirements.</li><li>Oversee creation and implementation of corrective action plans to reduce or eliminate risk resulting from non-compliance with contract requirements or performance deficiencies.</li><li>Collaborate with Health Plans and States, where applicable, to maintain/improve customer satisfaction specific to delegated functions and compliance with contract requirement.</li><li>Manage submission of consumer and provider communication materials, including participation in their review and timely submission to Health Plans and States, where applicable.</li><li>Manage composition and delivery of responses to state regulatory agency complaints and inquiries.</li><li>Determine licensure requirements and administration of ongoing licensure maintenance, including research in new markets and timely filing for recurring deliverables, such as licensure renewals.</li><li>Support responses to “request for proposals” (RFPs) and new business implementations by completing assigned compliance tasks timely and accurately.</li><li>Participate in new business implementations, including the identification and tracking of required contract report deliverables as well as new reporting and provider/member materials.</li><li>Design, implement and improve processes to prevent, detect and respond to compliance issues and concerns related to all federal and state regulatory requirements and contract requirements.</li><li>Create and deliver compliance training for all employees on an annual basis and as needed basis, such as in response to a compliance issue or concern.</li></ul><p><strong>Education/Experience:</strong> </p><ul><li>Bachelor’s degree in health care administration, compliance or related field or equivalent experience. </li><li>4-6 years of compliance experience including risk assessment against contract and regulatory requirements, creation and execution of auditing, monitoring and reporting processes, administration of correction action plans, implementation of written policies and procedures, developing and delivering compliance training and education. </li><li>Managed health and/or behavioral health experience preferred.</li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Program Development Manager]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659295]]></requisitionid>
    <referencenumber><![CDATA[1659295]]></referencenumber>
    <apijobid><![CDATA[1659295]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659295/quality-program-development-manager/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations.</p><ul><li>Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.</li><li>Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.</li><li>Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.</li><li>Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.</li><li>Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.</li><li>Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary</li><li>Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care</li><li>Conducts other responsibilities as needed.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Required A Bachelor's Degree in a related field<br><br><strong>Required or equivalent work experience Business, HC Management, or Nursing:</strong><br><strong>Preferred A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN):</strong><br><strong>Candidate Experience:</strong> Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment<br>Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH<br><br><strong>Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:</strong> defining the eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, and community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, and business plans for new quality improvement, including internally sourced or vendor sourced quality programs, and/or the integration of innovative approaches to defined programs to improve quality ratings company wide.<br><br><strong>Licenses and Certifications :</strong> A license in one of the following is preferred<br>Six Sigma Certification<br>Lean Certification</p><p>Certified Professional in Healthcare Quality (CPHQ)<br><br><br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 18:01:49 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Program Development Manager]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659295]]></requisitionid>
    <referencenumber><![CDATA[1659295A]]></referencenumber>
    <apijobid><![CDATA[1659295]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659295/quality-program-development-manager/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations.</p><ul><li>Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.</li><li>Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.</li><li>Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.</li><li>Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.</li><li>Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.</li><li>Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary</li><li>Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care</li><li>Conducts other responsibilities as needed.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Required A Bachelor's Degree in a related field<br><br><strong>Required or equivalent work experience Business, HC Management, or Nursing:</strong><br><strong>Preferred A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN):</strong><br><strong>Candidate Experience:</strong> Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment<br>Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH<br><br><strong>Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:</strong> defining the eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, and community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, and business plans for new quality improvement, including internally sourced or vendor sourced quality programs, and/or the integration of innovative approaches to defined programs to improve quality ratings company wide.<br><br><strong>Licenses and Certifications :</strong> A license in one of the following is preferred<br>Six Sigma Certification<br>Lean Certification</p><p>Certified Professional in Healthcare Quality (CPHQ)<br><br><br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 18:01:49 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Program Development Manager]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659295]]></requisitionid>
    <referencenumber><![CDATA[1659295B]]></referencenumber>
    <apijobid><![CDATA[1659295]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659295/quality-program-development-manager/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations.</p><ul><li>Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.</li><li>Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.</li><li>Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.</li><li>Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.</li><li>Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.</li><li>Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary</li><li>Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care</li><li>Conducts other responsibilities as needed.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Required A Bachelor's Degree in a related field<br><br><strong>Required or equivalent work experience Business, HC Management, or Nursing:</strong><br><strong>Preferred A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN):</strong><br><strong>Candidate Experience:</strong> Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment<br>Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH<br><br><strong>Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:</strong> defining the eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, and community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, and business plans for new quality improvement, including internally sourced or vendor sourced quality programs, and/or the integration of innovative approaches to defined programs to improve quality ratings company wide.<br><br><strong>Licenses and Certifications :</strong> A license in one of the following is preferred<br>Six Sigma Certification<br>Lean Certification</p><p>Certified Professional in Healthcare Quality (CPHQ)<br><br><br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 18:01:49 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Program Development Manager]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659295]]></requisitionid>
    <referencenumber><![CDATA[1659295C]]></referencenumber>
    <apijobid><![CDATA[1659295]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659295/quality-program-development-manager/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations.</p><ul><li>Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.</li><li>Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.</li><li>Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.</li><li>Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.</li><li>Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.</li><li>Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary</li><li>Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care</li><li>Conducts other responsibilities as needed.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Required A Bachelor's Degree in a related field<br><br><strong>Required or equivalent work experience Business, HC Management, or Nursing:</strong><br><strong>Preferred A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN):</strong><br><strong>Candidate Experience:</strong> Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment<br>Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH<br><br><strong>Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:</strong> defining the eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, and community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, and business plans for new quality improvement, including internally sourced or vendor sourced quality programs, and/or the integration of innovative approaches to defined programs to improve quality ratings company wide.<br><br><strong>Licenses and Certifications :</strong> A license in one of the following is preferred<br>Six Sigma Certification<br>Lean Certification</p><p>Certified Professional in Healthcare Quality (CPHQ)<br><br><br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 18:01:49 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Program Development Manager]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659295]]></requisitionid>
    <referencenumber><![CDATA[1659295D]]></referencenumber>
    <apijobid><![CDATA[1659295]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659295/quality-program-development-manager/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Functions as a program development manager in collaboration with Quality, Health Services and Operations business owners or cross-functional work groups in the development and implementation of efficient and effective standards, policy and procedures, work flows, and decision support systems to support ongoing improvements of clinical and administrative operations.</p><ul><li>Oversees the creation and implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration.</li><li>Designs and facilitates the development of various programs/systems, work flows, and integration efforts in alignment with Corporate, market, contractual, regulatory and quality requirements.</li><li>Acts as the content and technical subject matter expert to the operation managers and directors for key project initiatives including the development of detailed work plans, facilitating route cause analysis, identifying and socializing process enhancements, setting deadlines, assigning responsibilities, and monitoring/summarizing project progress.</li><li>Leads state required Performance Improvement Projects (PIP) including topic selection, root cause analysis, implementation, and final submission.</li><li>Conducts needs assessments and identification to ensure the program teams and other external stakeholders receive information in a timely manner.</li><li>Partners with leaders and members of the Quality Analytics and Improvement Teams and determines data needs as well as assists in designing tools and reports as necessary</li><li>Partners with clinical and operations staff with consulting and analysis services to support initiatives intended to achieve breakthrough or incremental process improvement in patient quality of care</li><li>Conducts other responsibilities as needed.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Required A Bachelor's Degree in a related field<br><br><strong>Required or equivalent work experience Business, HC Management, or Nursing:</strong><br><strong>Preferred A Master's Degree in a related field Business or HC Management (MBA, MHA, MPH, MSN):</strong><br><strong>Candidate Experience:</strong> Required 5+ years of experience in direct program development, program management, and/or project management, preferably in a healthcare environment<br>Required 3+ years of experience in managed care, plus utilization management, care coordination, disease management, Medicare, Medicaid, DSNP, dual eligibles, PCMH<br><br><strong>Required 2+ years of experience in design, develop and implement STARS, CAHPS, HEDIS and other enterprise quality related programs across a variety of settings including:</strong> defining the eligible population, service mix, delivery system configuration and financing; integration of behavioral, clinical, social, and community health care for members with multiple chronic conditions; working with multiple market leaders to coordinate consistent quality initiatives; conducting assessments, contractual reviews, and business plans for new quality improvement, including internally sourced or vendor sourced quality programs, and/or the integration of innovative approaches to defined programs to improve quality ratings company wide.<br><br><strong>Licenses and Certifications :</strong> A license in one of the following is preferred<br>Six Sigma Certification<br>Lean Certification</p><p>Certified Professional in Healthcare Quality (CPHQ)<br><br><br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 05 Oct 2026 18:01:49 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662103]]></requisitionid>
    <referencenumber><![CDATA[1662103]]></referencenumber>
    <apijobid><![CDATA[1662103]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662103/care-manager-rn/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.<ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li> <li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li> <li>Identifies problems/barriers to care and provide appropriate care management interventions</li> <li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li> <li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li> <li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li> <li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li> <li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li> <li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li> <li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li> <li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li> <li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li><li>For YouthCare Illinois plan only: Bachelor’s Degree and IL RN licensure required. Must reside in IL</li><li>For Sunshine Health (FL) Only: Employees supporting Florida's Children’s Medical Services (CMS) must have a minimum of two years of pediatric experience. May require up to 80% local travel required</li><li>For Trillium Community Health Plan Only: RN (Registered Nurse) licensure in Oregon required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 14:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager (Northwest TX)]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662241]]></requisitionid>
    <referencenumber><![CDATA[1662241]]></referencenumber>
    <apijobid><![CDATA[1662241]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662241/provider-engagement-account-manager-northwest-tx/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This position is a field based role covering Lubbock and Amarillo Counties. </p><br><p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br></p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners</li></ul><p><br><br></p><ul><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned</li></ul><br><ul><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, clinical operations, or project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Field Health Benefit Rep]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663160]]></requisitionid>
    <referencenumber><![CDATA[1663160]]></referencenumber>
    <apijobid><![CDATA[1663160]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663160/field-health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Brooklyn]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11203]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><br><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>100% field based position working within Brooklyn, New York. Fluency in a second language strongly preferred.</p><br><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level</li><li>Assist consumers with submitting required documents via scan, fax, or mail</li><li>Support existing members with renewals and recertifications</li><li>Help consumers with premium payment submissions when required</li><li>Provide culturally and linguistically appropriate assistance</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</li><li>Participate in ACA forums, workshops, and community events as requested</li><li>Maintain a daily tracking tool that entails detailed rep activity</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</li><li>Must be in compliance with all conflict-of-interest standards and regulations</li><li>Required to work evenings and weekends</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.<br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Quality Improvement, Digital Quality Measurement]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663165]]></requisitionid>
    <referencenumber><![CDATA[1663165]]></referencenumber>
    <apijobid><![CDATA[1663165]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663165/director-quality-improvement-digital-quality-measurement/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Lead and direct process improvement activities that provide more efficient and streamlined workflow. This leadership role will shape and execute the organization’s digital quality measurement strategy, helping modernize how clinical quality data is collected, validated, and reported.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><br><p>Applicants for this job have the flexibility to work remote from home anywhere in the United States.</p><br><p>Experience with digital quality measurement, HEDIS, ECDS, FHIR, healthcare interoperability, or related quality transformation initiatives highly preferred. The ideal candidate will combine strategic thinking with knowledge of audit readiness and the ability to translate clinical requirements into operational and technology solutions.</p><br><ul><li>Responsible for leading and collaborating with others on National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set (HEDIS) performance</li></ul><br><ul><li>Responsible for quality improvement aspects of risk adjustment processes for all products</li></ul><br><ul><li>Collaborate with Medicare STARS team to improve overall STARS ratings for Medicare products (including HEDIS, CAHPS, HOS)</li></ul><br><ul><li>Oversee provider satisfaction surveys and implement action plans for improvements</li></ul><br><ul><li>Research and incorporate best practices into operations</li></ul><br><ul><li>Organize and control activities, methods, and procedures to achieve business objectives</li></ul><br><ul><li>Review and implement new technological tools and processes and fosters team concept with internal and external constituencies</li></ul><br><ul><li>Present results of improvement efforts and ongoing performance measures to senior management</li></ul><br><ul><li>Formulate and establish policies, operating procedures, and goals in compliance with internal and external guidelines</li></ul><br><ul><li>Lead the strategy, roadmap, testing, validation, and audit readiness for digital quality measurement, HEDIS, and related clinical quality initiatives</li></ul><br><br><p><strong><br>Education/Experience: </strong>Bachelor's Degree Nursing, other related field or equivalent experience required. Master's Degree preferred. 7+ years of quality management, quality improvement or healthcare operations experience required<strong><br><br>Licenses/Certifications:</strong> <br>Certain states may require a formal certification in quality improvement, risk management, or another parallel field<br>Current state’s RN license preferred<br>Certified Professional in Health Care Quality preferred</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 14:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653733]]></requisitionid>
    <referencenumber><![CDATA[1653733]]></referencenumber>
    <apijobid><![CDATA[1653733]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653733/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[McAllen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78501]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in person assessments. The service delivery area is the Harlingen, Mercedes, Weslaco area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653733]]></requisitionid>
    <referencenumber><![CDATA[1653733A]]></referencenumber>
    <apijobid><![CDATA[1653733]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653733/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78550]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in person assessments. The service delivery area is the Harlingen, Mercedes, Weslaco area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653733]]></requisitionid>
    <referencenumber><![CDATA[1653733B]]></referencenumber>
    <apijobid><![CDATA[1653733]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653733/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78551]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in person assessments. The service delivery area is the Harlingen, Mercedes, Weslaco area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653733]]></requisitionid>
    <referencenumber><![CDATA[1653733C]]></referencenumber>
    <apijobid><![CDATA[1653733]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653733/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78552]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in person assessments. The service delivery area is the Harlingen, Mercedes, Weslaco area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653733]]></requisitionid>
    <referencenumber><![CDATA[1653733D]]></referencenumber>
    <apijobid><![CDATA[1653733]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653733/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Harlingen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78553]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in person assessments. The service delivery area is the Harlingen, Mercedes, Weslaco area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653733]]></requisitionid>
    <referencenumber><![CDATA[1653733E]]></referencenumber>
    <apijobid><![CDATA[1653733]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653733/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Weslaco]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78596]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in person assessments. The service delivery area is the Harlingen, Mercedes, Weslaco area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663178]]></requisitionid>
    <referencenumber><![CDATA[1663178]]></referencenumber>
    <apijobid><![CDATA[1663178]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663178/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Fayetteville]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72701]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details: </strong>This is a field-based role supporting members with developmental disabilities and behavioral health needs. Candidates must reside in one of the following Arkansas counties: Washington, Benton, or Madison, to effectively serve members within the assigned territory. </p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1663178]]></requisitionid>
    <referencenumber><![CDATA[1663178A]]></referencenumber>
    <apijobid><![CDATA[1663178]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1663178/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Springdale]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72762]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details: </strong>This is a field-based role supporting members with developmental disabilities and behavioral health needs. Candidates must reside in one of the following Arkansas counties: Washington, Benton, or Madison, to effectively serve members within the assigned territory. </p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662449]]></requisitionid>
    <referencenumber><![CDATA[1662449]]></referencenumber>
    <apijobid><![CDATA[1662449]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662449/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Brooklyn]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11203]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>100% field based position working within Brooklyn, New York. Fluency in a second language strongly preferred.</p><br><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level</li><li>Assist consumers with submitting required documents via scan, fax, or mail</li><li>Support existing members with renewals and recertifications</li><li>Help consumers with premium payment submissions when required</li><li>Provide culturally and linguistically appropriate assistance</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</li><li>Participate in ACA forums, workshops, and community events as requested</li><li>Maintain a daily tracking tool that entails detailed rep activity</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</li><li>Must be in compliance with all conflict-of-interest standards and regulations</li><li>Required to work evenings and weekends</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.<br><br><br><br></p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661515]]></requisitionid>
    <referencenumber><![CDATA[1661515]]></referencenumber>
    <apijobid><![CDATA[1661515]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661515/senior-care-manager/]]></url>
    <company><![CDATA[Managed Health Services Wisconsin]]></company>
    <city><![CDATA[West Allis]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[53214]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, plans, implements, and coordinates complex care management activities based on member needs primarily focused on behavioral health needs (including behavioral health, and social needs) to provide quality, cost-effective healthcare outcomes. Develops a personalized care plan/service plan as appropriate/required and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><br><p><strong>Key Details: </strong>Centene is seeking a compassionate and experienced Senior Care Manager to support the MHS Health Wisconsin plan and make a meaningful difference in the lives of members. This hybrid opportunity includes approximately 50% field-based visits throughout the Milwaukee area, offering the chance to build strong member relationships while coordinating high-quality, person-centered care. The ideal candidate will bring case management and managed care experience, familiarity with HMO and/or Medicaid plans, and knowledge of programs such as SSI and TANF. Candidates must be licensed clinicians.</p><br><br><ul><li>Develops and continuously assesses ongoing care plans/service plans of the members with high level acuity via phone or in-home visits and works to identify providers, specialists, and community resources needed for care including mental health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Coordinates and manages, as appropriate, between the member and/or family and the care provider team to ensure identified services are accessible to members</li><li>Maintains a caseload with higher volume of complex/specialty cases</li><li>Monitors member status and outcomes for changes in treatment side effects, complications and clinical symptoms and revises care plan/service plan based on member needs and issues identified including mental health and substance use disorders</li><li>Identifies problems/barriers for care coordination and appropriate care management interventions for advanced and complex cases including mental health and substance use disorders</li><li>Reviews member data to identify health risks and/or care gaps, and improve operating performance and quality care to address member’s needs/issues and provides recommendations in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plan for complex/specialty cases</li><li>Collaborates with healthcare providers and partners (including behavioral) as appropriate to facilitate care coordination and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>Engages and assists new hire/preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 4 – 6 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul><br>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Coordinator]]></title>
    <date><![CDATA[Mon, 28 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662656]]></requisitionid>
    <referencenumber><![CDATA[1662656]]></referencenumber>
    <apijobid><![CDATA[1662656]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662656/ltss-service-care-coordinator/]]></url>
    <company><![CDATA[Iowa Total Care]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details: </strong> Remote, Monday - Friday 8AM to 5PM CST. Bachelor's degree required and 1+ years of experience with populations served required. </p><br><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 1 year of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br>For Iowa Plan Only: Bachelor's degree required and 1+ years of experience with populations served, or RN with 6+ years of experience with population served.</p>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 02 Oct 2026 15:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662938]]></requisitionid>
    <referencenumber><![CDATA[1662938]]></referencenumber>
    <apijobid><![CDATA[1662938]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662938/quality-practice-advisor/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Corpus Christi]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78412]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><br><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</p><p>This position is a hybrid role that requires fieldwork. Qualified candidates must reside in the state of Texas, with preference given to those located in Corpus Christi and surrounding areas. Highly preferred licenses/certifications are LVN, RN, CPC, CPC-A, CRC, or CPHQ.</p><p> <br></p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li></ul><br><ul><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li></ul><br><ul><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li></ul><br><ul><li>Identifies specific practice needs where Centene can provide support.</li></ul><br><ul><li>Develops, enhances and maintains provider clinical relationship across product lines.</li></ul><br><ul><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li></ul><br><ul><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li></ul><br><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><strong>Licenses/Certifications:</strong> <br> One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS<br><strong>Registered Health Information Technician (RHIT®):</strong> For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply<br><br><strong>For Superior HealthPlan:</strong> license/certification is preferred</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Compliance Officer, Arizona]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661674]]></requisitionid>
    <referencenumber><![CDATA[1661674]]></referencenumber>
    <apijobid><![CDATA[1661674]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661674/compliance-officer-arizona/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversee all compliance functions for the health plan including communication and coordination of policy development. Oversee the accurate and timely submission of over contract deliverables for all lines of business and service delivery areas.</p><br><p><strong>Key Details: </strong>Applicants for this role must reside in the state of Arizona.</p><ul><li>Oversee the accurate and timely submission of all CMS Medicare SNP requirements</li><li>Serve as senior leadership and single point of contact in all State compliance meetings and interactions.</li><li>Manage direct correspondence and daily interaction with all state regulators.</li><li>Serve as senior leadership in all Department of Insurance and HHSC audit processes.</li><li>Managing all facets of the audit and communications.</li><li>Serve as senior leadership in Enterprise Risk Management process working directly with corporate ERM and Executive Management team to ensure current evaluation and documentation of business risks.</li><li>Conduct internal compliance audits, write corrective action plans and work with contract and department managers to ensure timely completion and compliance with federal, state and local regulatory requirements.</li><li>Accountable for the management and oversight of compliance for all health plan material subcontractors to include directing the performance of annual oversight</li><li>Represent senior management at various state committees, meetings, and seminars</li><li>Performs other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree in related field, or equivalent experience required. Master's Degree in related field preferred.</li><li>7+ years Compliance program management and contract experience with State Medicaid programs including internal and State audits required.</li><li>5+ years Health care regulatory agencies in development of compliance and fraud programs; required.</li><li>5+ years Overseeing implementation of contract requirements required.</li><li>10+ years Compliance/Enterprise Risk Management preferred.<strong><br></strong></li></ul>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Management Support Coordinator II]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662451]]></requisitionid>
    <referencenumber><![CDATA[1662451]]></referencenumber>
    <apijobid><![CDATA[1662451]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662451/care-management-support-coordinator-ii/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.</p><p><br><br></p><p><strong>Key Details:</strong> Applicants must reside in Oklahoma. The ideal candidate will have healthcare experience and be highly organized, self-motivated, and computer savvy. The candidate should also have call center experience and demonstrate excellent customer service and communication skills. The standard work schedule is Monday through Friday, from 8:00 AM to 5:00 PM, with evening and weekend work required based on program and client needs.</p><p><br><br></p><ul><li>Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling and ongoing education for both the member and provider throughout care/service</li><li>Provides support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service</li><li>May apply working knowledge of assigned health plan(s) activities and resources</li><li>Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures, and protocols</li><li>Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship</li><li>Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed</li><li>Knowledge of existing benefits and resources locally and make referrals to address Social Determinants of Health (SDOH) needs</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED<br>Requires 1 – 2 years of related experience</p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662672]]></requisitionid>
    <referencenumber><![CDATA[1662672]]></referencenumber>
    <apijobid><![CDATA[1662672]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662672/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details</strong>: This field-based role serves members throughout Phillips, Monroe, and Lee Counties, Arkansas. Candidates must reside within one of the assigned counties to effectively support the membership and meet travel requirements.</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br><ul><li></li><li>For Florida-Sunshine Health Plan - All interactions with members are done telephonically.</li><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 17:00:13 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662673]]></requisitionid>
    <referencenumber><![CDATA[1662673]]></referencenumber>
    <apijobid><![CDATA[1662673]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662673/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p>Key Details: This field-based role serves members throughout Dallas, Cleveland, and Grant Counties, Arkansas. Candidates must reside within one of the assigned counties to effectively support the membership and meet travel requirements.</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 17:00:13 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations Representative I]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661676]]></requisitionid>
    <referencenumber><![CDATA[1661676]]></referencenumber>
    <apijobid><![CDATA[1661676]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661676/community-relations-representative-i/]]></url>
    <company><![CDATA[Carolina Complete Health]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provide sales coverage and develop best possible market penetration for all lines of business to present to prospective members in assigned territory in accordance with company's policies and programs. Provide greater access to health insurance, by providing education, assistance and coordinating community outreach to individuals.</p><br><br><p><strong>Key Details: </strong>Candidates must reside in North Carolina within Lumberton county or surrounding counties. </p><br><br><ul><li>Attend various community events, including health fairs, HEDIS initiatives and Member Advisory Groups and other sites as designated to market products</li><li>Identify and develop relationships with new community contacts and organizations to pursue outreach engagements</li><li>Assist members in accessing health care, transportation needs and other services or issues as they occur and pertain to members</li><li>Keep informed and adhere to current information pertaining to marketing activity guidelines set forth by various regulatory agencies, including providing enrollees with all corresponding materials and documentation</li><li>Research and monitor competitive products and marketing practices</li><li>Submit special reports regarding the operation of the territory, acceptance or rejection of products, and competitive conditions beneficial to other Marketing initiatives</li><li>Ability to lift boxes containing marketing materials for events</li><li>Ability to travel</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li><li>Build and sustain strategic relationships with community-based organizations, DSS offices, local health departments, the Enrollment Broker, school systems, and other key community stakeholders to strengthen Carolina Complete Health's regional presence and fulfill contractual community engagement commitments</li><li>Support member education, outreach, enrollment, retention, Medicaid recertification, and HR1-related renewal efforts to help members understand and maintain their healthcare coverage.</li><li>Plan, coordinating, and participating in community-based education and outreach activities required under the NC Medicaid contract, including health fairs, community events, awareness campaigns, educational presentations, and Department-requested collaborative events.</li><li>Collaborate with Marketing, Medicare, Ambetter, providers, local agencies, schools, and community organizations to increase awareness of Carolina Complete Health and support enterprise growth, retention, and member engagement objectives.</li><li>Support innovative community engagement strategies and sponsorship initiatives that create meaningful member experiences, increase brand recognition, and strengthen Carolina Complete Health's presence in priority communities.</li><li>Maintain operational excellence through responsible budget management, event documentation, reporting, compliance with requirements, and adherence to approved branding and outreach standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree marketing, sales, related field or equivalent experience. 2+ years of marketing, sales or community relations or outreach experience, preferably in a managed care or Medicaid environment<br><br><strong>Licenses/Certifications:</strong> State Driver’s License.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662544]]></requisitionid>
    <referencenumber><![CDATA[1662544]]></referencenumber>
    <apijobid><![CDATA[1662544]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662544/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details</strong>: This field-based role serves members throughout Columbia and Unio counties in Arkansas. Candidates must reside within one of the assigned counties to effectively support the membership and meet travel requirements.</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 17:00:13 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Utilization Management]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658429]]></requisitionid>
    <referencenumber><![CDATA[1658429]]></referencenumber>
    <apijobid><![CDATA[1658429]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658429/supervisor-utilization-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.</p><br><p><strong>Key Details: </strong>Remote role. Candidates must possess a valid, active, and unrestricted Nevada Registered Nurse (RN) license. Willing to consider qualified candidate with Compact RN license willing to apply for Nevada RN License . Remote Role, Monday - Friday 8AM to 5PM PST. </p><br><ul><li>Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards</li><li>Collaborates with utilization management team to resolve complex care member issues</li><li>Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management</li><li>Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management</li><li>Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers</li><li>Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures</li><li>Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services</li><li>Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones</li><li>Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards</li><li>Assists with onboarding, hiring, and training utilization management team members</li><li>Leads and champions change within scope of responsibility</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.<br><br>Knowledge of utilization management principles preferred.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $75,300.00 - $135,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662331]]></requisitionid>
    <referencenumber><![CDATA[1662331]]></referencenumber>
    <apijobid><![CDATA[1662331]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662331/care-manager-rn/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong> Applicants for this role have the flexibility to work remotely from their home anywhere in the United States but must currently possess an unrestricted Michigan RN license. The work schedule is Monday - Friday, 8am - 5pm Eastern.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648022]]></requisitionid>
    <referencenumber><![CDATA[1648022]]></referencenumber>
    <apijobid><![CDATA[1648022]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648022/care-manager/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This role is eligible for a <strong>$5,000 sign-on bonus</strong>.</p><p>This is a field-based position that requires approximately 50% travel throughout Kansas. Most travel is expected to be within approximately one hour of the employee’s home location.</p><p>The standard work schedule is Monday through Friday from 8:00 a.m. to 5:00 p.m. This position does not require weekend or holiday coverage.</p><p>Candidates must reside in Kansas, and applicants from all areas of the state may be considered.</p><p>Candidates located in Northeast Kansas are preferred, particularly those residing in or near Shawnee, Jackson, Nemaha, Brown, Atchison, and Jefferson counties.</p><br><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN) - OB]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662541]]></requisitionid>
    <referencenumber><![CDATA[1662541]]></referencenumber>
    <apijobid><![CDATA[1662541]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662541/care-manager-rn-ob/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides education and support to pregnant members. The work schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 15:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658930]]></requisitionid>
    <referencenumber><![CDATA[1658930]]></referencenumber>
    <apijobid><![CDATA[1658930]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658930/care-manager-rn/]]></url>
    <company><![CDATA[Delaware First Health]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><p><strong>Key Details: </strong>This is a hybrid role requiring candidates to reside in Delaware (Cecil County, MD) and hold an active, unrestricted Delaware RN or Compact License. The position includes in-person member visits approximately two days per week, with the remainder of work performed remotely. Candidates with experience supporting high-risk maternity populations are highly preferred. Previous Case Management experience is beneficial.</p><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662250]]></requisitionid>
    <referencenumber><![CDATA[1662250]]></referencenumber>
    <apijobid><![CDATA[1662250]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662250/ltss-service-care-manager/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><br><p><strong>Key Details:</strong> Position requires remote work, plus approximately 50% travel to nursing facilities. Candidate must reside in Pennsylvania. Prefer candidate residing in/near Lawrence, Mercer, Butler or Beaver counties. Previous assessment experience and experience with Community Health Choices (CHC) strongly preferred. </p><br><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 2 – 4 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Clinical Pharmacy Services]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658230]]></requisitionid>
    <referencenumber><![CDATA[1658230]]></referencenumber>
    <apijobid><![CDATA[1658230]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658230/vp-clinical-pharmacy-services/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with contractual guidelines of the corporation and health plans impacted by numerous regulatory agencies with complex and often conflicting requirements.</p><br><ul><li>Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance. </li><li>Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes. </li><li>Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance. </li><li>Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements. </li><li>Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality.</li><li>Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal.</li><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.</li><li>Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities.</li><li>Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Pharmacy required.<br>PharmD preferred.<br>10+ years of clinical pharmacy care and experience required.<br>Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br>Quality improvement experience preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Clinical Pharmacy Services]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658230]]></requisitionid>
    <referencenumber><![CDATA[1658230A]]></referencenumber>
    <apijobid><![CDATA[1658230]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658230/vp-clinical-pharmacy-services/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with contractual guidelines of the corporation and health plans impacted by numerous regulatory agencies with complex and often conflicting requirements.</p><br><ul><li>Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance. </li><li>Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes. </li><li>Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance. </li><li>Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements. </li><li>Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality.</li><li>Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal.</li><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.</li><li>Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities.</li><li>Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Pharmacy required.<br>PharmD preferred.<br>10+ years of clinical pharmacy care and experience required.<br>Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br>Quality improvement experience preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Clinical Pharmacy Services]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658230]]></requisitionid>
    <referencenumber><![CDATA[1658230B]]></referencenumber>
    <apijobid><![CDATA[1658230]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658230/vp-clinical-pharmacy-services/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with contractual guidelines of the corporation and health plans impacted by numerous regulatory agencies with complex and often conflicting requirements.</p><br><ul><li>Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance. </li><li>Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes. </li><li>Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance. </li><li>Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements. </li><li>Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality.</li><li>Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal.</li><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.</li><li>Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities.</li><li>Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Pharmacy required.<br>PharmD preferred.<br>10+ years of clinical pharmacy care and experience required.<br>Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br>Quality improvement experience preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Clinical Pharmacy Services]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658230]]></requisitionid>
    <referencenumber><![CDATA[1658230C]]></referencenumber>
    <apijobid><![CDATA[1658230]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658230/vp-clinical-pharmacy-services/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with contractual guidelines of the corporation and health plans impacted by numerous regulatory agencies with complex and often conflicting requirements.</p><br><ul><li>Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance. </li><li>Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes. </li><li>Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance. </li><li>Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements. </li><li>Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality.</li><li>Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal.</li><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.</li><li>Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities.</li><li>Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Pharmacy required.<br>PharmD preferred.<br>10+ years of clinical pharmacy care and experience required.<br>Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br>Quality improvement experience preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Clinical Pharmacy Services]]></title>
    <date><![CDATA[Sun, 27 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658230]]></requisitionid>
    <referencenumber><![CDATA[1658230D]]></referencenumber>
    <apijobid><![CDATA[1658230]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658230/vp-clinical-pharmacy-services/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop, implement and oversee the pharmacy benefit management program across multiple product lines in both centralized and regional environments with multiple locations. Ensure compliance with contractual guidelines of the corporation and health plans impacted by numerous regulatory agencies with complex and often conflicting requirements.</p><br><ul><li>Provides enterprise leadership for pharmacy clinical operations, including Pharmacy & Therapeutics (P&T) governance, formulary strategy, clinical policy oversight, and drug pipeline management to support quality, affordability, and regulatory compliance. </li><li>Leads pharmacy trend management, high-cost therapy strategies, and manufacturer relationship management, including medical rebate strategy and negotiations, to optimize clinical and financial outcomes. </li><li>Partners cross-functionally with Pharmacy, Product, Actuary, Medical Affairs, Compliance, PHCO, and Market teams to develop and execute enterprise pharmacy strategies that enhance member access and business performance. </li><li>Oversees strategic planning for emerging therapies, formulary performance, and pharmacy spend management while ensuring readiness for evolving market and regulatory requirements. </li><li>Evaluate program performance and recommend to State on program changes that would result in improved costs and higher quality.</li><li>Responsible for developing and attaining pharmacy AOP initiatives and Per Member Per Month (PMPM) goal.</li><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the corporate strategic vision.</li><li>Participate in internal and external accreditation initiatives, relevant boards, task forces, committees, meetings and other activities.</li><li>Manage relationships with and provide appropriate oversight of key vendors, including industry leading partners (e.g. ICER) and pharmaceutical companies.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Pharmacy required.<br>PharmD preferred.<br>10+ years of clinical pharmacy care and experience required.<br>Thorough knowledge of pharmaceutical care and pharmacy benefit management practices.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br>Quality improvement experience preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Review Nurse - Concurrent Review]]></title>
    <date><![CDATA[Sat, 26 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660440]]></requisitionid>
    <referencenumber><![CDATA[1660440]]></referencenumber>
    <apijobid><![CDATA[1660440]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660440/clinical-review-nurse-concurrent-review/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Candidates must reside in Mississippi.</strong></p><p><strong>Standard schedule is Monday through Friday.</strong></p><p><strong>Reviews inpatient admissions and elective procedures to determine medical necessity.</strong></p><p><strong>Supports the Utilization Management team for Magnolia Health Plan.<br></strong><br></p><p><strong>Position Purpose:</strong> Performs concurrent reviews, including determining member's 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 validate the necessity and setting of care being delivered to the member.</p><ul><li>Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care</li><li>Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member</li><li>Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered</li><li>Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines</li><li>Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings</li><li>Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members</li><li>Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines</li><li>Reviews member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities</li><li>Collaborates with care management on referral of members as appropriate</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p> Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and</p><p> 2 – 4 years of related experience. </p><p> 2+ years of acute care experience required.<br>Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.<br>Knowledge of Medicare and Medicaid regulations preferred.<br>Knowledge of utilization management processes preferred.<br><br><strong>License/Certification:</strong><br>LPN - Licensed Practical Nurse - State Licensure required</p><ul><li>For Health Net of California: RN license required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure For State of Nevada required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Sun, 27 Sep 2026 21:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662027]]></requisitionid>
    <referencenumber><![CDATA[1662027]]></referencenumber>
    <apijobid><![CDATA[1662027]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662027/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Hope]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[71801]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details</strong>: This field-based role serves members throughout Hempstead, Howard, Little River, and Sevier Counties, Arkansas. Candidates must reside within one of the assigned counties to effectively support the membership and meet travel requirements.</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 10:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662051]]></requisitionid>
    <referencenumber><![CDATA[1662051]]></referencenumber>
    <apijobid><![CDATA[1662051]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662051/care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><br><p><strong>Key Details: </strong>This remote position requires up to 50% local travel to conduct in-home member visits throughout the assigned territory. Candidates must hold an active New Jersey Registered Nurse (RN) license. Strong preference will be given to candidates who reside in Morris, Sussex, or Warren County, as these counties make up the primary coverage area. The typical schedule is Monday through Friday, from 8:00 a.m. to 5:00 p.m. ET, with flexibility based on member and business needs.</p><br><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a degree from an accredited school of nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Communications Specialist]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661283]]></requisitionid>
    <referencenumber><![CDATA[1661283]]></referencenumber>
    <apijobid><![CDATA[1661283]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661283/senior-communications-specialist/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Manage annual development and creation of HEDIS Provider Toolkit and communications. Assist in the maintenance of an overarching communications practice in a managed care environment.</p><br><p><strong>Key Details: </strong>The Senior Communications Specialist is fully remote. Candidates will be considered nationally.</p><br><p><strong>Responsibilities:</strong></p><ul><li>Develop materials that effectively support the communication plan to members and providers.</li><li>Design, review, and revise health-related materials distributed to members and providers while ensuring appropriateness of content, readability and translations.</li><li>Develop and maintain professional contacts and relationships with printers, graphic artists and other vendors.</li><li>Track and provide status of ICS, Business Owner, and Regulatory recommendations and approvals.</li><li>Maintain strong, positive, working relationships with business partners and Member and Provider communications colleagues.</li><li>Manage communications through the internal and external compliance approval processes, working with Health Plans, Compliance, Marketing and other key stakeholders.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 2+ years of related experience.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 15:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II (Foster Care)]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662255]]></requisitionid>
    <referencenumber><![CDATA[1662255]]></referencenumber>
    <apijobid><![CDATA[1662255]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662255/care-coordinator-ii-foster-care/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong> Applicants for this position have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides telephonic support to Foster Care children. The work schedule is Monday – Friday, 8am – 5pm</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience</p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662045]]></requisitionid>
    <referencenumber><![CDATA[1662045]]></referencenumber>
    <apijobid><![CDATA[1662045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662045/care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><br><p><strong>Key Details: </strong>This remote position requires up to 50% local travel to conduct in-home member visits throughout the assigned territory. Candidates must hold an active New Jersey Registered Nurse (RN) license. Strong preference will be given to candidates who reside in Bergen or Passaic County, as these counties make up the primary coverage area. The typical schedule is Monday through Friday, from 8:00 a.m. to 5:00 p.m. ET, with flexibility based on member and business needs.</p><br><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a degree from an accredited school of nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 14:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662324]]></requisitionid>
    <referencenumber><![CDATA[1662324]]></referencenumber>
    <apijobid><![CDATA[1662324]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662324/quality-practice-advisor/]]></url>
    <company><![CDATA[SilverSummit Healthplan]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><br><p><strong>Key Detail</strong>s: Candidates must reside in Nevada, as this position requires occasional travel. One of the following active licenses or certifications is required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS. Preferred qualifications include provider experience, HEDIS knowledge, medical coding experience, quality improvement experience, and health plan experience.</p><br><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><br><strong>Licenses/Certifications:</strong> <br> One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 21:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Pediatric Public  Programs  Specialist]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658014]]></requisitionid>
    <referencenumber><![CDATA[1658014]]></referencenumber>
    <apijobid><![CDATA[1658014]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658014/pediatric-public-programs-specialist/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Public Programs Coordinator is responsible for triaging and resolving member access to care issues and coordinating services with programs that are "carved out" of the health plan contract with the Department of Health Care Services, i.e. California Children's Services and Regional Centers, as well as, promoting member access to Health Net's Empower Living Program (H.E.L.P.) This position is also responsible for communicating and collaborating with internal and external customers to ensure access to care and services for Health Net members.</p><br><p><strong>Key Details: </strong>Applicants for this role will have the flexibility to work remotely. Standard Hours are Monday - Friday 8AM to 5PM PST. Current, valid and unrestricted Medical Assistant Certification. Min 3+ years Pediatrics Experience.</p><br><ul><li>Researches, resolves, makes referrals and follows up with clients and agencies for access to care issues.</li><li>Collaborates with multiple Health Net Departments including, but not limited to, Member Services, Provider Network Management, Medical Management, Medical Review Unit, Pharmacy and Claims to resolve member issues.</li><li>Serves as Health Net’s liaison to public agency programs and assists with referrals from the Participating Physician Groups (PPG) to the H.E.L.P Program.</li><li>Receives, researches and resolves coordination of care referrals from Customer Services.</li><li>Conducts escalated service coordination on complex cases and monitors through resolution.</li><li>Supports programs such as Regional Centers, School Health Integration and California Children’s Services with in-person meetings to better understand and promote available services.</li><li>Researches and prepares conflict resolution documentation to support Appeals and Grievances.</li><li>Prepares and submits monthly and quarterly COC reports to compliance.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards</li></ul><br><p><br><strong>Education/Experience:</strong><br>Associate’s degree, completion of Vocational Nursing School, Medical Assisting or Pharmacy Technician Program. Minimum three years of combined clinical and healthcare experience.<br><br><strong>License/Certification:</strong> Current, valid and unrestricted California Medical Assistant Certification, or current, valid and unrestricted Licensed Vocational Nurse (LVN) license or current, valid and unrestricted Pharmacy Technician Certification preferred<br><br><br> </p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 18:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662030]]></requisitionid>
    <referencenumber><![CDATA[1662030]]></referencenumber>
    <apijobid><![CDATA[1662030]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662030/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Jonesboro]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72401]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details:</strong> This field-based role supports members throughout Craighead and Poinsett. Arkansas. Candidates must reside within one of the assigned counties to effectively support the membership and meet travel requirements.</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092A]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092B]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092C]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092D]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DC]]></city>
    <state><![CDATA[District of Columbia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092E]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092F]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092G]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092H]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092I]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ID]]></city>
    <state><![CDATA[Idaho]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092J]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092K]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092L]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092M]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092N]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092O]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092P]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ME]]></city>
    <state><![CDATA[Maine]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092Q]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092R]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092S]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092T]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092U]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MT]]></city>
    <state><![CDATA[Montana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092V]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092W]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ND]]></city>
    <state><![CDATA[North Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092X]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092Y]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092Z]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092[]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092\]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092]]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092^]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092_]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092`]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092a]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-RI]]></city>
    <state><![CDATA[Rhode Island]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092b]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092c]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SD]]></city>
    <state><![CDATA[South Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092d]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092e]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092f]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092g]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092h]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VT]]></city>
    <state><![CDATA[Vermont]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092i]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092j]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WV]]></city>
    <state><![CDATA[West Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuary]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662092]]></requisitionid>
    <referencenumber><![CDATA[1662092k]]></referencenumber>
    <apijobid><![CDATA[1662092]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662092/senior-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WY]]></city>
    <state><![CDATA[Wyoming]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>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.</p><p><strong>Key Details</strong>: Candidates must have either 7+ years of actuarial experience with an ASA designation or 5+ years of actuarial experience with an FSA designation; MAAA membership is required. Healthcare actuarial experience is highly preferred, with Medicaid experience preferred but not required. This is a non-traditional actuarial role that combines actuarial expertise with data analytics, coding, data validation, and risk adjustment. The ideal candidate is detail-oriented, analytical, and collaborative, with strong experience in data validation, manipulation, and quality assurance. They should be eager to learn and implement new technologies and processes, possess strong problem-solving skills, and work effectively as part of a team. Strong coding and data analytics skills are essential, particularly in SQL and large-scale data analysis. Experience with risk adjustment models, SAS, Snowflake, healthcare data, and process automation is strongly preferred. This role offers regular exposure to senior leadership and the opportunity to translate complex analyses into actionable business insights. This position is fully remote, with Eastern and Central time zones preferred.</p><p><strong>In this Senior Actuary role, you will:</strong></p><ul><li>Run and analyze market-level results using the CDPS+RX or other similar risk adjustment models</li><li>Act as the team’s point of contact for an assigned group of markets</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes</li><li>Develop probability tables based on analysis of statistical data and other pertinent information</li><li>Determine equitable basis for distributing money for insurance benefits</li><li>Perform other duties as assigned and comply with all company policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in Business or related field required; 7+ years of actuarial experience and Associate in Society of Actuaries (ASA) certification or 5+ years of actuarial experience and Fellow in Society of Actuaries (FSA) certification required</p><br><p><strong>Licenses/Certifications: </strong>Fellow or Associate in Society of Actuaries and Member of the American Academy of Actuaries required</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662041]]></requisitionid>
    <referencenumber><![CDATA[1662041]]></referencenumber>
    <apijobid><![CDATA[1662041]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662041/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Little Rock]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72202]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><br><p><strong>Key Details:</strong> This field-based role serves members throughout Pulaski and Lonoke Counties, Arkansas. Candidates must reside within Pulaski or Lonoke County to effectively support the assigned membership and meet travel requirements.</p><br><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong><br></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662153]]></requisitionid>
    <referencenumber><![CDATA[1662153]]></referencenumber>
    <apijobid><![CDATA[1662153]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662153/care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><br><p><strong>Key Details: </strong>This is a remote, work-from-home position requiring candidates to reside in New Jersey. The standard schedule is Monday through Friday from 8:00 a.m. to 5:00 p.m. EST, including a one-hour lunch. The role includes up to 10% statewide travel for field-based member outreach and requires attendance at team meetings and training sessions in the Iselin office approximately one to three times per year. This position manages a caseload of approximately 180–200 Medicaid and dual-eligible Medicare/Medicaid members, including individuals with intellectual, developmental, or cognitive needs. The role offers the opportunity to work independently from home while receiving support from experienced care managers, leadership, and collaborative team resources.</p><br><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a degree from an accredited school of nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 14:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Thu, 24 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662023]]></requisitionid>
    <referencenumber><![CDATA[1662023]]></referencenumber>
    <apijobid><![CDATA[1662023]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662023/care-coordinator-ii/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong> Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This team supports the Show Me Healthy Kids pediatric adoption subsidy population. The work schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br></p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 25 Sep 2026 10:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591A]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591B]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591C]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-ME]]></city>
    <state><![CDATA[Maine]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591D]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591E]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591F]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591G]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591H]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591I]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Pharmacy]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659591]]></requisitionid>
    <referencenumber><![CDATA[1659591J]]></referencenumber>
    <apijobid><![CDATA[1659591]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659591/remote-medical-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.<br></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><br><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><br><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><br><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><br><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><br><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><br><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><br><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><br><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><br><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><br><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><br><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><br><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><br><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><br><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><br><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><br><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><br><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><br><p><strong><br>Education/Experience:</strong> <br></p><ul><li>Medical Doctor or Doctor of Osteopathy. </li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. </li><li>Actively practices medicine. </li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. </li><li>Experience treating or managing care for a culturally diverse population preferred.<br></li></ul><p><strong>License/Certifications:</strong> </p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br><br><br></li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead External Relations Specialist]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655845]]></requisitionid>
    <referencenumber><![CDATA[1655845]]></referencenumber>
    <apijobid><![CDATA[1655845]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655845/lead-external-relations-specialist/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Lead external relations activities in Kansas in accordance with Centene, health plan, government, and contractual guidelines. Develop and maintain relationships with legislators, county governments, associations, and other key stakeholders to monitor, influence, and advance healthcare policy. </p><p><strong>Key Details:</strong> This hybrid Kansas-based role requires regular attendance at the Capitol Building in Topeka, KS during the legislative session and interim committees. Candidates must have a Bachelor's degree in Public Policy, Government Affairs, Business Administration, Communications, Political Science, or a related field, plus 5+ years of government relations, legislative, or community relations experience. Ideal candidates will have Kansas legislative experience, strong political acumen, and the ability to independently identify and manage emerging legislative issues while building relationships across political lines. Healthcare or Medicaid experience is preferred, but not required.</p><p><strong>In this Lead External Relations Specialist role, you will:</strong></p><ul><li>Develop and maintain key relationships with state legislative policymakers and healthcare advocates to enhance the business unit’s role as a partner with the state and to assist in shaping public policy initiatives.</li><li>Develop and lead opportunities with government or government-facing partners, including members, providers, and the community, to promote the health plan through various government-related events.</li><li>Receive and respond to inquiries from stakeholders, including legislators and community advocates and assist with responding to constituent issues.</li><li>Assess issues and risks that impact program priorities and negatively impact members or providers based upon knowledge gained from community partnerships; create and implement mitigation strategies.</li><li>Support strategic plan membership growth initiatives.</li><li>Assist in the management of the health plan’s contract lobbyist and coordinate work in conjunction with the state association to achieve public policy objectives.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in Public Policy, Government Affairs, Business Administration, Communications, Political Science, or related field.</li><li>5+ years of government relations, legislative or community relations related experience.</li></ul><br>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 19:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Field Health Benefit Rep]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657094]]></requisitionid>
    <referencenumber><![CDATA[1657094]]></referencenumber>
    <apijobid><![CDATA[1657094]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657094/field-health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working within Onondaga county, New York. Fluency in a second language highly preferred. </p><div><div><div><div><div><div><div><div><div><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul></div></div></div></div></div></div></div></div></div><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 09:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1662048]]></requisitionid>
    <referencenumber><![CDATA[1662048]]></referencenumber>
    <apijobid><![CDATA[1662048]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1662048/care-manager/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><br><br></p><p><strong>Key Details: </strong>This is a field-based position, and applicants must reside in Oklahoma, Canadian, Cleveland, or Logan County, Oklahoma. Candidates must hold an active RN license or a Licensed Master’s Behavioral Health Professional credential, such as LCSW, LMSW, LMFT, LMHC, or LPC.</p><p>The ideal candidate will have experience working with children, foster care, and/or the juvenile justice system. Candidates should also be computer savvy and possess excellent communication, customer service, and assessment skills. The work schedule is Monday through Friday, from 8:00 AM to 5:00 PM.<br><br><br></p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><br><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li></ul><br>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 14:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Field Health Benefit Rep]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655786]]></requisitionid>
    <referencenumber><![CDATA[1655786]]></referencenumber>
    <apijobid><![CDATA[1655786]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655786/field-health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><div><div><div><div><div><div><div><div><div><p><br><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working within Chenango county, New York. Fluency in a second language highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul></div></div></div></div></div></div></div></div></div><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 09:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Health Plan Programs and Initiatives]]></title>
    <date><![CDATA[Wed, 23 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661018]]></requisitionid>
    <referencenumber><![CDATA[1661018]]></referencenumber>
    <apijobid><![CDATA[1661018]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661018/director-health-plan-programs-and-initiatives/]]></url>
    <company><![CDATA[Trillium Community Health Plan]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provide strategic and operational insights to senior leadership to drive the key initiatives and growth plans in the market. Collaborate with Corporate Strategy partners to ensure alignment with broader organizational Initiatives. Act as a key resource for information gathering and initiation of action plans on a wide range of topics, issues and projects impacting the operations and strategic initiatives. Work in collaboration senior leadership to achieve business objectives.</p><br><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><p>Prior health plan experience is highly preferred as well as experience managing large projects and being familiar with Oregon Medicaid.</p><br><br><ul><li>Coordinate with leadership team members to ensure that projects and initiatives are routinely and appropriately updated at leadership team meetings.</li><li>Act as President’s liaison to market teams and corporate departments; represents President’s plans and actions.</li><li>Identify impacts, risks and interdependencies and support development and monitoring of appropriate actions and integration activities to address them.</li><li>Oversee the development of the President’s internal and external meeting materials.</li><li>Manage special projects or committees as assigned by the Plan President or COO. Supports the market in strategy, planning and business development activities such as meetings, requests for information and presentations.</li><li>Lead planning for and development of Business Review presentations in collaboration with leadership team.</li><li>Coordinate with CFO to plan for and develop Annual Operating Plan and related forecasting overview materials for market.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in Business, Finance, Strategy or Health Care Administration or other related field. 7+ years of Strategic Planning or Business Development experience.Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 24 Sep 2026 15:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655765]]></requisitionid>
    <referencenumber><![CDATA[1655765]]></referencenumber>
    <apijobid><![CDATA[1655765]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655765/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Alabama Health Plan]]></company>
    <city><![CDATA[Remote-AL]]></city>
    <state><![CDATA[Alabama]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><br><p><strong>Key details</strong>: Candidates must live in Alabama within one of the covered areas.​ This role will support greater Montgomery, Opp, Andalusia, Troy, and Enterprise.</p><br><br><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners<br></li><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned<br></li><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655765]]></requisitionid>
    <referencenumber><![CDATA[1655765A]]></referencenumber>
    <apijobid><![CDATA[1655765]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655765/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Alabama Health Plan]]></company>
    <city><![CDATA[Enterprise]]></city>
    <state><![CDATA[Alabama]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[36330]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><br><p><strong>Key details</strong>: Candidates must live in Alabama within one of the covered areas.​ This role will support greater Montgomery, Opp, Andalusia, Troy, and Enterprise.</p><br><br><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners<br></li><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned<br></li><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655765]]></requisitionid>
    <referencenumber><![CDATA[1655765B]]></referencenumber>
    <apijobid><![CDATA[1655765]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655765/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Alabama Health Plan]]></company>
    <city><![CDATA[Montgomery]]></city>
    <state><![CDATA[Alabama]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[36116]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><br><p><strong>Key details</strong>: Candidates must live in Alabama within one of the covered areas.​ This role will support greater Montgomery, Opp, Andalusia, Troy, and Enterprise.</p><br><br><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li></ul><br><ul><li>Triages provider issues as needed for resolution to internal partners<br></li><li>Receive and effectively respond to external provider related issues</li></ul><br><ul><li>Investigate, resolve and communicate provider claim issues and changes</li></ul><br><ul><li>Initiate data entry of provider-related demographic information changes</li></ul><br><ul><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li></ul><br><ul><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li></ul><br><ul><li>Manages Network performance for assigned territory through a consultative/account management approach</li></ul><br><ul><li>Evaluates provider performance and develops strategic plan to improve performance</li></ul><br><ul><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li></ul><br><ul><li>Completes special projects as assigned<br></li><li>Ability to travel locally 4 days a week</li></ul><br><ul><li>Performs other duties as assigned</li></ul><br><ul><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Performance Specialist II]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661509]]></requisitionid>
    <referencenumber><![CDATA[1661509]]></referencenumber>
    <apijobid><![CDATA[1661509]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661509/provider-performance-specialist-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provide consultative support to providers to improve their performance on member outreach, utilization management, cost, quality and risk. Discuss, analyze and interpret performance reporting, member engagement data and other data resources to identify opportunities for improving member outcomes.</p><br><p><strong>Key Details:</strong> This is a field based position in the New York City area. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><br><br><br><ul><li>Interpret performance data, prioritizing insights and developing discussion and presentation documents, including year-to-date results, month-over-month performance, and member engagement results.</li></ul><br><ul><li>Facilitate provider discussions regarding quality, utilization, and cost or risk performance improvement opportunities, utilizing corporate tools and reporting.</li></ul><br><ul><li>Collaborate with health plan quality counterpart to ensure coordinated communication and goal alignment for provider discussions.</li></ul><br><ul><li>Develop proficiency in tools and value based performance (VBP) and educate providers on the use of tools and interpretation of data.</li></ul><br><ul><li>Present detailed HBR (Health Benefits Ratio) analysis and create reports for Joint Operating Committee meetings.</li></ul><br><ul><li>Performs other duties as assigned.</li></ul><br><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Bachelor’s degree in related field or equivalent experience. 2+ years of combined managed healthcare and provider reimbursement experience. Claims processing and/or managed care experience preferred.<br><br><strong>For Fidelis Care NY Only:</strong> Valid state clinical license preferred (i.e.- LPN, RN, etc.).<br><br><br></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Sat, 03 Oct 2026 05:35:58 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008A]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008B]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008C]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008D]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008E]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DC]]></city>
    <state><![CDATA[District of Columbia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008F]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008G]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008H]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008I]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008J]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ID]]></city>
    <state><![CDATA[Idaho]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008K]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008L]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008M]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008N]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008O]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008P]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008Q]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008R]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ME]]></city>
    <state><![CDATA[Maine]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008S]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008T]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008U]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008V]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MT]]></city>
    <state><![CDATA[Montana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008W]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008X]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ND]]></city>
    <state><![CDATA[North Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008Y]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008Z]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008[]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008\]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008]]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008^]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008_]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008`]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008a]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008b]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008c]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-RI]]></city>
    <state><![CDATA[Rhode Island]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008d]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008e]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SD]]></city>
    <state><![CDATA[South Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008f]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008g]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008h]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008i]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008j]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VT]]></city>
    <state><![CDATA[Vermont]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008k]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008l]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008m]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WV]]></city>
    <state><![CDATA[West Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Mgr., Actuarial Services - Medicare]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658008]]></requisitionid>
    <referencenumber><![CDATA[1658008n]]></referencenumber>
    <apijobid><![CDATA[1658008]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658008/sr-mgr-actuarial-services-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WY]]></city>
    <state><![CDATA[Wyoming]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, peer review, build and support tools to aid in planning processes, pricing, and assess risk to estimate financial outcomes. Provide expertise and technical support in matters related to the successful and financially sound operations of the company's businesses.</p><p><strong>Key Details: </strong>Candidates must have 6+ years of actuarial experience and hold an ASA or FSA designation (MAAA highly preferred). Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis, bid development, and actuarial tool development. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This role leads 2-4 direct reports, offers significant visibility across the organization, and is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Senior Manager, Actuarial Services role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Train and teach direct report(s) technical skills and about the Medicare program and develop them as actuaries</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Develop, assess, and/or negotiate capitation or premium rates with State, Federal, and/or private agencies</li><li>Oversee health plan experience, identify trends, and recommend improvements</li><li>Research and identify new business opportunities</li><li>Research and analyze the impact from legislative changes</li><li>Present results (pricing, risks, opportunities) to internal business partners (such as Health Plans, Finance, Accounting, and other departments)</li><li>Develop actionable recommendations to management relative to analysis</li><li>Lead cross-functional teams to address key issues facing the organization</li></ul><ul><li>Recommend changes in area(s) policy and procedure, perform other duties as assigned, and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent experience required. 6+ years of actuarial experience required.</p><p><strong>Licenses/Certifications: </strong>Fellow or Associate of the Society of Actuaries required and Member of the American Academy of Actuaries highly preferred.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 10:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Compliance Officer, Washington]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661493]]></requisitionid>
    <referencenumber><![CDATA[1661493]]></referencenumber>
    <apijobid><![CDATA[1661493]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661493/compliance-officer-washington/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Ensure regulatory compliance with Washington state and other government agencies related to the health insurance industry, Centene Corporation, and its business subsidiaries.</p><br><p><strong>Key Details:</strong> Candidates must reside in the state of Washington and be willing to travel throughout the state as needed.</p><br><ul><li>Ensure Washington health plan and Centene Corporate are in compliance with state and federal program regulations, insurance regulations, regulatory requirements for business entities and state contract requirements.</li><li>Maintain and track laws and regulations, contract documentations, amendments, and various compliance measures.</li><li>Develop policies, procedures, and processes to comply with state law, federal law, contract requirements, and various standards.</li><li>Oversee, administer, and implement various compliance programs, including fraud and abuse and HIPAA.</li><li>Provide guidance to various departments regarding compliance issues and implementation of new compliance requirements with respect to regulatory and contract language.</li><li>Conduct compliance audits, develop and implement corrective action plans, and report on achievement of action plans to senior management and Board of Directors.</li><li>Develop strategic relationships with state legislative policymakers and assist with the development of state legislative public policy concerning state insurance, Managed Care Organization, Medicare and Medicaid regulations and initiatives.</li><li>Identify, evaluate and analyze the impact of state legislative and regulatory issues and advise management concerning impact.</li><li>Represent senior management at various committees, meetings, and seminars.</li><li>Performs other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> </p><br><ul><li>Bachelor's Degree in Public Policy, Government Affairs, Business Administration or related field required. Master's Degree or Law degree preferred.</li><li>8+ years of compliance program management and contract experience required.</li><li>Extensive knowledge of state administrative code and regulations, state insurance laws and regulations including managed care regulations.</li><li>Experience with state and federal government agencies, accreditation bodies, participating provider agreements, HIPAA and Third Party Administration (TPA) laws, credentialing regulations and prompt pay laws.</li><li>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</li></ul>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661525]]></requisitionid>
    <referencenumber><![CDATA[1661525]]></referencenumber>
    <apijobid><![CDATA[1661525]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661525/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><br><p><strong>Key Details: </strong>This is a remote position working Monday through Friday, 8:00 AM to 5:00 PM PST. Candidates must be available to participate in weekend and holiday rotation schedules. An active Washington RN license or active Compact RN license is required.</p><br><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong><br></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><br>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 13:00:24 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660875]]></requisitionid>
    <referencenumber><![CDATA[1660875]]></referencenumber>
    <apijobid><![CDATA[1660875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660875/care-manager-rn/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>The Care Manager will be responsible for enrolling members in case management and completing required care management activities for individuals of all ages. The role requires strong communication, organization, and care coordination skills to ensure members receive appropriate support based on their individual needs.</p><p>Candidates must reside in Kansas, with a strong preference for individuals who live in or near the northwest Kansas service area. The primary service area includes Hamilton, Kearny, Finney, Hodgeman, Pawnee, Stanton, Grant, Haskell, Gray, Ford, Edwards, Stafford, Morton, Stevens, Seward, Meade, Clark, Kiowa, Pratt, Comanche, and Barber counties.</p><p>This position requires approximately 50% travel throughout the assigned service area. Care Managers must be comfortable driving throughout the region and completing in-home visits based on member needs and availability.</p><p>The position is not fully desk-based or exclusively remote. Care Managers will balance telephonic care management responsibilities with regular field-based member visits and travel throughout the assigned Kansas service area.</p><br><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong><br><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li><li>For YouthCare Illinois plan only: Bachelor’s Degree and IL RN licensure required. Must reside in IL</li><li>For Sunshine Health (FL) Only: Employees supporting Florida's Children’s Medical Services (CMS) must have a minimum of two years of pediatric experience. May require up to 80% local travel required</li><li>For Trillium Community Health Plan Only: RN (Registered Nurse) licensure in Oregon required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Clinical Quality Training]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1661278]]></requisitionid>
    <referencenumber><![CDATA[1661278]]></referencenumber>
    <apijobid><![CDATA[1661278]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1661278/manager-clinical-quality-training/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Identify training needs to enhance performance, quality, and motivation of corporate and field staff for the Quality department. Develop, conduct, and evaluate the effectiveness of training programs.</p><br><p><strong>Key Details: </strong>The Manager, Clinical Quality Training position is primarily remote. Candidates will be considered nationally.<br></p><p><strong>Responsibilities</strong>:</p><ul><li>Manages the activities related to various training and educational programs for the Quality department.</li><li>Assesses and identifies individual or group training needs.</li><li>Prepares a variety of training aids and materials.</li><li>Determines appropriateness of contracting with outside vendors to accomplish organization's training goals and objectives.</li><li>Analyzes training program effectiveness and submits reports and recommendations to management.</li><li>Prepares and approves budgets and travel plans.</li></ul><br><p><strong>Highly Preferred Skills</strong>:</p><ul><li>Nursing license</li><li>2+ years of experience with STAR measures </li><li>3+ years of experience in HEDIS </li><li>2+ years of experience with supplemental and medical record review activities </li><li>2+ years of leadership experience <br></li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 5+ years of training experience within the hiring departments function, preferably in a managed care/insurance environment. Familiarity with computer based training tools, vendors and other technology based training platforms. Knowledge of training methodologies, adult learning styles, and evaluative methodologies in measuring impact on organization and ROI of training expenditures. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.<br></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Human Resources & Training]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 15:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659081]]></requisitionid>
    <referencenumber><![CDATA[1659081]]></referencenumber>
    <apijobid><![CDATA[1659081]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659081/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Absolute Total Care]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><br><p><strong>Key Details: </strong>Due to travel requirements,<strong> </strong>for this role, we are seeking candidates who live in South Carolina.</p><br><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.</p><p>Home health, SNF or LTSS operations experience strongly preferred.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 01 Oct 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Government Affairs]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658265]]></requisitionid>
    <referencenumber><![CDATA[1658265]]></referencenumber>
    <apijobid><![CDATA[1658265]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658265/director-government-affairs/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>****Position requires candidate to live within the state of Michigan****</strong></p><br><p><strong>Position Purpose:</strong> <br>The Director of Government Affairs is responsible for coordinating state government relations and legislation for the Department of State Government Relations and assists the Department of Legislative and Regulatory Compliance and Corporate Compliance in ensuring compliance with federal laws.<br></p><ul><li>Lobbies the state legislature and state agencies on behalf of the company.</li><li>Directs government relations activities including, but not limited to:</li><li>Sets or recommends legislative priorities and develops public policy positions;</li><li>Analyzes and reviews state regulatory and legislative proposals, recommends and prepares appropriate company positions (including testimony before legislative bodies);</li><li>Determines operational impact evaluations as necessary;</li><li>Coordinates lobbying activities;</li><li>Communicates legislative and regulatory changes.</li><li>Recommends initiatives to improve financial performance.</li><li>Serves as liaison/representative to state and national health plan associations.</li><li>Prepares and presents reports to Board of Directors as assigned.</li><li>Assists in compliance with state laws.</li><li>Performs other duties as assigned.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> <br>Bachelor’s Degree in Business, Political Science, Health Administration or related field; Graduate degree desirable. Five to seven years experience in government relations/lobbying with increasing responsibility<br><br><strong>Compliance/ERM:</strong> 7+ years experience preferred</p>Pay Range: $141,500.00 - $261,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 06:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655775]]></requisitionid>
    <referencenumber><![CDATA[1655775]]></referencenumber>
    <apijobid><![CDATA[1655775]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655775/care-manager-rn/]]></url>
    <company><![CDATA[Coordinated Care]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><br><p><strong>Key Details:</strong> Position is remote. Hours are Monday - Friday 8:00 am-5:00 pm Pacific Standard Time (PST). WA State RN Licensure and/or Compact State Licensure required. Strongly prefer candidates residing in WA state or who have prior experience in WA area. Experience working with maternal and infant populations and supporting members in behavioral health crises strongly preferred. </p><br><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658007]]></requisitionid>
    <referencenumber><![CDATA[1658007]]></referencenumber>
    <apijobid><![CDATA[1658007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658007/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct strategic analysis, pricing, peer review, build and support tools to aid in planning processes and assessing risk to estimate financial outcomes. Manage actuarial needs and produce actuarial reports to aid in developing corporate strategy.</p><p><strong>Key Details:</strong> Candidates must have 2+ years of actuarial experience and hold an ASA designation. Ideal candidates will be strategic, innovative thinkers with healthcare and Medicare Advantage actuarial experience, including cost trend analysis and actuarial tool development, with a focus on building and enhancing planning tools that support business decision-making. Strong technical skills are required, including advanced Excel (e.g., arrays, PivotTables, VBA, and queries), SQL, SAS, and the ability to effectively leverage AI tools to enhance actuarial analysis and decision-making. This position is fully remote within the Continental United States (ET/CT preferred, not required).</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Contribute to and support Medicare strategic initiatives and planning</li><li>Own/build tools and/or processes, supporting related internal users’ needs</li><li>If eligible for American Academy of Actuaries membership, review and certify MA bids (typically 5-15 bids)</li><li>Apply knowledge of mathematics, probability, statistics, and principles of finance and business to calculate financial outcomes</li><li>Developing probability tables and regressions based on analysis of statistical data and other pertinent information</li><li>Research and analyze the impact from legislative changes</li><li>Analyze and evaluate required premium rates</li><li>Assess cash reserves and liabilities enable payment of future benefits</li><li>Analyze various data reports, identify trends and gaps and recommend action</li><li>Determine the equitable basis for distributing money for insurance benefits</li><li>Create and update actuarial reports</li><li>Participate in merger and acquisition analysis</li></ul><ul><li>Perform other duties as assigned and comply with all policies and standards</li></ul><p><strong>Education/Experience: </strong>Bachelor’s degree in related field or equivalent experience. 2+ years of actuarial experience.</p><br><p><strong>License/Certification: </strong>Associate of the Society of Actuaries (ASA)</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 13:00:24 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Clinical Investigator I (Special Investigation Unit)]]></title>
    <date><![CDATA[Tue, 22 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660463]]></requisitionid>
    <referencenumber><![CDATA[1660463]]></referencenumber>
    <apijobid><![CDATA[1660463]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660463/clinical-investigator-i-special-investigation-unit/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> <br>Audit medical records to identify inappropriate billing practices and recommend next steps through extensive review of claims data, medical records, corporate policy, state/federal policy, and practice standards.</p><br><p><strong>Key Details: </strong>Preferred qualifications include coding certification, nurse coding experience, and experience with CPT coding.</p><br><ul><li>Perform retrospective and prepayment reviews of medical records to identify potential abuse and fraud and inappropriate billing practices</li><li>Investigate, analyze, and identify provider billing patterns to recommend payment based on medical records, claim history, billing codes, regulatory and state guidelines, and policies</li><li>Prepare summary of findings and recommend next steps for providers</li><li>Identify preventative measures and recommend changes to internal policies and procedures and/or provider practices to prevent future fraudulent and erroneous practices</li><li>Consult investigators to identify abuse and fraud by utilizing clinical and coding expertise to analyze patterns in billing activities</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience: </strong>Associate's Degree related field or equivalent experience preferred<br>2+ years related clinical experience in the field of obtained license required<br>Provider education preferred<br><strong><br>Licenses/Certifications:</strong> <br> Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. required</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Security Officer]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655704]]></requisitionid>
    <referencenumber><![CDATA[1655704]]></referencenumber>
    <apijobid><![CDATA[1655704]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655704/security-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Clayton]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[63105]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Performs various duties specifically connected with protecting the employees, tenants, visitors, guests and property of the Corporation against threat or harm.</p><br><p><strong>Key Details:</strong> This is an onsite position based in Clayton, MO. Hours are Monday-Friday 6:30AM-2:30PM CST. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.<br><br>• Provide polished customer service experience to all employees, tenants, and visitors while maintaining a safe and secure work environment.</p><p>• Utilize visitor management software to document proper access, egress, and ensure host contact for visitors and guests.</p><p>• Operate applicable physical security systems for access control, visitor management, emergency response notification and closed-circuit television.</p><p>• Provide precise, informative, directions for facility navigation.</p><p>• Obtain and relay vital information during emergency response situations. Escorts and supports emergency medical services.</p><p>• Active engagement in facility entrance monitoring and lobby control during events, incidents, or emergencies.</p><p>• Understands and adheres to proper firearm safety, maintenance, and best tactical practice while maintaining an 80% proficiency on firearm qualifications.</p><p>• Carry a firearm and maintain all required certifications, permits, qualifications, and training necessary to safely and effectively perform armed security responsibilities.</p><p>• Performs other duties as assigned.</p><p>• Complies with all policies and standards.</p><br><p><strong>Education/Experience</strong>:<br><br>High School Diploma or equivalent required.<br><br>2+ years of security, public safety or related experience required.<br><br>Prior law enforcement/military/or first responder experience preferred.</p><p><br><br><strong>Licenses/Certifications:</strong></p><p><br>Must be eligible to obtain and maintain an armed security license as required by the applicable jurisdiction. Eligibility includes successful meeting all licensing requirements, which may include background investigation, firearms qualifications, training, drug screening, and ongoing certification requirements. Upon Hire required.<br><br></p>Pay Range: $15.87 - $27.25 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 11:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1650868]]></requisitionid>
    <referencenumber><![CDATA[1650868]]></referencenumber>
    <apijobid><![CDATA[1650868]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1650868/care-manager-rn/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<br><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere in the United States, but must currently have an unrestricted Michigan RN license. The work schedule is Monday - Friday, 8am - 5pm Eastern.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 05:35:56 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Improvement Coordinator II]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649689]]></requisitionid>
    <referencenumber><![CDATA[1649689]]></referencenumber>
    <apijobid><![CDATA[1649689]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649689/quality-improvement-coordinator-ii/]]></url>
    <company><![CDATA[Managed Health Services Wisconsin]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Abstractions and Overread experience highly preferred. </strong></p><p><strong>MedSurge experience highly preferred.</strong></p><p><strong>Position Purpose:</strong><br>Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers.</p><ul><li>Perform quality on site reviews of delegated entities, physician office/clinics, resolve quality issues, generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC).</li></ul><ul><li>Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care issues.</li></ul><ul><li>Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities</li></ul><ul><li>Function as the primary liaison between community resources/agencies and the company related to clinical initiatives and technical guidance.</li></ul><ul><li>Schedule and chair meetings with delegated entities in accordance with their contract.</li></ul><ul><li>Gather data and compile various utilization and quality improvement reports.</li></ul><ul><li>Develop and implement Corrective Action Plans.</li></ul><ul><li>Recommend changes/enhancements to the Quality Improvement policies and procedures.</li></ul><ul><li>Identify best practices, research new processes and recommend program enhancements.</li></ul><ul><li>Coordinate QIC activities and monthly meetings.</li></ul><ul><li>Oversee the enforcement of contract terms regarding data submission for delegated entities.</li></ul><ul><li>Participate in the development of reporting and data outcome reports.</li><li>Performs other duties as assigned</li></ul><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Nursing preferred. 3+ years of clinical, quality improvement or healthcare experience. 2+ years of experience in quality function in a healthcare setting.<br><br><strong>License/Certification:</strong> LPN, LVN, RN, PA, or LCSW license preferred. CPHQ (Certified Professional in Healthcare Quality) preferred.<br><br> </p>Pay Range: $33.71 - $60.67 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 12:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644007]]></requisitionid>
    <referencenumber><![CDATA[1644007]]></referencenumber>
    <apijobid><![CDATA[1644007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644007/care-manager-rn/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>This role requires up to 75% local travel to support members in Wayne and Macomb counties. Applicants have the flexibility to work remotely from their home the remaining time. We provide all required equipment and reimburse for mileage at the current IRS rate. The schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 16:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644007]]></requisitionid>
    <referencenumber><![CDATA[1644007A]]></referencenumber>
    <apijobid><![CDATA[1644007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644007/care-manager-rn/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Detroit]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[48219]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>This role requires up to 75% local travel to support members in Wayne and Macomb counties. Applicants have the flexibility to work remotely from their home the remaining time. We provide all required equipment and reimburse for mileage at the current IRS rate. The schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 16:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644007]]></requisitionid>
    <referencenumber><![CDATA[1644007B]]></referencenumber>
    <apijobid><![CDATA[1644007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644007/care-manager-rn/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Macomb]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[48044]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>This role requires up to 75% local travel to support members in Wayne and Macomb counties. Applicants have the flexibility to work remotely from their home the remaining time. We provide all required equipment and reimburse for mileage at the current IRS rate. The schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 16:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Mon, 21 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660652]]></requisitionid>
    <referencenumber><![CDATA[1660652]]></referencenumber>
    <apijobid><![CDATA[1660652]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660652/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><br><br></p><p><strong>Key Details:</strong> <em>For this role, we are only considering qualified applicants residing, currently living in Oklahoma. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </em></p><p><br><br></p><ul><li>Ability to travel locally 4 days a week.</li><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan.</li><li>Triages provider issues as needed for resolution to internal partners.</li><li>Receive and effectively respond to external provider related issues.</li><li>Investigate, resolve and communicate provider claim issues and changes.</li><li>Initiate data entry of provider-related demographic information changes.</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics.</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials.</li><li>Manages Network performance for assigned territory through a consultative/account management approach.</li><li>Evaluates provider performance and develops strategic plan to improve performance.</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned.</li><li>Ability to travel locally 4 days a week.</li><li>Direct Provider Engagement: Conducts regular in-person visits with physicians to provide real-time support, discuss performance metrics, and identify opportunities for improvement in patient care and clinical practices.</li><li>Performance Management: Uses data analytics to track and monitor provider performance, offering actionable feedback to help physicians optimize care delivery and meet key performance targets.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 16:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Resource Coordinator II]]></title>
    <date><![CDATA[Sun, 20 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660653]]></requisitionid>
    <referencenumber><![CDATA[1660653]]></referencenumber>
    <apijobid><![CDATA[1660653]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660653/community-resource-coordinator-ii/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Latham]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[12110]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate.</p><br><p><strong>Key Responsibilities:</strong> This is an in-office position with administrative/clerical responsibilities at the Latham-Albany Regional Office (31 British American Blvd Latham, NY 12110). Hours are M-F 8:30 am to 5:00 pm EST. This is a role on the fax team that is responsible for processing all faxes on the same day they are received to ensure that all service requests are routed to Utilization Management in a timely manner to ensure compliance.</p><br><ul><li>Provides support to members to connect them to known community and care resources in a cost- effective manner</li><li>Supports the coordination of community outreach resources available to members and promotes awareness of care/services</li><li>Serves as support for members on community and care resource inquiries and opportunities available to members</li><li>Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection</li><li>Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements</li><li>Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support</li><li>Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization</li><li>Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization</li><li>Conduct telephonic and/or in-person outreach to locate individuals and families in the community who are hard to reach</li><li>May make visits to individual homes and/or community organizations</li><li>Working Knowledge of Social Determinants of Health (SDOH) barriers</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED<br>Requires 1 – 2 years of related experience</p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 21 Sep 2026 14:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Contract Negotiator]]></title>
    <date><![CDATA[Sun, 20 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655900]]></requisitionid>
    <referencenumber><![CDATA[1655900]]></referencenumber>
    <apijobid><![CDATA[1655900]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655900/senior-contract-negotiator/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines.</p><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li><p>Negotiate SCAs rates within parameters and escalate issues as they arise. Create SCAs in with approved language and rates. Route and follow SCAs to ensure requests are processed through Share point system. Upon execution of SCA, notify all appropriate internal and external customers and post SCA in assigned folders.</p></li><li><p>Assist with various teams with par provider options and supply appropriate choices for the request. If par provider(s) are not available, redirect to alternative providers that may be cost effective. Notify management of providers who may be willing to contract for gaps or access to care concerns.</p></li><li><p>Prioritize work to ensure responses to urgent requests, imminent discharges/transfers and complaints. Redirection options should be timely to avoid unnecessary SCAs. </p></li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Healthcare Administration, Business Administration, Marketing, related field or equivalent experience. 4+ years of contracting or provider relations experience in a healthcare, managed care, or insurance related environment. Working knowledge of State and/or Federal health care programs preferred (Medicaid, Medicare).</p><p><strong>Candidates must be in Texas to be considered for this position. It is a remote role that might require occasional local travel.</strong></p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 21 Sep 2026 12:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Provider Data Management]]></title>
    <date><![CDATA[Sun, 20 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1645155]]></requisitionid>
    <referencenumber><![CDATA[1645155]]></referencenumber>
    <apijobid><![CDATA[1645155]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1645155/manager-provider-data-management/]]></url>
    <company><![CDATA[Meridian Illinois]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>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 future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></p><p><strong>Position Purpose:</strong> Within the Illinois Health Plan, the Provider Data Manager leads inventory, quality, production, and employee development while ensuring accountability, operational excellence, and a culture of trust. They partner across departments, drive process and system improvements, and leverage dashboards and data-driven insights to enhance efficiency, decision-making, and organizational outcomes. The Manager Provider Data Management is responsible for managing the activities that support all provider data management projects, policies and procedures, along with provider contract setup activities, key initiatives that relate to operational issues for provider data maintenance, key initiatives that support successful claims adjudication, directory accuracy as well as other operational projects that support internal departments. Works in conjunction with Credentialing for the set up and maintenance of all delegated entity arrangements. Responsible for overseeing the development of reports to support the strategic and operational requirements of the department.</p><ul><li><strong>Identifies and implements value-added programs and initiatives that support and enhance network contracting to achieve operational efficiency.</strong></li><li><strong>Acts as main contact for internal departments on projects that require changes to business applications (provider, contracts, and claims) on the system.</strong></li><li><strong>Meets with internal departments to identify project requirements and ensure satisfactory project completion.</strong></li><li><strong>Works with Information Systems Department on special projects.</strong></li><li>Supervises staff and directs and monitors the staff activity.</li></ul><ul><li>Conducts reviews, one on ones and provides monthly statistics to staff on their performance.</li></ul><ul><li>Ensures staff is meeting both quality and production scores.</li></ul><ul><li>Turnaround times for production standards should also be carefully monitored and reported.</li></ul><ul><li>Maintains detailed understanding and working knowledge of business applications specifically provider data management, provider reimbursement, and claims processing on the system.</li><li>Develops cost benefit analysis for projects to assist in prioritization and project justification.</li><li>Works with other internal departments in the development of such policies and procedures and updates such policies and procedures in manual and training as needed.</li><li>Heads meetings to discuss and communicate new business workflows and new policies and procedures.</li><li>Conducts training for both internal and external departments on provider data services policies and procedures.</li><li>Resolves issues within internal departments related to interpretation of contracts or policies.</li></ul><ul><li>Defines reporting and information initiatives with internal and external customers to support strategic and operational requirements.</li></ul><ul><li>Performs ad-hoc reporting as necessary to meet strategic and operational requirements.</li></ul><ul><li>Maintains provider data integrity guidelines for delegated credentialing vendors.</li></ul><ul><li>Prioritizes data analysis projects based on business needs.</li></ul><ul><li>Designs and develops workflows, protocols, and process models for use with standard and ad-hoc reports.</li></ul><ul><li>Maintains, tests, and revises current data analysis programs.</li></ul><ul><li>Manages input data from various internal and external sources.</li></ul><ul><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Preferred Skills:</strong></p><p>Strong history of leadership roles with direct reports.</p><p>Proficient in Microsoft Office Suite, especially Excel, Visio, and Word.</p><p>Good communication and meeting facilitation skills.</p><p>Knowledge and experience working with Portico, Amisys, Directory, and other provider-related systems.</p><p><strong>Required Education/Experience:</strong></p><p><strong>Bachelor’s degree required for this role</strong> in business administration, Health Care, or a related field.</p><p><strong>1-3 years</strong> management experience in a business setting required.</p><p><strong>Minimum (3) years' experience</strong> working in a health care setting, preferably with a background in provider relations, provider data services, information technology or claims operations. Experience developing new business processes and procedures.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 21 Sep 2026 15:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Provider Engagement Network Specialist]]></title>
    <date><![CDATA[Sun, 20 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655809]]></requisitionid>
    <referencenumber><![CDATA[1655809]]></referencenumber>
    <apijobid><![CDATA[1655809]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655809/senior-provider-engagement-network-specialist/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This position covers the state of NJ and requires the candidate to reside in that state. </p><br><p><strong>Position Purpose:</strong> Perform day to day duties of assuring that providers are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up. Provide support to external provider representatives to resolve provider data issues. Research and effectively respond to provider related issues.</p><br><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><br><ul><li>Act as the internal and external liaison for provider networking, maintaining positive working relationships with participating physicians, participating physician groups (PPG’s), multi-specialty groups, and/or ancillary providers within assigned area.</li><li>Act as account manager for assigned groups acting as gatekeeper for interactions with other internal departments.</li><li>Responsible for daily administration and operation of the contractual provider relationships, including overseeing accurate and current provider databases, providing training, education and information to providers.<br></li><li>Research, analyze and resolve complex problems dealing with contract loading, division of financial responsibility interpretation, contract rate and language interpretation, appeals, grievances and eligibility.<br></li><li>Serve as primary point of contact and liaison between assigned providers and the health plan.</li><li>Provide issue resolution support for most complex provider contracts by researching and partnering to resolve provider claims and data issues.</li><li>Act as department subject matter expert.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in healthcare related field or equivalent experience required. 5+ years of provider services experience required, including experience in a managed health care environment with exposure to provider contracting, servicing benefits interpretation, and internal operations of provider relations.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 21 Sep 2026 15:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Sun, 20 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651213]]></requisitionid>
    <referencenumber><![CDATA[1651213]]></referencenumber>
    <apijobid><![CDATA[1651213]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651213/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Fayetteville]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72701]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.<ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li> <li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li> <li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li> <li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li> <li>May support performing service assessments/screenings for members and documenting the member’s care needs</li> <li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li> <li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li> <li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li> <li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>This is a field-based role supporting members with developmental disabilities needs. Candidates should have strong experience working with the Developmental Disabilities (DD) population. Applicants must reside in or be able to support members throughout Washington and Benton counties in Arkansas. Additional travel may be required throughout Madison, Crawford, Franklin, and Sebastian counties.</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 21 Sep 2026 15:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II (Foster Care)]]></title>
    <date><![CDATA[Fri, 18 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660616]]></requisitionid>
    <referencenumber><![CDATA[1660616]]></referencenumber>
    <apijobid><![CDATA[1660616]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660616/care-coordinator-ii-foster-care/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong> Applicants for this position have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides telephonic support to Foster Care children. The work schedule is Monday – Friday, 8am – 5pm</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br></p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Sat, 19 Sep 2026 08:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Bengali, Spanish)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655796]]></requisitionid>
    <referencenumber><![CDATA[1655796]]></referencenumber>
    <apijobid><![CDATA[1655796]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655796/health-benefit-rep-bilingual-bengali-spanish/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Rego Park]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11374]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><strong>Key Details: </strong>Community field based travel position covering Queens County, NY. Educate prospects and members on New York State of Health coverage options, support new enrollments and renewals, and prioritize enrollment growth through trust and accountability. Bilingual – English/Spanish or Bengali Highly Preferred.</p><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP).</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers.</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers.</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level.</li><li>Assist consumers with submitting required documents via scan, fax, or mail.</li><li>Support existing members with renewals and recertifications.</li><li>Help consumers with premium payment submissions when required.</li><li>Provide culturally and linguistically appropriate assistance.</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options.</li><li>Participate in ACA forums, workshops, and community events as requested.</li><li>Maintain a daily tracking tool that entails detailed rep activity.</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM".</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter.</li><li>Must be in compliance with all conflict-of-interest standards and regulations.</li><li>Required to work evenings and weekends.</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Additional Experience/Skills</p><ul><li>Bilingual - English/Spanish or Bengali Highly Preferred</li><li>Bilingual - English/All second languages</li><li>Community Outreach</li><li>Front Facing</li><li>Field Sales</li><li>CAC Certification preferred</li><li>MS Office Suite</li><li>Salesforce</li><li>Public</li></ul><p>Work Schedule: Mon. - Fri. with occasional evenings and weekends</p><p><strong>Education/Experience:</strong></p><ul><li>Must have a High School Diploma or GED</li><li>2+ years of prior experience in managed care, sales, customer service or related experience preferred</li><li>Must have basic computer skills</li></ul><p><br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.<br> </p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Contracting & Network Development]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651357]]></requisitionid>
    <referencenumber><![CDATA[1651357]]></referencenumber>
    <apijobid><![CDATA[1651357]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651357/director-contracting-network-development/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Lead provider network strategy, development, contracting, and performance management <strong>across Missouri</strong>. Assess market and provider performance, identify network and cost improvement opportunities, develop market strategies, and lead complex negotiations with hospitals, health systems, physician groups, and providers.</p><p><strong>Key Details:</strong></p><p><strong>Applicants must reside in Missouri to be considered for this role </strong><strong>(or live close to Missouri border). This is a remote position with a home office in the St. Louis, MO area and</strong><strong> it </strong><strong>may require travel throughout Missouri </strong><strong>for internal and provider-facing meetings.</strong></p><p>Candidates must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship. Sponsorship is not available for this opportunity, including H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT or CPT.</p><ul><li>Own and execute provider network strategy across Missouri, assessing market needs, network performance, provider availability, and competitive dynamics to identify gaps and growth opportunities</li><li>Analyze provider, network and financial KPIs to identify performance, access and medical cost opportunities and develop actionable strategies to address them</li><li>Lead complex negotiations with hospitals, health systems, large physician groups and providers, including contract terms, reimbursement and redlines, while building strong provider relationships</li><li>Support new business launches and market expansions by considering market dynamics, provider needs, budget, and available resources</li><li>Lead, coach, and develop contracting and network teams, including hiring, performance management, coaching, and team development</li><li>Oversee staff and external consultants supporting provider contracting and network development for new and expansion markets</li><li>Monitor network and team performance, identify process and quality gaps, and implement solutions to improve results</li><li>Communicate market strategy, network performance and recommendations to internal leaders and provider-facing stakeholders</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Contracting & Network Development]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651357]]></requisitionid>
    <referencenumber><![CDATA[1651357A]]></referencenumber>
    <apijobid><![CDATA[1651357]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651357/director-contracting-network-development/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Clayton]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[63117]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Lead provider network strategy, development, contracting, and performance management <strong>across Missouri</strong>. Assess market and provider performance, identify network and cost improvement opportunities, develop market strategies, and lead complex negotiations with hospitals, health systems, physician groups, and providers.</p><p><strong>Key Details:</strong></p><p><strong>Applicants must reside in Missouri to be considered for this role </strong><strong>(or live close to Missouri border). This is a remote position with a home office in the St. Louis, MO area and</strong><strong> it </strong><strong>may require travel throughout Missouri </strong><strong>for internal and provider-facing meetings.</strong></p><p>Candidates must be authorized to work in the U.S. without the need for current or future employment-based visa sponsorship. Sponsorship is not available for this opportunity, including H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT or CPT.</p><ul><li>Own and execute provider network strategy across Missouri, assessing market needs, network performance, provider availability, and competitive dynamics to identify gaps and growth opportunities</li><li>Analyze provider, network and financial KPIs to identify performance, access and medical cost opportunities and develop actionable strategies to address them</li><li>Lead complex negotiations with hospitals, health systems, large physician groups and providers, including contract terms, reimbursement and redlines, while building strong provider relationships</li><li>Support new business launches and market expansions by considering market dynamics, provider needs, budget, and available resources</li><li>Lead, coach, and develop contracting and network teams, including hiring, performance management, coaching, and team development</li><li>Oversee staff and external consultants supporting provider contracting and network development for new and expansion markets</li><li>Monitor network and team performance, identify process and quality gaps, and implement solutions to improve results</li><li>Communicate market strategy, network performance and recommendations to internal leaders and provider-facing stakeholders</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in Business Administration, Health Care Administration, related field or equivalent experience. 7+ years of combined contracting, network development or provider relations experience. Previous experience in Medicaid/Medicare contracting and negotiating hospital, large physician groups and ancillary service agreements. Previous management experience including responsibilities for hiring, training, assigning work and managing the performance of staff. License/Certification: Valid driver's license.</p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 13:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Account Executive (Specialty Pharmacy)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1654909]]></requisitionid>
    <referencenumber><![CDATA[1654909]]></referencenumber>
    <apijobid><![CDATA[1654909]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1654909/account-executive-specialty-pharmacy/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Represent the company to all prospective and existing clients. Monitor client satisfaction and recommend changes to enhance satisfaction.</p><p><strong>Key Details:</strong> Due to travel requirements of the role, we are seeking candidates who live within an hour of Raleigh, North Carolina or Richmond, Virginia.</p><ul><li>Drive specialty pharmacy growth by building strong provider relationships, managing referral pipelines, and ensuring timely patient access to therapies. Collaborate cross-functionally with clinical, access, and manufacturer partners while delivering education, training, and market insights. Leverage data analysis, CRM tools, and territory development strategies to optimize performance and expand market presence.</li><li>Serve as the contact for client issues and inquiries and collaborate with various departments on resolutions ensuring clients needs are met.</li><li>Develop and maintain relationships with various levels of clients utilizing current network for additional accounts.</li><li>Monitor client satisfaction and recommend appropriate strategies, tactics, and operational initiatives to continuously enhance client satisfaction.</li><li>Negotiate account renewals, contract negotiations and intake referral processes.</li><li>Attend patient care conferences and professional in-services to ensure continuance of new products and strategies.</li><li>Maximize territory performance by prioritizing key accounts, managing referral flow, and executing daily schedules through CRM planning.</li><li>Strengthen provider relationships via in-person and virtual engagement, delivering education on specialty therapies and resolving access barriers.</li><li>Ensure patient access by coordinating with hubs, case managers, and payers to expedite prior authorizations, documentation, and onboarding.</li><li>Collaborate cross-functionally with pharmacists, access teams, and manufacturer partners to align strategies and deliver cohesive support.</li><li>Deliver education and training for provider offices, staff, and stakeholders, while staying current on therapeutic and payer landscape updates.</li><li>Leverage data and reporting to track referral trends, identify territory gaps, and provide actionable insights to leadership.</li><li>Drive growth initiatives by targeting new prescribers, infusion centers, and community opportunities that expand specialty footprint.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li><li>Ability to travel 30% including overnight.</li></ul><p><strong>Education/Experience: </strong>Bachelor’s degree in Business Administration, related field or equivalent experience.</p><p>Prior sales experience. Clinical patient support experience in physician’s office, hospital or pharmacy setting preferred. Knowledge of third party reimbursement, clinical patient support experience in physician’s office, hospital or pharmacy setting preferred.<br><br><strong>License/Certification:</strong> Current state’s driver license.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Account Executive (Specialty Pharmacy)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1654909]]></requisitionid>
    <referencenumber><![CDATA[1654909A]]></referencenumber>
    <apijobid><![CDATA[1654909]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1654909/account-executive-specialty-pharmacy/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Represent the company to all prospective and existing clients. Monitor client satisfaction and recommend changes to enhance satisfaction.</p><p><strong>Key Details:</strong> Due to travel requirements of the role, we are seeking candidates who live within an hour of Raleigh, North Carolina or Richmond, Virginia.</p><ul><li>Drive specialty pharmacy growth by building strong provider relationships, managing referral pipelines, and ensuring timely patient access to therapies. Collaborate cross-functionally with clinical, access, and manufacturer partners while delivering education, training, and market insights. Leverage data analysis, CRM tools, and territory development strategies to optimize performance and expand market presence.</li><li>Serve as the contact for client issues and inquiries and collaborate with various departments on resolutions ensuring clients needs are met.</li><li>Develop and maintain relationships with various levels of clients utilizing current network for additional accounts.</li><li>Monitor client satisfaction and recommend appropriate strategies, tactics, and operational initiatives to continuously enhance client satisfaction.</li><li>Negotiate account renewals, contract negotiations and intake referral processes.</li><li>Attend patient care conferences and professional in-services to ensure continuance of new products and strategies.</li><li>Maximize territory performance by prioritizing key accounts, managing referral flow, and executing daily schedules through CRM planning.</li><li>Strengthen provider relationships via in-person and virtual engagement, delivering education on specialty therapies and resolving access barriers.</li><li>Ensure patient access by coordinating with hubs, case managers, and payers to expedite prior authorizations, documentation, and onboarding.</li><li>Collaborate cross-functionally with pharmacists, access teams, and manufacturer partners to align strategies and deliver cohesive support.</li><li>Deliver education and training for provider offices, staff, and stakeholders, while staying current on therapeutic and payer landscape updates.</li><li>Leverage data and reporting to track referral trends, identify territory gaps, and provide actionable insights to leadership.</li><li>Drive growth initiatives by targeting new prescribers, infusion centers, and community opportunities that expand specialty footprint.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li><li>Ability to travel 30% including overnight.</li></ul><p><strong>Education/Experience: </strong>Bachelor’s degree in Business Administration, related field or equivalent experience.</p><p>Prior sales experience. Clinical patient support experience in physician’s office, hospital or pharmacy setting preferred. Knowledge of third party reimbursement, clinical patient support experience in physician’s office, hospital or pharmacy setting preferred.<br><br><strong>License/Certification:</strong> Current state’s driver license.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Actuarial Summer 2027 Intern (Undergraduate)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660519]]></requisitionid>
    <referencenumber><![CDATA[1660519]]></referencenumber>
    <apijobid><![CDATA[1660519]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660519/actuarial-summer-2027-intern-undergraduate/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business. </p><div>We are seeking curious, analytical, and detail-oriented students who are interested in using data to evaluate risk, support financial forecasting, and inform strategic business decisions. Through hands-on experience and collaboration with business leaders, interns will apply quantitative and problem-solving skills to real-world challenges while helping support Centene's mission of transforming the health of the communities we serve.</div><ul><li>Learn various job functions within the Managed Care industry and explore various career opportunities</li><li>Apply academic knowledge and learn new skills by contributing to various projects</li><li>Communicate project status and results to staff mentors and management</li><li>Attend training and development presentations to enhance professional competencies</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.</p><p><strong>The salary range is:</strong> $21.00 - $26.00 per hour</p><div><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></div><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Lubbock]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79424]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957A]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79601]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957B]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79602]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957C]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79603]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957D]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79604]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957E]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79605]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957F]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79606]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN - Pediatrics]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659957]]></requisitionid>
    <referencenumber><![CDATA[1659957G]]></referencenumber>
    <apijobid><![CDATA[1659957]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659957/senior-ltss-service-care-manager-rn-pediatrics/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Abilene]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[79607]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: This is a hybrid role, performing in-home assessments for the Abilene TX service delivery area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Operations (Arkansas Total Care)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658425]]></requisitionid>
    <referencenumber><![CDATA[1658425]]></referencenumber>
    <apijobid><![CDATA[1658425]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658425/vice-president-operations-arkansas-total-care/]]></url>
    <company><![CDATA[Arkansas Health & Wellness]]></company>
    <city><![CDATA[Little Rock]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[72223]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversee business operations, procurement opportunities, new product implementations and complex initiatives for business development utilizing cross-functional business units and corporate teams to meet business unit and corporate strategic objectives.</p><ul><li>Partner with multiple stakeholders and leadership to establish strategic visions, operational objectives, and policies and procedures ensuring compliance with state contracts, related laws, regulations and executive orders.</li><li>Monitor and report achievement of committed action plans to senior management.</li><li>Direct the development and implementation of operational work processes and systems with direct oversight for multiple departments within the business unit.</li><li>Accountable for budget, revenue targets, and Profit & Loss.</li><li>Lead and oversee new business implementation and procurement activities for all products and complex projects, including RFP responses.</li><li>Evaluate program opportunities and recommendations for effectiveness and ROI.</li><li>Perform duties as senior liaison between the business unit, corporate, and external stakeholders.</li><li>Oversee preliminary discovery, due diligence for potential liabilities, internal control weaknesses, and financial integrity.</li><li>Performs other duties as assigned.</li><li>Accountable for all operational issues for all LOBs in Market - Ambetter, Medicare, ARTC and QualChoice.</li><li>Accountability for regulatory operational responses to Arkansas DHS, Arkansas DOI and legislative oversight panels and committees.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required. Master's Degree preferred. 9+ years of operations, management, or administration in the Healthcare or Insurance industry experience required. Experience in business development and/or Request for Proposal (RFP) preferred. Extensive knowledge of state legislative and regulatory processes preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br>Preferred: Health Plan Operations Experience</p>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Finance and Accounting Summer 2027 Intern (Undergraduate)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660518]]></requisitionid>
    <referencenumber><![CDATA[1660518]]></referencenumber>
    <apijobid><![CDATA[1660518]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660518/finance-and-accounting-summer-2027-intern-undergraduate/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.<br> </p><div>We are seeking curious, collaborative, and analytical students who are interested in using financial insights to support business strategy and decision-making. Interns may contribute to projects across Finance, Accounting, Financial Planning & Analysis (FP&A), Internal Audit, Treasury, and Reporting. Through hands-on experience and exposure to business leaders, interns will develop analytical, technical and professional skills while supporting initiatives that drive financial performance, operational excellence, and informed business decisions across the organization.</div><ul><li><p>Learn various job functions within the Managed Care industry and explore various career opportunities</p></li><li><p>Apply academic knowledge and learn new skills by contributing to various projects</p></li><li><p>Attend training and development presentations to enhance professional competencies</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.<br><br><strong>Salary:</strong> $18 - 26.00/hr</p><div><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></div><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 08:00:13 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875A]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77449]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875B]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77450]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875C]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77493]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875D]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Katy]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77494]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875E]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Richmond]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77406]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875F]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Richmond]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77407]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875G]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Richmond]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77469]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875H]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Sugar Land]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77479]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655875]]></requisitionid>
    <referencenumber><![CDATA[1655875I]]></referencenumber>
    <apijobid><![CDATA[1655875]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655875/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Sugar Land]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77498]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details</strong>: We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Areas: near Katy, TX, Richmond, TX, Rosenberg, TX and Sugar Land, TX; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel to conduct member assessments is required</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing experience in Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing</p></li></ul><p><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul><p><strong>NOTE: The TEXAS Department of Family & Protective Services (DFPS) background check is required for this position</strong></p>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Corporate Functions Summer 2027 Intern (Undergraduate)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660521]]></requisitionid>
    <referencenumber><![CDATA[1660521]]></referencenumber>
    <apijobid><![CDATA[1660521]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660521/corporate-functions-summer-2027-intern-undergraduate/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>We are seeking curious, innovative, and motivated students who are eager to gain exposure to a wide range of corporate business functions that support Centene's mission and enterprise strategy. Interns may contribute to projects across Human Resources, Communications, Marketing, Learning & Development, Corporate Strategy, Compliance, Procurement, and other business support functions.</p><p><br><strong>Position Purpose:</strong> Learn about various processes and functions within the Managed Care industry and develop professionally by contributing to projects that support the business.</p><ul><li><p>Learn various job functions within the Managed Care industry and explore various career opportunities</p></li><li><p>Apply academic knowledge and learn new skills by contributing to various projects</p></li><li><p>Research various legal, regulatory, and other topics within functional area and industry</p></li><li><p>Attend training and development presentations to enhance professional competencies</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period.<br><br><strong>Salary: </strong>$18.00 - $26.00 /hr</p><div><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</strong></div><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Students & Grads]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager Transition of Care (RN)]]></title>
    <date><![CDATA[Thu, 17 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660337]]></requisitionid>
    <referencenumber><![CDATA[1660337]]></referencenumber>
    <apijobid><![CDATA[1660337]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660337/care-manager-transition-of-care-rn/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Completes medication review for pre-admission and post-discharge reconciliation. Works with the care management and coordination teams to identify transition support services.</p><p><strong>Key Details: </strong>Active California RN licensure is required. California residency is preferred. Candidates with experience in discharge planning, care coordination, and postpartum care are strongly preferred.</p><ul><li>Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities</li><li>Evaluates medication and performs reconciliation between pre-admit and post-discharge medications</li><li>Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs</li><li>Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions</li><li>Facilitates the transition into active care management based on member needs</li><li>Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care</li><li>Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>LISW, LCSW, LMSW, LMFT, LMHC, LPC, or <strong>RN required</strong></li><li><strong>Must be licensed in CA. </strong></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 10:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Claims Business Implementation]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655670]]></requisitionid>
    <referencenumber><![CDATA[1655670]]></referencenumber>
    <apijobid><![CDATA[1655670]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655670/director-claims-business-implementation/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose - </strong>Oversee the implementation of products/plans into Claims business units, ensuring alignment with strategies and goals and consistency in implementation processes, methodology, and models, which could include new markets, reprocurements or expansions, as well as regulatory and contract changes.</p><ul><li>Direct the creation and maintenance of standard models for the claims implementation approach.</li><li>Responsible for all Claims and Configuration Operations functions during implementation phase.</li><li>Provide strategic leadership and oversight of the claims business implementation processes; managing company adherence to standard implementation processes, including decision authority on Business Requirements Document (BRD) approvals in collaboration with Claims Process Owner.</li><li>Provide input into operating models; standard corporate functional and information system models, performance metrics, expected outcomes and plan impacts, as appropriate.</li><li>Direct claims business implementations to meet budget, timeline and scope requirements.</li><li>Provide input into the business planning process and develop timelines for New Health Plan Business Implementations.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in related field or equivalent experience. Master's degree preferred. 7+ years of project management experience, including detailed understanding and experience applying project management methodologies and tools. 5+ years of Government Programs Managed Care experience in multiple areas of Operations (Claims, Provider/Mbr Services/Medical Management/ Network, etc). Medicaid Managed Care experience preferred.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Program Specialist II]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660343]]></requisitionid>
    <referencenumber><![CDATA[1660343]]></referencenumber>
    <apijobid><![CDATA[1660343]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660343/program-specialist-ii/]]></url>
    <company><![CDATA[Arizona Complete Health]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Oversee implementation of assigned programs and lead the development of program initiatives to improve and monitor service delivery and outcomes for assigned populations.</p><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><p>Candidate must reside in the state of Arizona. It is highly preferred qualifications include experience working within the adult behavioral health system, along with a demonstrated background in provider engagement, stakeholder facilitation, and relationship management. Candidates should also be willing and able to travel as needed to support provider outreach, training, and collaboration activities.</p><ul><li>Develop and implement new programs, including project and work plans</li><li>Execute effectively program development efforts with provider and/or internal organizations</li><li>Propose new programs and strategies by research industry trends</li><li>Develop provider and/or internal training modules</li><li>Develop and track outcomes measures for specific populations</li><li>Analyze and interpret outcome data and present to management</li><li>Propose funding opportunities</li><li>Direct cross-departmental teams in the implementation of program development and improvement efforts</li><li>Develop innovative solutions for treatment issues related to a specific populations</li><li>Represent company in key community and State meetings related to specific populations</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Nursing or Master's degree in Healthcare related field<br>3+ years in Behavioral or Physical Health experience<br><br><strong>For AZ only:</strong> Masters Degree or higher required<br><br><strong>Licenses/Certifications:</strong><br>RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred or<br>LPC-Licensed Professional Counselor preferred or<br>LCSW- License Clinical Social Worker preferred or<br>LMAFT - Lic-Marriage & Family Therapy preferred or:<br>Rehabilitation Counselor Licensed Independent Substance Abuse Counselor (LISAC) preferred</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659079]]></requisitionid>
    <referencenumber><![CDATA[1659079]]></referencenumber>
    <apijobid><![CDATA[1659079]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659079/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details:</strong> Must be licensed in Louisiana or Georgia. BCBA with ABA treatment experience highly preferred.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659079]]></requisitionid>
    <referencenumber><![CDATA[1659079A]]></referencenumber>
    <apijobid><![CDATA[1659079]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659079/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details:</strong> Must be licensed in Louisiana or Georgia. BCBA with ABA treatment experience highly preferred.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655833]]></requisitionid>
    <referencenumber><![CDATA[1655833]]></referencenumber>
    <apijobid><![CDATA[1655833]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655833/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Managed Health Services Indiana]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Indiana (IN).</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 14:00:13 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Performance Specialist II]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1660104]]></requisitionid>
    <referencenumber><![CDATA[1660104]]></referencenumber>
    <apijobid><![CDATA[1660104]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1660104/provider-performance-specialist-ii/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Provide consultative support to providers to improve their performance on member outreach, utilization management, cost, quality and risk. Discuss, analyze and interpret performance reporting, member engagement data and other data resources to identify opportunities for improving member outcomes.</p><p><strong>Key Details:</strong> This is a field based position in the New York City area. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Interpret performance data, prioritizing insights and developing discussion and presentation documents, including year-to-date results, month-over-month performance, and member engagement results.</li></ul><ul><li>Facilitate provider discussions regarding quality, utilization, and cost or risk performance improvement opportunities, utilizing corporate tools and reporting.</li></ul><ul><li>Collaborate with health plan quality counterpart to ensure coordinated communication and goal alignment for provider discussions.</li></ul><ul><li>Develop proficiency in tools and value based performance (VBP) and educate providers on the use of tools and interpretation of data.</li></ul><ul><li>Present detailed HBR (Health Benefits Ratio) analysis and create reports for Joint Operating Committee meetings.</li></ul><ul><li>Performs other duties as assigned.</li></ul><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in related field or equivalent experience. 2+ years of combined managed healthcare and provider reimbursement experience. Claims processing and/or managed care experience preferred.<br><br><strong>For Fidelis Care NY Only:</strong> Valid state clinical license preferred (i.e.- LPN, RN, etc.)<br><br> </p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 10:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011A]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011B]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011C]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011D]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011E]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DC]]></city>
    <state><![CDATA[District of Columbia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011F]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011G]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011H]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011I]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011J]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ID]]></city>
    <state><![CDATA[Idaho]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011K]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011L]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011M]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011N]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011O]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011P]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011Q]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ME]]></city>
    <state><![CDATA[Maine]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011R]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011S]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011T]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011U]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011V]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MT]]></city>
    <state><![CDATA[Montana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011W]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011X]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ND]]></city>
    <state><![CDATA[North Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011Y]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011Z]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011[]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011\]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011]]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011^]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011_]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011`]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011a]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011b]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011c]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-RI]]></city>
    <state><![CDATA[Rhode Island]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011d]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011e]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SD]]></city>
    <state><![CDATA[South Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011f]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011g]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011h]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011i]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011j]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VT]]></city>
    <state><![CDATA[Vermont]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011k]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011l]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011m]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WV]]></city>
    <state><![CDATA[West Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst - Medicare]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658011]]></requisitionid>
    <referencenumber><![CDATA[1658011n]]></referencenumber>
    <apijobid><![CDATA[1658011]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658011/senior-actuarial-analyst-medicare/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WY]]></city>
    <state><![CDATA[Wyoming]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist in financial analysis, forecasting, pricing, and risk assessment activities that support Medicare Advantage financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires actuarial experience and progress toward an actuarial credential, meeting the Rule of 5 (combined years of actuarial experience and actuarial exams passed must equal at least 5). Highly preferred experience includes Medicare Advantage forecasting, financial performance, Medicare FFS medical costs, savings initiatives, and provider risk-sharing arrangements. Intermediate to advanced Excel skills and data analytics experience required; basic query/SQL knowledge required, and AI/Copilot experience is a plus.</p><p><strong>In this Sr. Actuarial Analyst role, you will:</strong></p><ul><li>Apply principles of mathematics, probability, statistics, finance, and business to analyze Medicare FFS claims, savings initiatives, and provider risk-sharing arrangements.</li><li>Develop and maintain quarterly forecasts for Medicare fee-for-service (FFS) medical costs, savings initiatives, and provider risk-sharing arrangements, identifying key trends, assumptions, and forecast variances.</li><li>Develop and run data reports to identify emerging trends and gaps.</li><li>Prepare financial and analytical exhibits and effectively communicate findings to technical and non-technical audiences.</li><li>Collaborate with internal business partners to support forecasting, reporting, and financial analysis needs.</li><li>Perform other duties as assigned.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor’s degree in related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong> Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator III]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658232]]></requisitionid>
    <referencenumber><![CDATA[1658232]]></referencenumber>
    <apijobid><![CDATA[1658232]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658232/care-coordinator-iii/]]></url>
    <company><![CDATA[Meridian Illinois]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits.</p><p><strong>Key Details: </strong></p><p>This role will support our IL Health Plan Medicaid YouthCare program members. This position is fully remote/work from home with 10% travel to local office for quarterly team meetings.</p><p>Position requires a Bachelor's degree in nursing, social sciences, social work or related human services/social services field.</p><p>Applicants must reside in one of these southern IL counties: Alexander, Bond, Clay, Clinton, Crawford, Edwards, Effingham, Fayette, Franklin, Gallatin, Hamilton, Hardin, Jackson, Jasper, Jefferson, Johnson, Lawrence, Madison, Marion, Massac, Monroe, Perry, Pope, Pulaski, Randolph, Richland, Saline, St. Clair, Union, Wabash, Washington, Wayne, Wayne City, White, Williamson.</p><p>The work schedule is Monday - Friday 8am to 5pm central time zone.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans</li><li>Develops in-depth knowledge of care management services including responding to some complex or escalated issues</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care</li><li>Performs service assessments/screening for members with some complex needs and documents the member’s care needs.</li><li>Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Works with care management team with triaging, adjusting, and escalating complex requests to management</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>May assist with training and development needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 2 - 4 years of related experience<br><br><strong>License/Certification:</strong></p><ul><li>For Illinois Youth Care plan only: Bachelor’s degree in nursing, social sciences, social work, or related field; One (1) year of supervised clinical experience in a human-services field. Must reside in IL</li></ul>Pay Range: $20.39 - $34.71 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804A]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Laredo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78040]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804B]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Laredo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78041]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804C]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Laredo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78042]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804D]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Laredo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78043]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804E]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Laredo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78045]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804F]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Laredo]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78046]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659804]]></requisitionid>
    <referencenumber><![CDATA[1659804G]]></referencenumber>
    <apijobid><![CDATA[1659804]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659804/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Zapata]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78076]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>This is a hybrid position that includes home visits with members and remote work from home. Experience in RN care coordination or case management with adult members (21 or older) in Home Health, Hospice, Long-Term Care, or Managed Care is preferred. Schedule: Monday–Friday, 8:00 AM–5:00 PM CST. No on-call duties, evenings, weekends, or holidays.</p><p><strong>Service Delivery Area: Laredo, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li><li>Travel is required for member visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelors of Nursing degree is preferred<br><br><strong>License/Certification:</strong></p><ul><li><p>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or NP - Nurse Practitioner - Current State's Nurse Licensure required</p></li><li><p>For Superior: Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 23 Sep 2026 03:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655906]]></requisitionid>
    <referencenumber><![CDATA[1655906]]></referencenumber>
    <apijobid><![CDATA[1655906]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655906/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Tennessee Health Plan]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Tennessee (TN). This role will support the</p><p>upper half of West Tennessee.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 28 Sep 2026 04:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874A]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Cypress]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77429]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874B]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Cypress]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77433]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874C]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Houston]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77065]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874D]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Houston]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77070]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874E]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Houston]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77084]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[RN, Senior LTSS Service Care Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655874]]></requisitionid>
    <referencenumber><![CDATA[1655874F]]></referencenumber>
    <apijobid><![CDATA[1655874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655874/rn-senior-ltss-service-care-manager/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Houston]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77095]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details: </strong>We are seeking an RN with a passion for care coordination and case management, particularly in supporting children and adolescents (ages 0–18) with complex, high-risk, or high-acuity needs. Experience in Home Health, Hospice, Long-Term Care, or Managed Care is highly valued. Standard Monday–Friday schedule from 8:00 AM–5:00 PM CST but will need to be flexible to accommodate our pediatric members school schedules, when needed.</p><p><strong>Service Delivery Area: Cypress, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Comply with all policies and standards</li><li>Travel is required for member assessment visits</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing and 4–6 years of related experience. Bachelor of Nursing degree is preferred</p><p><strong>Preferred Experience: </strong></p><ul><li><p>4 - 6 years of clinical nursing and/or RN case management or Service Coordination experience within Pediatric Acute Care, Pediatric Home Health, or Pediatric Private Duty Nursing settings.</p></li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655872]]></requisitionid>
    <referencenumber><![CDATA[1655872]]></referencenumber>
    <apijobid><![CDATA[1655872]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655872/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays.</p><p><strong>Service Delivery Area: Tyler, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li><li></li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655872]]></requisitionid>
    <referencenumber><![CDATA[1655872A]]></referencenumber>
    <apijobid><![CDATA[1655872]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655872/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Tyler]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75703]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assess and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details: </strong>This is a Hybrid position - In Person Member Engagement via home visits and work from home. An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required for the applicable state upon application submission. Work Schedule: Monday - Friday: 8:00 am - 5:00 pm (CST), NO On Call, Evenings, Weekends or Holidays.</p><p><strong>Service Delivery Area: Tyler, TX and the surrounding counties; Mileage reimbursement is provided for member assessment visits.</strong></p><ul><li>Evaluates the needs of the most complex and high-risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a master’s degree in Mental Health Counseling or Social Work and 2 – 4 years of related experience.</p><p><strong>License/Certification:</strong></p><ul><li>An unrestricted behavioral health professional license based on state contract requirements (e.g., LCSW, LMFT, LMHC, or LPC) is required and must be license in the applicable state</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>4+ years of case management experience, preferably within child welfare systems, adoption, foster care, Child Protective Services, pediatric acute care settings or in-patient treatment facilities, schools, or local or state MHA/BHAs for youth</li><li>Experience collaborating with medical and behavioral health providers and managing community resources for Foster Care Medicaid recipients.</li><li>Experience managing high volume caseloads</li><li>Field-based experience strongly preferred</li><li>Strong clinical documentation, problem-solving, communication, attention to detail, organizational, and time management skills required.</li><li>Ability to adapt to changing business needs with openness, flexibility, and professionalism.</li><li>Proficient technology skills and direct experience working within web-based applications and case management systems (i.e. TruCare, Microsoft Office Site – Outlook, M365 Copilot, Excel, PowerPoint, Word, OneNote, etc).</li><li>Must be able to work independently with minimal supervision.</li><li>Experience working in managed care environment is a PLUS (Federal and State Sponsored Govt Programs)</li><li>Bilingual English/Spanish skills are a plus but not required.</li><li></li></ul><p><strong>NOTE: For Superior Health Plan: Department of Family & Protective Services (DFPS) background check is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655905]]></requisitionid>
    <referencenumber><![CDATA[1655905]]></referencenumber>
    <apijobid><![CDATA[1655905]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655905/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Tennessee Health Plan]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Tennessee (TN). This role will support the</p><p>lower half of West Tennessee (Shelby county).</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 18:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659886]]></requisitionid>
    <referencenumber><![CDATA[1659886]]></referencenumber>
    <apijobid><![CDATA[1659886]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659886/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details: </strong>Must reside in PST, MST, or CST time zone.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659886]]></requisitionid>
    <referencenumber><![CDATA[1659886A]]></referencenumber>
    <apijobid><![CDATA[1659886]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659886/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details: </strong>Must reside in PST, MST, or CST time zone.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659886]]></requisitionid>
    <referencenumber><![CDATA[1659886B]]></referencenumber>
    <apijobid><![CDATA[1659886]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659886/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details: </strong>Must reside in PST, MST, or CST time zone.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - ABA]]></title>
    <date><![CDATA[Wed, 16 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659886]]></requisitionid>
    <referencenumber><![CDATA[1659886C]]></referencenumber>
    <apijobid><![CDATA[1659886]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659886/utilization-review-clinician-aba/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs reviews of member's care and health status of Applied Behavioral Analysis (ABA) services provided to determine medical appropriateness. Monitors clinical effectiveness and efficiency of member's care in accordance with ABA guidelines.</p><p><strong>Key Details: </strong>Must reside in PST, MST, or CST time zone.</p><ul><li>Evaluates member’s care and health status before, during, and after provision of Applied Behavioral Analysis (ABA) services to ensure level of care and services are medically appropriate related to behavioral health (BH) and/or autism spectrum disorder needs and clinical standards</li><li>Performs prior authorization reviews related to BH to determine medical appropriateness in accordance with ABA regulatory guidelines and criteria</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services provided to members receiving Applied Behavior Analysis Services</li><li>Provides education to members and their families regrading ABA and BH utilization process</li><li>Provides feedback to leadership on opportunities to improve care services through process improvement and the development of new processes and/or policies</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related experience.<br>For Enterprise Population Health 2+ years providing ABA services as a BCBA<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state (BCBA) required.<br>Master’s degree for behavioral health clinicians required.<br>Behavioral health clinical knowledge and ability to review and/or assess ABA Treatment Plans required.<br>Knowledge of ABA services and BH utilization review process required.<br>Experience working with providers and healthcare teams to review care services related to Applied Behavior Analysis Services preferred.<br><br><strong>License/Certification:</strong><br><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>Board Certified Behavior Analyst (BCBA) required</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure RN - Registered Nurse- State Licensure and/or Compact State Licensure with BCBA required or</li><li>Independent licensure with ABA experience and BCBA preferred. preferred</li><li>Licensed Behavior Analyst (LBA) where required by state required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 17 Sep 2026 16:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Utilization Review Clinician - Behavioral Health]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659874]]></requisitionid>
    <referencenumber><![CDATA[1659874]]></referencenumber>
    <apijobid><![CDATA[1659874]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659874/utilization-review-clinician-behavioral-health/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.</p><p><strong>Key Details: </strong>This position requires candidates to reside in Louisiana and hold an active, unrestricted Louisiana license. The schedule is either Sunday through Thursday or Tuesday through Saturday, working 8:00 AM to 5:00 PM CST. Candidates must be able to consistently work one of these designated schedules.</p><ul><li>Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate</li><li>Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria</li><li>Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning</li><li>Analyzes BH member data to improve quality and appropriate utilization of services</li><li>Provides education to providers members and their families regrading BH utilization process</li><li>Interacts with BH healthcare providers as appropriate to discuss level of care and/or services</li><li>Engages with medical directors and leadership to improve the quality and efficiency of care</li><li>Formulates and presents cases in staffing and integrated rounds</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.<br><br><br><br>License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.<br>Master’s degree for behavioral health clinicians required.<br>Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.<br>Knowledge of mental health and substance abuse utilization review process preferred.<br>Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.<br><br><strong>License/Certification:</strong></p><ul><li>LCSW- License Clinical Social Worker required or</li><li>LMHC-Licensed Mental Health Counselor required or</li><li>LPC-Licensed Professional Counselor required or</li><li>Licensed Marital and Family Therapist (LMFT) required or</li><li>Licensed Mental Health Professional (LMHP) required or</li><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 17:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Program Strategist II]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655859]]></requisitionid>
    <referencenumber><![CDATA[1655859]]></referencenumber>
    <apijobid><![CDATA[1655859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655859/quality-program-strategist-ii/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Identify market trends and oversee functions of quality improvement programs for HEDIS, CAHPS, and/or HOS strategy and related quality improvement activities. Assists stakeholders to determine their business issues and recommend solutions to drive business value. Analyze stakeholder business issues, formulate hypotheses and test conclusions to determine appropriate solutions.</p><p><strong>Key Details: </strong>Must reside in the state of Florida. Must have experience with multiple lines of business. Five Why's and/or Fishbone experience.</p><ul><li>Conduct evaluations to assist with HEDIS gap closure, CAHPS and/or HOS performance and assess for potential pilot programs and/or process improvements to achieve sustainable quality performance goals.</li></ul><ul><li>The assessment includes an end-to-end evaluation of the measure technical specification, performance trends, stakeholders, industry/research literature, organizational initiatives, associated policy and procedures, resources/tools.</li></ul><ul><li>Leverage data analysis to derive actionable insights and strategic recommendations for performance improvements.</li></ul><ul><li>Collaborate and provide support to markets & key business stakeholders to drive continued measure performance.</li></ul><ul><li>Develop HEDIS, CAHPS, and/or HOS support resources and tools to foster gap closure & improve experience for members and providers.</li></ul><ul><li>Conduct ongoing assessment to determine health plan needs, collaborating with cross-functional teams to ensure successful end to end execution of strategic initiatives.</li></ul><ul><li>Monitor and ensure compliance related to state reporting, HHS and HPMS memos for quality ratings.</li></ul><ul><li>Establish quality check policy/procedures for all member and provider communications to ensure accuracy of information, data, and alignment with Centene business goals.</li></ul><ul><li>Establish QPS policies, procedures, and quality checks for all reoccurring departmental programs/activities, to ensure precision execution and accuracy.</li></ul><ul><li>Create, maintain and facilitate training for Quality Improvement Health Plan staff as applicable to assigned responsibility.</li><li>Performs other duties as assigned</li></ul><ul><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in Nursing, Public Health, related field, or equivalent experience. Master’s degree preferred. 4+ years of clinical experience, managed care or health insurance experience required; 2+ years of quality experience preferred.<br><br><strong>License/Certification:</strong> Registered Nurse (RN), Licensed Practical Nurse, Licensed Vocational Nurse or Licensed Clinical Social Worker (LCSW), preferred; CPHQ preferredPay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 10:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (Behavioral Health)]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659613]]></requisitionid>
    <referencenumber><![CDATA[1659613]]></referencenumber>
    <apijobid><![CDATA[1659613]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659613/care-manager-behavioral-health/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><strong>Key Details: </strong>California Licensed Master's Behavioral Health Professional required. California residency preferred; must work PST hours.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li><li><strong>Must be licensed in California.</strong></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659334]]></requisitionid>
    <referencenumber><![CDATA[1659334]]></referencenumber>
    <apijobid><![CDATA[1659334]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659334/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Arizona Complete Health]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key Details: </strong>For this role, the candidate must live in Mohave County</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 18:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager (Northeast PA)]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655843]]></requisitionid>
    <referencenumber><![CDATA[1655843]]></referencenumber>
    <apijobid><![CDATA[1655843]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655843/provider-engagement-account-manager-northeast-pa/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This person will cover Northeast PA; Lackawana County, Luzerne County, Lycoming County, Monroe County, Columbia County, Schuylkill County, and Northumberland County</p><p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Transition Specialist (LVN/LPN)]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659809]]></requisitionid>
    <referencenumber><![CDATA[1659809]]></referencenumber>
    <apijobid><![CDATA[1659809]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659809/transition-specialist-lvnlpn/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Provides support with identifying, overseeing, and managing the coordination of transition of members in the community. Works with leadership to ensure the timely and safe transition of members in the community from various levels of health care services including coordinating care plans with community care coordinators, educating transition enrollees about services, requirements, limitations, and/or exclusions of services as a result of the transition. May perform and/or assist with member assessment/screenings; may develop and/or assist with developing member transition plan or service plan/care plan.</p><p><strong>Key Details:</strong> Candidates must hold a current California LVN/LPN license and be available to work PST hours. Experience with charting, case management, discharge planning, and telephonic care coordination is preferred.</p><ul><li>Supports care coordination team, providers, and/or other health care team members to develop an effective transition plan for members in the community and/or into adulthood and adult services/providers, as appropriate</li><li>Assists with the transition for members in the community based on enrollment or transition of care for services identified</li><li>Works with care coordination and care management team to identify new member enrollees requiring transition services</li><li>Ensures existing authorizations are honored during the transition process and works with care management team and providers to address any issues</li><li>Acts as an available resource for members and their families and/or caregivers to educate on services, requirements, limitations, and/or exclusions of services as a result of transition planning</li><li>May track and maintains transition metrics including new member assessments, volume of members transitioning into or out of care to identify trends and process improvements, and ensures all transition of care information is appropriately documented</li><li>Supports with efforts to draft education materials and resources for members on requirements, limitations, or exclusions of services for transition of care</li><li>Assists with developing education and training programs for care coordination staff and providers to improve transition services for members</li><li>May evaluate the needs of the member, the resources available, and recommends and facilitates the plan for the best outcome</li><li>May coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure members are being effectively treated</li><li>Interacts with healthcare providers as appropriate to facilitate member care coordination needs</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 2 – 4 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong></p><ul><li><strong>For Health Net of California LVN/LPN State Licensure required required</strong></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659078]]></requisitionid>
    <referencenumber><![CDATA[1659078]]></referencenumber>
    <apijobid><![CDATA[1659078]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659078/care-coordinator-ii/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong>Candidates must reside in or near El Centro, California, as this hybrid role requires a combination of remote work and local travel.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><strong>Location: Must live in/around El Centro, California</strong></p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659615]]></requisitionid>
    <referencenumber><![CDATA[1659615]]></referencenumber>
    <apijobid><![CDATA[1659615]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659615/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Florida, preferably in Orange county, around North Osceola or South Seminole.​ This role will support Orange County providers.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659615]]></requisitionid>
    <referencenumber><![CDATA[1659615A]]></referencenumber>
    <apijobid><![CDATA[1659615]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659615/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Kissimmee]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[34741]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Florida, preferably in Orange county, around North Osceola or South Seminole.​ This role will support Orange County providers.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659615]]></requisitionid>
    <referencenumber><![CDATA[1659615B]]></referencenumber>
    <apijobid><![CDATA[1659615]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659615/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Orlando]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[32808]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Florida, preferably in Orange county, around North Osceola or South Seminole.​ This role will support Orange County providers.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Engagement Account Manager]]></title>
    <date><![CDATA[Tue, 15 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659615]]></requisitionid>
    <referencenumber><![CDATA[1659615C]]></referencenumber>
    <apijobid><![CDATA[1659615]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659615/provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Winter Springs]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[32708]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.</p><p><strong>Key details</strong>: Candidates must live in Florida, preferably in Orange county, around North Osceola or South Seminole.​ This role will support Orange County providers.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan</li><li>Triages provider issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Initiate data entry of provider-related demographic information changes</li><li>Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Completes special projects as assigned</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience.<br>Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Provider Engagement Account Manager]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659223]]></requisitionid>
    <referencenumber><![CDATA[1659223]]></referencenumber>
    <apijobid><![CDATA[1659223]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659223/senior-provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic implementation of new initiatives for performance improvement.</p><p><strong>Key details</strong>: Candidates must live in Florida within Miami Dade county.​ This role will support Miami and surrounding areas.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan ensuring a coordinated effort in improving financial and quality performance</li><li>Identify and deliver solutions to providers concerns and issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Engage with and educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC)</li><li>Develop proficiency in tools and value based performance (VBP) and educate providers on use of tools and interpretation of data</li><li>Coaches new and less experienced External Reps</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in related field or equivalent experience.<br>Three or more years of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Strong communication and presentation skills<br>Proficient in HEDIS/Quality measures, cost and utilization.<br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 14:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Provider Engagement Account Manager]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659223]]></requisitionid>
    <referencenumber><![CDATA[1659223A]]></referencenumber>
    <apijobid><![CDATA[1659223]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659223/senior-provider-engagement-account-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Miami]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[33157]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in the development of network management strategies. Assists in the strategic implementation of new initiatives for performance improvement.</p><p><strong>Key details</strong>: Candidates must live in Florida within Miami Dade county.​ This role will support Miami and surrounding areas.</p><ul><li>Serve as primary contact for providers and act as a liaison between the providers and the health plan ensuring a coordinated effort in improving financial and quality performance</li><li>Identify and deliver solutions to providers concerns and issues as needed for resolution to internal partners</li><li>Receive and effectively respond to external provider related issues</li><li>Investigate, resolve and communicate provider claim issues and changes</li><li>Engage with and educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics</li><li>Perform provider orientations and ongoing provider education, including writing and updating orientation materials</li><li>Manages Network performance for assigned territory through a consultative/account management approach</li><li>Evaluates provider performance and develops strategic plan to improve performance</li><li>Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.</li><li>Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC)</li><li>Develop proficiency in tools and value based performance (VBP) and educate providers on use of tools and interpretation of data</li><li>Coaches new and less experienced External Reps</li><li>Ability to travel locally 4 days a week</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in related field or equivalent experience.<br>Three or more years of managed care or medical group experience, provider relations, quality improvement, claims, contracting, utilization management, or clinical operations.<br>Project management experience at a medical group, IPA, or health plan setting.<br>Strong communication and presentation skills<br>Proficient in HEDIS/Quality measures, cost and utilization.<br> </p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 14:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Arabic, Urdu, Hindi, Spanish)]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655795]]></requisitionid>
    <referencenumber><![CDATA[1655795]]></referencenumber>
    <apijobid><![CDATA[1655795]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655795/health-benefit-rep-bilingual-arabic-urdu-hindi-spanish/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Bronx]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[10459]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><strong>Key Details: </strong>Community field based travel position covering Bronx County, NY (Bronx, Manhattan, and Queens). Assist members in signing up for coverage via NYSOH and enter data into Salesforce. Bilingual - English/Arabic, Urdu, Hindi, or Spanish.</p><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP).</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers.</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers.</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level.</li><li>Assist consumers with submitting required documents via scan, fax, or mail.</li><li>Support existing members with renewals and recertifications.</li><li>Help consumers with premium payment submissions when required.</li><li>Provide culturally and linguistically appropriate assistance.</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options.</li><li>Participate in ACA forums, workshops, and community events as requested.</li><li>Maintain a daily tracking tool that entails detailed rep activity.</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM".</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter.</li><li>Must be in compliance with all conflict-of-interest standards and regulations.</li><li>Required to work evenings and weekends.</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Additional Experience/Skills</p><ul><li>Highly Preferred - Bilingual – English/Arabic</li><li>Bilingual - English/Urdu, Hindi, Spanish</li><li>Customer Service</li><li>Healthcare</li><li>Enrollment Counselor/Health Navigator</li><li>Community Outreach</li><li>Sales (Front Facing or Field Sales)</li><li>Public Speaking</li><li>Comfortable with field-based travel requirements supporting Bronx County, NY (Bronx, Manhattan, and Queens)</li></ul><p>Work Schedule: Mon. - Fri. with occasional evenings and weekends</p><p><strong>Education/Experience:</strong></p><ul><li>Must have a High School Diploma or GED</li><li>2+ years of prior experience in managed care, sales, customer service or related experience preferred</li><li>Must have basic computer skills</li></ul><p><br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Arabic, Hindi, Urdu)]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655797]]></requisitionid>
    <referencenumber><![CDATA[1655797]]></referencenumber>
    <apijobid><![CDATA[1655797]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655797/health-benefit-rep-bilingual-arabic-hindi-urdu/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Brooklyn]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11214]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><strong>Key Details: </strong>Field-based community role covering Kings County, NY, focused on helping members enroll in health coverage through NY State of Health, entering information in Salesforce, and supporting field marketing, applications, and enrollment activities. Bilingual - English/Arabic, Hindi, or Urdu</p><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP).</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers.</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers.</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level.</li><li>Assist consumers with submitting required documents via scan, fax, or mail.</li><li>Support existing members with renewals and recertifications.</li><li>Help consumers with premium payment submissions when required.</li><li>Provide culturally and linguistically appropriate assistance.</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options.</li><li>Participate in ACA forums, workshops, and community events as requested.</li><li>Maintain a daily tracking tool that entails detailed rep activity.</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM".</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter.</li><li>Must be in compliance with all conflict-of-interest standards and regulations.</li><li>Required to work evenings and weekends.</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Additional Experience & Skills</p><ul><li>Highly preferred Bilingual – English/Arabic or Hindi or Urdu</li><li>Salesforce nice to have</li><li>Customer Service</li><li>Healthcare</li><li>Enrollment Counselor/Health Navigator</li><li>Community Outreach</li><li>Public Speaking</li><li>Sales, Front Facing, or Field Sales</li><li>Comfortable with field-based travel requirements supporting Kings County, NY</li><li>Occasional evenings and weekends</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Must have a High School Diploma or GED</li><li>2+ years of prior experience in managed care, sales, customer service or related experience preferred</li><li>Must have basic computer skills</li></ul><p><br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659017]]></requisitionid>
    <referencenumber><![CDATA[1659017]]></referencenumber>
    <apijobid><![CDATA[1659017]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659017/care-manager-rn/]]></url>
    <company><![CDATA[Magnolia Health Plan]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details</strong>: Must possess an active Registered Nurse (RN) license in the state of Mississippi and reside within Mississippi. Candidates with assessment and case management experience are preferred.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><p><strong>Must live and be licensed in Mississippi. </strong></p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 11:00:15 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Behavioral Health Medical Director]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1654618]]></requisitionid>
    <referencenumber><![CDATA[1654618]]></referencenumber>
    <apijobid><![CDATA[1654618]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1654618/behavioral-health-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><p><strong>Key Details: </strong>Must be a Board Certified Psychiatrist and licensed in California, Oregon, Washington or Nevada. Highly preferred the candidate lives in the Pacific Time Zone.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br><strong>For Behavioral Health only </strong>- Board certification by the American Board of Psychiatry and Neurology. Current state medical license without restrictions.</p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 14:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649686]]></requisitionid>
    <referencenumber><![CDATA[1649686]]></referencenumber>
    <apijobid><![CDATA[1649686]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649686/quality-practice-advisor/]]></url>
    <company><![CDATA[Managed Health Services Indiana]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><p><strong>Key details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><p>Must have reliable transportation, valid drivers' license and insurance. <strong>Must be local to the Indianapolis, IN area </strong>and willing to travel up to 75% of the time.</p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent required. 3+ years in HEDIS record collection and risk adjustment (coding) required.<br><br><strong>Licenses/Certifications: </strong>One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS.<br><br><strong>For Managed Health Services - IN -- No license/certification is required.</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Trauma & Evidence Based Interventions - Foster Care]]></title>
    <date><![CDATA[Mon, 14 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1659287]]></requisitionid>
    <referencenumber><![CDATA[1659287]]></referencenumber>
    <apijobid><![CDATA[1659287]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1659287/director-trauma-evidence-based-interventions-foster-care/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>Provide national expertise to assist with the expansion of the business unit's position nationally, as a thought leader, regarding the foster care population, treatment, and service needs. Assist with the shaping of evidence based practices within the foster care provider network, stakeholder system and internal operations.</p><p><strong>Key Details: </strong>Must be certified trainer for TF-CBT ( Trauma Focused Cognitive Behavioral Therapy). 20%-25% travel for in-person trainings. </p><p>Participate at the national level in evidence based practice activities, to include committees, trainings and speaking engagements</p><p>•Maintain recognition of national expertise through continued involvement in cutting edge topics to include a focus on integrating Cenpatico at this national level as a thought leader</p><p>•Provide TF-CBT training and other evidence based training’s to foster care clinicians nationally</p><p>•Maintain involvement with the developers of evidence based practice, seeking certifications to train in newly developed clinical methodologies Develop learning collaborative type opportunities for foster care clinicians that participate in TF-CBT</p><p>•Establish, as appropriate, consultation opportunities for foster care clinicians</p><p>•Lead workgroups in the establishment of a Mental Health Assessment Toolkit specifically for the foster care population that includes, but is not limited to PTSD, sexual abuse and trauma</p><p>•Outreach to and develop relationships with potential stakeholders in new and existing markets</p><p>•Ability to travel</p><p>Education/Experience:<br>Master’s degree in related field. 10+ years providing direct clinical interventions to youth in foster care. Experience with Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Learning Collaborative. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. </p><p>License/Certification: Current licensure as an LPC, LCSW, or equivalent independently licensed behavioral health clinician, as recognized by applicable state regulations. Current or former member of the National Child Trauma Stress Network (NCTSN) preferred. Certification by developers of TF-CBT to train TF-CBT required.</p><p>Pay Range: $118,400.00 - $219,000.00 per year</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 15 Sep 2026 16:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director,  Healthcare Transformation & Health Equity]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652693]]></requisitionid>
    <referencenumber><![CDATA[1652693]]></referencenumber>
    <apijobid><![CDATA[1652693]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652693/senior-director-healthcare-transformation-health-equity/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> This position will be accountable for the performance of a portfolio of Medical Management initiatives and the implementation of the Health Equity Cultural Competency Program.</p><p><strong>Key Details</strong>: <em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></p><p>***This candidate must reside in the state of California.***</p><ul><li>Accountable for the performance of a portfolio of initiatives aimed at creating value/ savings in areas of medical management. Responsible for the overall planning, management, and effective implementation and support of initiatives to create value across clinical operations areas such as care management, utilization management, outreach programs, and other services related to both physical and behavioral health.</li><li>Evaluates specialty companies/ vendors, defines business terms during the contracting process, and partners with specialty companies, Corporate departments / resources, and other health plan departments to lead the implementation of new medical management programs with these vendors.</li><li>Oversees/ directly manages a team responsible for project management, performance improvement, and clinical analytics</li><li>Collaborate with all internal and external stakeholders in identifying, developing, and implementing innovative programs and initiatives to improve outcomes.</li><li>Promotes an environment of cultural competence throughout the health plan through identification and implementation of culturally-inclusive best practices and innovations, such as the development of provider trainings to improve cultural awareness and competency within the provider network.</li><li>Partners with community, regional and statewide organizations and stakeholders to identify opportunities to collaborate to improve delivery of culturally competent programs and services.</li><li>Assesses cultural diversity of the provider network to identify resources and gaps, including needs analysis for non-traditional providers (traditional healers, religious and spiritual resources, natural support systems, etc.) and develops recommendations for credentialing and network development activities. Monitors and evaluates provider practices through KPIs within health equity dashboards to assess and improve the cultural competence of delivered services by addressing care gaps and aligning interventions to resolve.</li><li>Responsible for implementation of population specific activities (such as training, awareness through the media, and partnering with various external equity stakeholders), including cultural treatment teams and other cultural community support system activities. Identify trends in specific populations and recommend interventions. Identifies population health disparities and creates outreach, community activities, and innovative programming to engage in services.</li><li>Creates and implements a comprehensive, outcomes-based Cultural Competency Plan that is aligned with CLAS standards and national and regional priorities/initiatives. The plan also incorporates data-driven assessments of culturally competent performance, and defines a strategy for the continual provision, monitoring and improvement of culturally competent performance.</li></ul><strong>Education/Experience:</strong> Bachelor’s Degree required, Master’s Degree preferred with 10+ years of related experience. 3+ years of supervisory/management experience.Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 17:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655780]]></requisitionid>
    <referencenumber><![CDATA[1655780]]></referencenumber>
    <apijobid><![CDATA[1655780]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655780/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Monroe]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[10950]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><div><div><div><div><div><div><div><div><div><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>100% field based position working within Orange county, New York. Fluency in Spanish highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul></div></div></div></div></div></div></div></div></div><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.<br><br><br><br> </p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 13:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655780]]></requisitionid>
    <referencenumber><![CDATA[1655780A]]></referencenumber>
    <apijobid><![CDATA[1655780]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655780/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Newburgh]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[12550]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><div><div><div><div><div><div><div><div><div><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>100% field based position working within Orange county, New York. Fluency in Spanish highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul></div></div></div></div></div></div></div></div></div><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.<br><br><br><br> </p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 13:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Claims Workforce Management]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658693]]></requisitionid>
    <referencenumber><![CDATA[1658693]]></referencenumber>
    <apijobid><![CDATA[1658693]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658693/senior-director-claims-workforce-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Defines the strategy for the building and automation of recurring capacity and scenario planning models to support service, quality, and efficiency standards. Influences senior leadership on strategic plans to meet short-term and long-term business objectives. This is a strategic workforce management leadership role supporting a large-scale claims operation.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><p>Applicants for this job have the flexibility to work remote from home anywhere in the United States.</p><p>Experience developing workforce capacity and staffing plans within a claims operation is highly preferred.</p><ul><li>Plans and directs workforce management policies, objectives, operations, and initiatives</li><li>Defines the overall vision for workforce management within the contact center to ensure achievable goals and milestones are set</li><li>Prioritizes initiatives and opportunities consistent with mission and strategic direction of the organization to lead the workforce management team</li><li>Analyzes operations and influences key performance criteria to influence staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for contact center</li><li>Develops and directs the inter-departmental partnerships to collaborate and maintain effective operations within the workforce management department of the contact center</li><li>Oversees efforts in development of workforce management budget and hiring strategies with business stakeholders to ensure they are in line with the operational and business goals</li><li>Establishes operational targets, best practices, and training programs to support the contact center and drive quality and efficiency standards</li><li>Oversees the strategic initiatives related to onboarding, hiring, recent promotes, transfers and performance and/or reward decisions within workforce management function to support future growth and strategy</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 10+ years of related experience, including prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 5+ years management experience preferred.</p>Pay Range: $146,000.00 - $269,600.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Customer Care]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Claims Workforce Management]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658693]]></requisitionid>
    <referencenumber><![CDATA[1658693A]]></referencenumber>
    <apijobid><![CDATA[1658693]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658693/senior-director-claims-workforce-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Defines the strategy for the building and automation of recurring capacity and scenario planning models to support service, quality, and efficiency standards. Influences senior leadership on strategic plans to meet short-term and long-term business objectives. This is a strategic workforce management leadership role supporting a large-scale claims operation.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><p>Applicants for this job have the flexibility to work remote from home anywhere in the United States.</p><p>Experience developing workforce capacity and staffing plans within a claims operation is highly preferred.</p><ul><li>Plans and directs workforce management policies, objectives, operations, and initiatives</li><li>Defines the overall vision for workforce management within the contact center to ensure achievable goals and milestones are set</li><li>Prioritizes initiatives and opportunities consistent with mission and strategic direction of the organization to lead the workforce management team</li><li>Analyzes operations and influences key performance criteria to influence staffing model strategies based on trends and forecasted results to create the most effective and efficient support models for contact center</li><li>Develops and directs the inter-departmental partnerships to collaborate and maintain effective operations within the workforce management department of the contact center</li><li>Oversees efforts in development of workforce management budget and hiring strategies with business stakeholders to ensure they are in line with the operational and business goals</li><li>Establishes operational targets, best practices, and training programs to support the contact center and drive quality and efficiency standards</li><li>Oversees the strategic initiatives related to onboarding, hiring, recent promotes, transfers and performance and/or reward decisions within workforce management function to support future growth and strategy</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 10+ years of related experience, including prior management experience or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. 5+ years management experience preferred.</p>Pay Range: $146,000.00 - $269,600.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Customer Care]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Quality Improvement, HEDIS Audit]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649737]]></requisitionid>
    <referencenumber><![CDATA[1649737]]></referencenumber>
    <apijobid><![CDATA[1649737]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649737/manager-quality-improvement-hedis-audit/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>Applicants for this job have the flexibility to work remote from home anywhere in the United States.</p><p>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT. </p><p><strong>Position Purpose:</strong> Oversee and manage the functions of the quality improvement program, specifically leading the state HEDIS audit and regulatory submission portfolio within the Quality Audit & Submission team. Providing support to staff and communicate with departments and staff to facilitate daily quality improvement functions.</p><ul><li>Serve as key escalation point for Health Plans, auditors, and internal partners.</li><li>Oversee state HEDIS and regulatory reporting programs and state-specific audit requirements.</li><li>Review and analyze reports, records and directives.</li><li>Confer with staff to obtain data such as new projects, status of work in progress, and problems encountered, required for planning work function activities. Verify data to be submitted in accordance with government program requirements and ensure compliance with state, federal and certification requirements.</li><li>Prepare reports and records on work function activities for management.</li><li>Oversee the review and analysis of reports.</li><li>Evaluate current procedures and practices for accomplishing the assigned work functions objectives to develop and implement improved procedures and practices and to ensure compliance with required standards.</li><li>Collaborate with appropriate departments to document, investigate and resolve formal or informal complaints and appeals in accordance with Company and State policies, procedures and requirements.</li><li>Monitor and analyze costs and participate in the preparation of the budget.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 3+ years clinical, quality management or healthcare related experience and 1 year of recent quality improvement and supervisory experience in a healthcare environment, preferably managed care. Strong knowledge of HEDIS, NCQA requirements, Medicaid quality reporting, and healthcare regulatory submissions strongly preferred. Experience leading complex audit or regulatory programs with multiple concurrent deadlines highly preferred.<br><br><strong>License/Certification:</strong> Certain states may require a formal certification in quality improvement, risk management, or another parallel field.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Network Strategy and Management Solutions]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653834]]></requisitionid>
    <referencenumber><![CDATA[1653834]]></referencenumber>
    <apijobid><![CDATA[1653834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653834/vp-network-strategy-and-management-solutions/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.</p><ul><li>Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.</li><li>Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.</li><li>Develop and implement network development strategy plans with key providers in multiple markets.</li><li>Oversee the development of provider networks across expansion markets.</li><li>Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.</li><li>Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.</li><li>Assist and advise on key provider relations and strategies.</li><li>Evaluating opportunities to expand or change the network to meet company goals.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.<br>MBA preferred.<br>10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required.<br>Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Network Strategy and Management Solutions]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653834]]></requisitionid>
    <referencenumber><![CDATA[1653834A]]></referencenumber>
    <apijobid><![CDATA[1653834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653834/vp-network-strategy-and-management-solutions/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.</p><ul><li>Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.</li><li>Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.</li><li>Develop and implement network development strategy plans with key providers in multiple markets.</li><li>Oversee the development of provider networks across expansion markets.</li><li>Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.</li><li>Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.</li><li>Assist and advise on key provider relations and strategies.</li><li>Evaluating opportunities to expand or change the network to meet company goals.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.<br>MBA preferred.<br>10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required.<br>Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Network Strategy and Management Solutions]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653834]]></requisitionid>
    <referencenumber><![CDATA[1653834B]]></referencenumber>
    <apijobid><![CDATA[1653834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653834/vp-network-strategy-and-management-solutions/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.</p><ul><li>Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.</li><li>Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.</li><li>Develop and implement network development strategy plans with key providers in multiple markets.</li><li>Oversee the development of provider networks across expansion markets.</li><li>Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.</li><li>Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.</li><li>Assist and advise on key provider relations and strategies.</li><li>Evaluating opportunities to expand or change the network to meet company goals.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.<br>MBA preferred.<br>10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required.<br>Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Network Strategy and Management Solutions]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653834]]></requisitionid>
    <referencenumber><![CDATA[1653834C]]></referencenumber>
    <apijobid><![CDATA[1653834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653834/vp-network-strategy-and-management-solutions/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.</p><ul><li>Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.</li><li>Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.</li><li>Develop and implement network development strategy plans with key providers in multiple markets.</li><li>Oversee the development of provider networks across expansion markets.</li><li>Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.</li><li>Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.</li><li>Assist and advise on key provider relations and strategies.</li><li>Evaluating opportunities to expand or change the network to meet company goals.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.<br>MBA preferred.<br>10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required.<br>Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[VP, Network Strategy and Management Solutions]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653834]]></requisitionid>
    <referencenumber><![CDATA[1653834D]]></referencenumber>
    <apijobid><![CDATA[1653834]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653834/vp-network-strategy-and-management-solutions/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Role will lead strategy development and execution for the growing ICHRA product, including building provider networks with dedicated rates across current and future markets for both Centene employees and external members. Expand the provider network development and value based contracting activities. Assist with value based contracting provider network strategy, including provider contract negotiation, development of new value-based models, drive provider performance related to quality and reduction of avoidable healthcare costs, assist with preparation for provider performance meetings, and support decision makers with analysis related to historical and projected provider performance.</p><ul><li>Develop relationships in multiple markets and implement strategies with key providers, provider associations and provider stakeholders.</li><li>Lead key provider negotiations with Hospitals, Physicians, Ancillaries, and Community Health Centers.</li><li>Develop and implement network development strategy plans with key providers in multiple markets.</li><li>Oversee the development of provider networks across expansion markets.</li><li>Manage budgeting and forecasting initiatives for stakeholder/network strategies, product lines, networks costs, and/or provider contracts.</li><li>Develop, coordinate and managed provider advisory boards, committee’s and governance and maintain relationships with key provider leadership.</li><li>Assist and advise on key provider relations and strategies.</li><li>Evaluating opportunities to expand or change the network to meet company goals.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business, Management, Healthcare Administration, or related field required.<br>MBA preferred.<br>10+ years of healthcare administration, network development, or provider/payor contracting experience in a healthcare or managed care environment required.<br>Provider network development and strategy, provider contract negotiations, leading network development staff, unit cost and network strategy budgeting.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p>Pay Range: $171,900.00 - $326,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657469]]></requisitionid>
    <referencenumber><![CDATA[1657469]]></referencenumber>
    <apijobid><![CDATA[1657469]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657469/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Bronx]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[10459]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.<br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>100% field based position working within the Bronx. Fluency in Arabic, Bengali, Hindi, Urdu or Spanish strongly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 17:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655813]]></requisitionid>
    <referencenumber><![CDATA[1655813]]></referencenumber>
    <apijobid><![CDATA[1655813]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655813/care-manager-rn/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><p><strong>Key Details: </strong>This remote position requires up to 50% local travel to conduct in-home member visits throughout the assigned service area. Candidates must hold an active New Jersey Registered Nurse (RN) license, and those residing in Central New Jersey—particularly Essex, Hudson, Mercer, or Union County—are strongly preferred. The typical schedule is Monday through Friday, 8:00 AM to 5:00 PM ET, with flexibility based on member and business needs. Spanish-speaking candidates are strongly preferred.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 22 Sep 2026 16:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Recovery]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1656589]]></requisitionid>
    <referencenumber><![CDATA[1656589]]></referencenumber>
    <apijobid><![CDATA[1656589]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1656589/supervisor-recovery/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Manage the workflow and all activities related to the investigation, review, resolution, recovery and settlement of complex claims issues along with Revenue Cycle Management.</p><p><strong>Key Details: </strong>Applicants for this job have the flexibility to work remote from home anywhere in the United States.</p><p>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Supervise the daily tasks and manage work flow of the recovery & revenue cycle management team to ensure performance standards are met.</li><li>Monitor, evaluate and communicate business processes changes to the team, including aging review meetings.</li><li>Investigate and respond to escalated or complex issues.</li><li>Assist team with responding and resolving questions or issues from customers.</li><li>Monitor and analyze various reports, including aging activity, accounts receivable credits, and cash to revenue.</li><li>Monitor unapplied payments for missing EOB and communicate to the team what needs to be obtained.</li><li>Serve as the internal point person for questions and concerns related to recoveries and revenue cycle management.</li><li>Monitor in and outbound customer and insurance payer calls to ensure service level standards are met.</li><li>Responsible for employee management including hiring, motivating, coaching and counseling staff.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree or equivalent experience. 2+ years of medical billing, recovery, or revenue cycle management experience. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.<br> </p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Coordinator]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658926]]></requisitionid>
    <referencenumber><![CDATA[1658926]]></referencenumber>
    <apijobid><![CDATA[1658926]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658926/ltss-service-care-coordinator/]]></url>
    <company><![CDATA[Meridian Illinois]]></company>
    <city><![CDATA[Granite City]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[62040]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><p><strong>KEY DETAILS:</strong> This position combines remote work with approximately 50% local travel for in-home member visits and assists individuals receiving Long-Term Services and Supports (LTSS) through the Illinois Health Plan, primarily serving members with Physical Disability and Aging waiver. <strong>Candidates with case management, advocacy, or home visit experience are strongly preferred. Preference will be given to applicants who reside within Madison County, IL (nearby cities include: Edwardsville, Collinsville, Troy, Wood River, Bethalto, Alton, Highland). Also open to applicants in St Clair County, IL. Training schedule is Monday-Friday, 8:00 AM-5:00 PM CT; regular schedule is Monday-Friday, 8:00 AM-4:30 PM CT.</strong></p><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 1 year of related experience.<br><br><strong>For Illinois Plan Only:</strong> In addition to the requirements above the employee working on<br><br><strong>Physically Disabled/Elderly<br>Candidate must meet one of the 3 following criteria:</strong><br>1. RN licensed in Illinois.<br>2. Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology.<br>3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly<br> </p>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 17:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Quality Practice Advisor]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1656579]]></requisitionid>
    <referencenumber><![CDATA[1656579]]></referencenumber>
    <apijobid><![CDATA[1656579]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1656579/supervisor-quality-practice-advisor/]]></url>
    <company><![CDATA[Managed Health Services Indiana]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Responsible for providing leadership and direction for clinical, quality, risk-adjustment, value-based contracts, and provider outreach functions. Responsible for supervision of QPA field staff and administrative personnel to increase member quality of care, reduce costs, and identify risk adjustment opportunities. Responsible for the oversight of programs to support company initiatives in clinical quality, risk-adjustment, and financial management and provide data analysis on program progress and outcomes.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</p><p>Must live in the Indianapolis, IN<strong> </strong>area and have reliable transportation, valid drivers' license and insurance. Must be willing to travel. Travel is around 30% of the time.</p><ul><li>Provides supervision, coaching, training, and development of field staff</li><li>Oversees and manages quality and risk-adjustment initiatives/programs</li><li>Provides and analyzes reports to identify trends, opportunities and plan regarding progress and outcomes of initiatives</li><li>Collaborates with other managers on overall strategy and direction for the team</li><li>Collaborates with cross functional teams on joint initiatives</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience: </strong>A bachelor’s degree in health care, Nursing, Public Health Administration or Business, or equivalent work experience is required. Health science related, preferably nursing. 3 years of experience. Some experiences functioning as a lead – 2+ years; 5 experience working in a managed care environment. Project management experience is preferred.<br><br><strong>License/certification:</strong><br><strong>Required:</strong> One of the following - Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) (ACNP-BC), Licensed Vocational Nurse (LVN), Other Foreign trained physician/MD. Preferred - Health Care Quality and Management (HCQM), Certified Healthcare Professional (CHP), Certified Professional in Healthcare Quality (CPHQ).</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Spanish, Hindi, Bengali)]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655798]]></requisitionid>
    <referencenumber><![CDATA[1655798]]></referencenumber>
    <apijobid><![CDATA[1655798]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655798/health-benefit-rep-bilingual-spanish-hindi-bengali/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working in Queens, New York. Primarily within Astoria, Jackson heights, and Elmhurst. Bilingual English/Spanish, Hindi, or Bengali Highly Preferred.</p><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP).</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers.</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers.</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level.</li><li>Assist consumers with submitting required documents via scan, fax, or mail.</li><li>Support existing members with renewals and recertifications.</li><li>Help consumers with premium payment submissions when required.</li><li>Provide culturally and linguistically appropriate assistance.</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options.</li><li>Participate in ACA forums, workshops, and community events as requested.</li><li>Maintain a daily tracking tool that entails detailed rep activity.</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM".</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter.</li><li>Must be in compliance with all conflict-of-interest standards and regulations.</li><li>Required to work evenings and weekends.</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Highly Preferred Experience and Skills</p><ul><li><p>Bilingual - English/Spanish, Hindi, or Bengali </p></li><li><p>Customer Service</p></li><li><p>Healthcare</p></li><li><p>Enrollment Counselor/Health Navigator</p></li><li><p>Community Outreach</p></li><li><p>Sales (Front Facing or Field Sales)</p></li><li><p>Public Speaking</p></li><li><p>Prospecting, tabling, events</p></li><li><p>Comfortable with field-based travel requirements supporting Queens County, NY</p></li><li><p>MS Office Suite</p></li><li><p>Salesforce</p></li></ul><p>Work Schedule: Mon. - Fri. with occasional evenings and weekends</p><p><strong>Education/Experience:</strong></p><ul><li>Must have a High School Diploma or GED</li><li>2+ years of prior experience in managed care, sales, customer service or related experience preferred</li><li>Must have basic computer skills</li></ul><p><br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 16 Sep 2026 14:00:35 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Coordinator]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658431]]></requisitionid>
    <referencenumber><![CDATA[1658431]]></referencenumber>
    <apijobid><![CDATA[1658431]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658431/ltss-service-care-coordinator/]]></url>
    <company><![CDATA[Meridian Illinois]]></company>
    <city><![CDATA[Granite City]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[62040]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><p><strong>KEY DETAILS:</strong> This position combines remote work with approximately 50% local travel for in-home member visits and assists individuals receiving Long-Term Services and Supports (LTSS) through the Illinois Health Plan, primarily serving members with Physical Disability and Aging waiver. <strong>Candidates with case management, advocacy, or home visit experience are strongly preferred. Applicants should reside within 30 miles of Alton/Wood River (Madison County, IL). Training schedule is Monday-Friday, 8:00 AM-5:00 PM CT; regular schedule is Monday-Friday, 8:00 AM-4:30 PM CT.</strong></p><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member's needs and collaborates with providers or resources, as appropriate</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 1 year of related experience.<br><br><strong>For Illinois Plan Only:</strong> In addition to the requirements above the employee working on<br><br><strong>Physically Disabled/Elderly</strong><br><strong>Candidate must meet one of the 3 following criteria:</strong><br>1. RN licensed in Illinois.<br>2. Bachelor or Master’s Degree prepared in human services related field. Bachelor’s degree in Human Services related field defined as: Child, Family and Community Services, Early Child Development, Guidance and Counseling, Home Economics- Child and Family Services, Human Development Counseling, Human Service Administration, Human Services, Master of Divinity, Pastoral Care, Pastoral Counseling, Psychiatric Nursing, Psychiatry, Psychology, Public Administration, Rehabilitation Counseling, Social Science, Social Services/Social Work or Sociology.<br>3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly</p>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations  Specialist]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655633]]></requisitionid>
    <referencenumber><![CDATA[1655633]]></referencenumber>
    <apijobid><![CDATA[1655633]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655633/community-relations-specialist/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals through various means including, but not limited to, marketing projects and new market initiatives, health fairs and community activities, training, member retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may also research and assess market and business opportunities.</p><p><strong>Key Details: </strong>Candidates must live in Connecticut. Specialists will travel between Connecticut and Maine.</p><ul><li>Plans, develops, coordinates, collaborates and conducts events including, but not limited to, meetings, presentations, activities, training, product orientations, focus groups, field marketing events, projects, etc.</li><li>Develops and maintain business relationships and information that will result in opportunities to increase membership/enrollment targets.</li><li>Represents the department at internal and external meetings including, but not limited to, vendor reporting, departmental, cross-functional, community, provider, etc.</li><li>Develops presentations including, but not limited to, sales, broker product training, member retention meetings, new member training, outreach activities, etc.</li><li>Acts as department liaison for market materials, collateral rollouts, inventory, reports, etc.</li><li>Acts as point person on key projects.</li><li>Works with management to develop department workflow policy and procedure documentation for strategy and planning and for reviewing product, collaterals and sales strategies.</li><li>Prospects and initiates opportunities for field marketing events, grassroots lead generation, provider co-op events, other community venues, etc.</li><li>Coordinates with sales team for successful market execution.</li><li>May develop plans to increase “crossover” enrollment.</li><li>May assist in outreach activities.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br><strong>Bachelor's Degree in Marketing, Business Administration or related field. required:</strong> 3+ years sales/marketing experience, preferably with government products. required<br>Health insurance or managed care experience preferred<br>Specific language skills may be required by some plans.<br>Driver’s License may be required by some plans.<br>Specific language skills may be required by some plans<br>Life and Health License (can be obtained within 90 days of employment) – If required by the Business Unit/Department<br><br><strong>For Fidelis Care and Medicare only:</strong> Bachelor’s degree in Marketing, Business Administration or equivalent experience<br><br><strong>For Medicare only:</strong> Travel up to 80% Must be willing to travel within assigned territory.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 18 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655784]]></requisitionid>
    <referencenumber><![CDATA[1655784]]></referencenumber>
    <apijobid><![CDATA[1655784]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655784/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Poughkeepsie]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[12603]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><div><div><div><div><div><div><div><div><div><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>100% field based position working within Dutchess county, New York. Fluency in Spanish highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul></div></div></div></div></div></div></div></div></div><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 13:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Sun, 13 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655779]]></requisitionid>
    <referencenumber><![CDATA[1655779]]></referencenumber>
    <apijobid><![CDATA[1655779]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655779/health-benefit-rep/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Jamaica]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11434]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.<br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working in Queens, New York. Primarily within Jamaica and South Queens. Fluency in a second language preferred, bilingual Spanish highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Mon, 14 Sep 2026 13:00:12 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Process Consultant]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655818]]></requisitionid>
    <referencenumber><![CDATA[1655818]]></referencenumber>
    <apijobid><![CDATA[1655818]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655818/senior-business-process-consultant/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Senior Business Process Consultant leads business case development for proposed initiatives, supports the strategic planning process, and leads larger scale, cross-functional initiatives.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Leads business case development for proposed initiatives to ensure adequate assessment of opportunities, risks and return on investment.</li><li>Provides input and supports planning and prioritization of initiatives as part of the strategic and business planning process.</li><li>Ensures that initiatives support the strategic business plan, meet key business objectives and are executed well tactically.</li><li>Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative).</li><li>Leads larger scale, cross-functional initiatives that are intended to drive performance improvement, financial gains, customer satisfaction and improved compliance.</li><li>Provides strategic and policy guidance on assigned initiatives so that all processes are considered for maximizing effective implementation and results.</li><li>Organizes work teams, drives consensus and ensures end to end policy/process integrity to accomplish project work: including identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.</li><li>Performs detailed analysis of data, workflows, policies, procedures, organization of staff, and skills in order to execute initiatives.</li><li>Supports the project work by utilizing project management software such as, but not limited to, Excel, PowerPoint, Visio, and Microsoft Project.</li><li>Leads all levels of staff who are responsible for initiatives included in the companies operating plan in order to support their success, development and effective completion and communication of their initiative.</li><li>Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brain-storming, project management issues, etc.</li><li>Writes and delivers communication to all levels of organization to ensure support, awareness and effectiveness of process improvement initiatives.</li><li>Provides other related support as needed to improve the performance of the business</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in a related field or equivalent experience required<br>Master's Degree in a related field preferred<br>6+ years managing projects required<br>Experience in health care and/or insurance preferred<br><br><strong>Certified Project Management Professional (PMP)- preferred:</strong></p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 11:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657471]]></requisitionid>
    <referencenumber><![CDATA[1657471]]></referencenumber>
    <apijobid><![CDATA[1657471]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657471/remote-medical-director-appeals/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657471]]></requisitionid>
    <referencenumber><![CDATA[1657471A]]></referencenumber>
    <apijobid><![CDATA[1657471]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657471/remote-medical-director-appeals/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657471]]></requisitionid>
    <referencenumber><![CDATA[1657471B]]></referencenumber>
    <apijobid><![CDATA[1657471]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657471/remote-medical-director-appeals/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657471]]></requisitionid>
    <referencenumber><![CDATA[1657471C]]></referencenumber>
    <apijobid><![CDATA[1657471]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657471/remote-medical-director-appeals/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657471]]></requisitionid>
    <referencenumber><![CDATA[1657471D]]></referencenumber>
    <apijobid><![CDATA[1657471]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657471/remote-medical-director-appeals/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657471]]></requisitionid>
    <referencenumber><![CDATA[1657471E]]></referencenumber>
    <apijobid><![CDATA[1657471]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657471/remote-medical-director-appeals/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 16:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657465]]></requisitionid>
    <referencenumber><![CDATA[1657465]]></referencenumber>
    <apijobid><![CDATA[1657465]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657465/quality-practice-advisor/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</p><p>Candidates must reside in Texas, with preference given to those located in East Texas (including Beaumont, Port Arthur, and surrounding communities). This hybrid role requires both local travel and remote duties.</p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><strong>Licenses/Certifications:</strong><br>One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS<br><strong>Registered Health Information Technician (RHIT®):</strong> For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply<br><br><strong>For Superior HealthPlan:</strong> license/certification is preferred</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 09:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (Behavioral Health)]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658126]]></requisitionid>
    <referencenumber><![CDATA[1658126]]></referencenumber>
    <apijobid><![CDATA[1658126]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658126/care-manager-behavioral-health/]]></url>
    <company><![CDATA[Fidelis Care - New Jersey]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><p><strong>Key Details:</strong> This is a remote position serving members in Camden and Gloucester Counties, New Jersey, with up to 50% local travel required. Candidates must reside in Camden or Gloucester County, or in a nearby bordering county, and the closest company office is located in Iselin, NJ. The schedule is Monday through Friday, 9:00 AM to 5:00 PM. An active New Jersey license is required for this role.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required</li><li>For NJ Health Plan Only: Requires a Master's degree in Behavioral Health or Social Work and a Licensed Associate Counselor (LAC) or Licensed Social Worker (LSW) required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009A]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009B]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009C]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009D]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ID]]></city>
    <state><![CDATA[Idaho]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009E]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009F]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009G]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009H]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009I]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009J]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009K]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009L]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009M]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009N]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MT]]></city>
    <state><![CDATA[Montana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009O]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ND]]></city>
    <state><![CDATA[North Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009P]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009Q]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009R]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009S]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009T]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009U]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SD]]></city>
    <state><![CDATA[South Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009V]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009W]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009X]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009Y]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009Z]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Actuary]]></title>
    <date><![CDATA[Thu, 10 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658009]]></requisitionid>
    <referencenumber><![CDATA[1658009[]]></referencenumber>
    <apijobid><![CDATA[1658009]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658009/associate-actuary/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WY]]></city>
    <state><![CDATA[Wyoming]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Conduct analysis, pricing, and risk assessment to evaluate and project Medicare Advantage financial performance. As part of the Medicare Actuarial Forecast & Financial Performance Team, this role supports quarterly forecasting, Medicare bid target setting, and key business decisions that shape Medicare benefit offerings and financial performance.</p><p><strong>Key Details:</strong> Fully remote within the Continental U.S. Requires ASA designation, a Bachelor's degree, and 2+ years of actuarial experience. MAAA preferred for Medicare bid certification. Experience with Medicare Advantage financial performance, cost trend analysis, and actuarial analytics preferred. Strong analytical judgment, advanced Excel, and basic SQL/query skills required; AI/Copilot experience is a plus.</p><p><strong>In this Associate Actuary role, you will:</strong></p><ul><li>Analyze and evaluate business risks and opportunities.</li><li>Analyze various data reports, identify trends and gaps, and recommend actions.</li><li>Apply knowledge of mathematics, probability, statistics, finance, and business principles to calculate financial outcomes.</li><li>Develop probability tables based on analyses of statistical data and other pertinent information.</li><li>Research and analyze the impact of legislative changes.</li><li>Determine equitable methods for distributing funds for insurance benefits.</li><li>Create and update actuarial reports.</li><li>Participate in merger and acquisition analyses.</li><li>Certify annual Medicare bids.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in a related field or equivalent experience. 2+ years of actuarial experience.</p><p><strong>License/Certification:</strong> Associate of the Society of Actuaries (ASA) (or equivalent international certification).</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 11 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1656566]]></requisitionid>
    <referencenumber><![CDATA[1656566]]></referencenumber>
    <apijobid><![CDATA[1656566]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1656566/health-benefit-rep/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Latham]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[12110]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><strong>Key Details: </strong>Community field based position covering Albany, Rensselaer, and Schenectady County, NY. (Multiple positions)</p><ul><li>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP).</li><li>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers.</li><li>Teach members about Fidelis digital tools (member portal, mobile app)</li><li>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers.</li><li>Explain metal tiers within the Marketplace and how benefits vary by income level.</li><li>Assist consumers with submitting required documents via scan, fax, or mail.</li><li>Support existing members with renewals and recertifications.</li><li>Help consumers with premium payment submissions when required.</li><li>Provide culturally and linguistically appropriate assistance.</li><li>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options.</li><li>Participate in ACA forums, workshops, and community events as requested.</li><li>Maintain a daily tracking tool that entails detailed rep activity.</li><li>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants.</li><li>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance.</li><li>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts.</li><li>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM".</li><li>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter.</li><li>Must be in compliance with all conflict-of-interest standards and regulations.</li><li>Required to work evenings and weekends.</li><li>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards.</li><li>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace.</li><li>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities.</li><li>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements.</li><li>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace.</li><li>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations.</li><li>Perform all other tasks and responsibilities as required to satisfy the expectations of the role.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>100% Community Field Based Travel</p><p>Additional Experience/Skills</p><ul><li><p>Bilingual – English/Spanish Highly preferred</p></li><li><p>Salesforce - Nice to have</p></li><li><p>Customer Service</p></li><li><p>Healthcare</p></li><li><p>Enrollment Counselor/Health Navigator</p></li><li><p>Community Outreach</p></li><li><p>Sales (Front Facing or Field Sales)</p></li><li><p>Public Speaking</p></li><li><p>Comfortable with field-based travel requirements supporting Albany, Rensselaer, and Schenectady County, NY</p></li></ul><p>Work Schedule: Mon. - Fri. with occasional evenings and weekends</p><p><strong>Education/Experience:</strong></p><ul><li><p>Must have a High School Diploma or GED</p></li><li><p>2+ years of prior experience in managed care, sales, customer service or related experience preferred</p></li><li><p>Must have basic computer skills</p></li></ul><p><strong>Driver's License:</strong> Mandatory for non-NYC counties</p><p><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p><br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p><br>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[HR Program Manager III]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653428]]></requisitionid>
    <referencenumber><![CDATA[1653428]]></referencenumber>
    <apijobid><![CDATA[1653428]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653428/hr-program-manager-iii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Clayton]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[63105]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The HR Program Manager III is responsible for leading and executing business-critical talent initiatives that support organizational priorities and workforce transformation. This role oversees the design, implementation, and continuous improvement of leadership development programs that build key capabilities and skills. The HR Program Manager III plays a pivotal role in advancing enterprise talent strategies through the development and delivery of talent and succession planning programs. Working closely with HR leaders and business stakeholders, this position drives transformative initiatives that strengthen leadership pipelines, enhance talent readiness, and support long-term organizational growth. The role requires strong program management, stakeholder engagement, and strategic consulting skills to deliver impactful employee and leader development experiences across the organization.</p><p><strong>Key Details: </strong>The HR Program Manager III is required to attend onsite meetings and events. Candidates must be local or within driving distance of St. Louis to be considered for the position.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment</p></li><li><p>Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure</p></li><li><p>Utilize corporate and industry standard project management tools and techniques to effectively manage projects</p></li><li><p>Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans</p></li><li><p>Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations</p></li><li><p>Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks</p></li><li><p>Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives</p></li><li><p>Provide functional and technical knowledge regarding overall program requirements and operations</p></li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.</p><p>Pay Range: $87,700.00 - $157,800.00 per year</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[HR Program Manager III]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653428]]></requisitionid>
    <referencenumber><![CDATA[1653428A]]></referencenumber>
    <apijobid><![CDATA[1653428]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653428/hr-program-manager-iii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The HR Program Manager III is responsible for leading and executing business-critical talent initiatives that support organizational priorities and workforce transformation. This role oversees the design, implementation, and continuous improvement of leadership development programs that build key capabilities and skills. The HR Program Manager III plays a pivotal role in advancing enterprise talent strategies through the development and delivery of talent and succession planning programs. Working closely with HR leaders and business stakeholders, this position drives transformative initiatives that strengthen leadership pipelines, enhance talent readiness, and support long-term organizational growth. The role requires strong program management, stakeholder engagement, and strategic consulting skills to deliver impactful employee and leader development experiences across the organization.</p><p><strong>Key Details: </strong>The HR Program Manager III is required to attend onsite meetings and events. Candidates must be local or within driving distance of St. Louis to be considered for the position.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Develop strategies to realize improvement opportunities, and ensure organizational prioritization and resource alignment</p></li><li><p>Manage multiple projects through full project life cycle process including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure</p></li><li><p>Utilize corporate and industry standard project management tools and techniques to effectively manage projects</p></li><li><p>Maintain detailed project documentation as needed including action items, issues lists and risk mitigation plans</p></li><li><p>Provide leadership and effectively communicate project status to all stakeholders, including executive summaries and presentations</p></li><li><p>Negotiate with project stakeholders to identify and secure resources, resolve issues, and mitigate risks</p></li><li><p>Lead cross-functional meetings with various functional areas to meet overall stakeholder expectations and company’s objectives</p></li><li><p>Provide functional and technical knowledge regarding overall program requirements and operations</p></li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Business Administration, Healthcare Administration, related field, or equivalent experience. Master’s degree preferred. 5+ years project implementation, product or program management experience. Managed care or prescription benefit management experience preferred.</p><p>Pay Range: $87,700.00 - $157,800.00 per year</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Project Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 18:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations  Specialist]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649705]]></requisitionid>
    <referencenumber><![CDATA[1649705]]></referencenumber>
    <apijobid><![CDATA[1649705]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649705/community-relations-specialist/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals through various means including, but not limited to, marketing projects and new market initiatives, health fairs and community activities, training, member retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may also research and assess market and business opportunities.</p><p><strong>Key Details: </strong>Candidates must reside in the Dallas - Fort Worth area (TX).</p><ul><li>Plans, develops, coordinates, collaborates and conducts events including, but not limited to, meetings, presentations, activities, training, product orientations, focus groups, field marketing events, projects, etc.</li><li>Develops and maintain business relationships and information that will result in opportunities to increase membership/enrollment targets.</li><li>Represents the department at internal and external meetings including, but not limited to, vendor reporting, departmental, cross-functional, community, provider, etc.</li><li>Develops presentations including, but not limited to, sales, broker product training, member retention meetings, new member training, outreach activities, etc.</li><li>Acts as department liaison for market materials, collateral rollouts, inventory, reports, etc.</li><li>Acts as point person on key projects.</li><li>Works with management to develop department workflow policy and procedure documentation for strategy and planning and for reviewing product, collaterals and sales strategies.</li><li>Prospects and initiates opportunities for field marketing events, grassroots lead generation, provider co-op events, other community venues, etc.</li><li>Coordinates with sales team for successful market execution.</li><li>May develop plans to increase “crossover” enrollment.</li><li>May assist in outreach activities.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br><strong>Bachelor's Degree in Marketing, Business Administration or related field. required:</strong></p><p>3+ years sales/marketing experience, preferably with government products. required<br>Health insurance or managed care experience preferred<br>Specific language skills may be required by some plans.<br><strong>Driver’s License may be required by some plans.</strong><br>Specific language skills may be required by some plans<br><strong>Life and Health License (can be obtained within 90 days of employment)</strong> – If required by the Business Unit/Department<br><br><strong>For Fidelis Care and Medicare only:</strong> Bachelor’s degree in Marketing, Business Administration or equivalent experience<br><br><strong>For Medicare only:</strong> Travel up to 80% Must be willing to travel within assigned territory.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations  Specialist]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649705]]></requisitionid>
    <referencenumber><![CDATA[1649705A]]></referencenumber>
    <apijobid><![CDATA[1649705]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649705/community-relations-specialist/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Dallas]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75206]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals through various means including, but not limited to, marketing projects and new market initiatives, health fairs and community activities, training, member retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may also research and assess market and business opportunities.</p><p><strong>Key Details: </strong>Candidates must reside in the Dallas - Fort Worth area (TX).</p><ul><li>Plans, develops, coordinates, collaborates and conducts events including, but not limited to, meetings, presentations, activities, training, product orientations, focus groups, field marketing events, projects, etc.</li><li>Develops and maintain business relationships and information that will result in opportunities to increase membership/enrollment targets.</li><li>Represents the department at internal and external meetings including, but not limited to, vendor reporting, departmental, cross-functional, community, provider, etc.</li><li>Develops presentations including, but not limited to, sales, broker product training, member retention meetings, new member training, outreach activities, etc.</li><li>Acts as department liaison for market materials, collateral rollouts, inventory, reports, etc.</li><li>Acts as point person on key projects.</li><li>Works with management to develop department workflow policy and procedure documentation for strategy and planning and for reviewing product, collaterals and sales strategies.</li><li>Prospects and initiates opportunities for field marketing events, grassroots lead generation, provider co-op events, other community venues, etc.</li><li>Coordinates with sales team for successful market execution.</li><li>May develop plans to increase “crossover” enrollment.</li><li>May assist in outreach activities.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br><strong>Bachelor's Degree in Marketing, Business Administration or related field. required:</strong></p><p>3+ years sales/marketing experience, preferably with government products. required<br>Health insurance or managed care experience preferred<br>Specific language skills may be required by some plans.<br><strong>Driver’s License may be required by some plans.</strong><br>Specific language skills may be required by some plans<br><strong>Life and Health License (can be obtained within 90 days of employment)</strong> – If required by the Business Unit/Department<br><br><strong>For Fidelis Care and Medicare only:</strong> Bachelor’s degree in Marketing, Business Administration or equivalent experience<br><br><strong>For Medicare only:</strong> Travel up to 80% Must be willing to travel within assigned territory.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Community Relations  Specialist]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649705]]></requisitionid>
    <referencenumber><![CDATA[1649705B]]></referencenumber>
    <apijobid><![CDATA[1649705]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649705/community-relations-specialist/]]></url>
    <company><![CDATA[Centene Medicare]]></company>
    <city><![CDATA[Fort Worth]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76108]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Community Relations Specialist is responsible for leading activities to achieve membership/enrollment goals through various means including, but not limited to, marketing projects and new market initiatives, health fairs and community activities, training, member retention activities, sales visibility and business, broker, provider, market, lead generation, vendor outreach and networking opportunities. This position may also research and assess market and business opportunities.</p><p><strong>Key Details: </strong>Candidates must reside in the Dallas - Fort Worth area (TX).</p><ul><li>Plans, develops, coordinates, collaborates and conducts events including, but not limited to, meetings, presentations, activities, training, product orientations, focus groups, field marketing events, projects, etc.</li><li>Develops and maintain business relationships and information that will result in opportunities to increase membership/enrollment targets.</li><li>Represents the department at internal and external meetings including, but not limited to, vendor reporting, departmental, cross-functional, community, provider, etc.</li><li>Develops presentations including, but not limited to, sales, broker product training, member retention meetings, new member training, outreach activities, etc.</li><li>Acts as department liaison for market materials, collateral rollouts, inventory, reports, etc.</li><li>Acts as point person on key projects.</li><li>Works with management to develop department workflow policy and procedure documentation for strategy and planning and for reviewing product, collaterals and sales strategies.</li><li>Prospects and initiates opportunities for field marketing events, grassroots lead generation, provider co-op events, other community venues, etc.</li><li>Coordinates with sales team for successful market execution.</li><li>May develop plans to increase “crossover” enrollment.</li><li>May assist in outreach activities.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br><strong>Bachelor's Degree in Marketing, Business Administration or related field. required:</strong></p><p>3+ years sales/marketing experience, preferably with government products. required<br>Health insurance or managed care experience preferred<br>Specific language skills may be required by some plans.<br><strong>Driver’s License may be required by some plans.</strong><br>Specific language skills may be required by some plans<br><strong>Life and Health License (can be obtained within 90 days of employment)</strong> – If required by the Business Unit/Department<br><br><strong>For Fidelis Care and Medicare only:</strong> Bachelor’s degree in Marketing, Business Administration or equivalent experience<br><br><strong>For Medicare only:</strong> Travel up to 80% Must be willing to travel within assigned territory.</p>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, IP Validation]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653837]]></requisitionid>
    <referencenumber><![CDATA[1653837]]></referencenumber>
    <apijobid><![CDATA[1653837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653837/senior-manager-ip-validation/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This is a remote position that can be located anywhere.</p><p><strong>Position Purpose:</strong> Oversee the maintenance of accurate financial records and financial analytic functions.</p><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>• Prepare and maintain monthly estimates of inpatient incurred but not reported (IP IBNR) expenses.</p><p>• Collaborate with the Utilization Management team to review inpatient authorization data and establish a recurring validation process that ensures data accuracy, completeness, and reliability.</p><p>• Develop and maintain standardized review processes and reporting for inpatient spend, including analyses of key drivers contributing to budget and forecast variances.</p><p>• Oversee preparation of accurate and timely financial reports for IP spend.<br>• Oversee the financial and business analyses based on information from various sources and financial reports<br>• Interpret financial reports for management team<br>• Review and evaluate analyses and recommend appropriate actions to senior management<br>• Prepare budget and forecast and analyze financial results related to expectations for IP claims and authorization.<br>• Monitor legislative and political developments affecting the business unit from a financial perspective<br> </p><p><strong>Education/Experience:</strong> Bachelor's degree in Accounting, Finance, or equivalent experience. 5+ years of accounting, financial analysis or finance related experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Experience in public accounting, operations, financial analysis preferred. Experience in healthcare insurance strongly preferred.<br><br><strong>License/Certification:</strong> CPA preferred.</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Manager, IP Validation]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653837]]></requisitionid>
    <referencenumber><![CDATA[1653837A]]></referencenumber>
    <apijobid><![CDATA[1653837]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653837/senior-manager-ip-validation/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>This is a remote position that can be located anywhere.</p><p><strong>Position Purpose:</strong> Oversee the maintenance of accurate financial records and financial analytic functions.</p><p><strong>Key Details</strong>: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>• Prepare and maintain monthly estimates of inpatient incurred but not reported (IP IBNR) expenses.</p><p>• Collaborate with the Utilization Management team to review inpatient authorization data and establish a recurring validation process that ensures data accuracy, completeness, and reliability.</p><p>• Develop and maintain standardized review processes and reporting for inpatient spend, including analyses of key drivers contributing to budget and forecast variances.</p><p>• Oversee preparation of accurate and timely financial reports for IP spend.<br>• Oversee the financial and business analyses based on information from various sources and financial reports<br>• Interpret financial reports for management team<br>• Review and evaluate analyses and recommend appropriate actions to senior management<br>• Prepare budget and forecast and analyze financial results related to expectations for IP claims and authorization.<br>• Monitor legislative and political developments affecting the business unit from a financial perspective<br> </p><p><strong>Education/Experience:</strong> Bachelor's degree in Accounting, Finance, or equivalent experience. 5+ years of accounting, financial analysis or finance related experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Experience in public accounting, operations, financial analysis preferred. Experience in healthcare insurance strongly preferred.<br><br><strong>License/Certification:</strong> CPA preferred.</p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 06 Oct 2026 12:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531A]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531B]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531C]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531D]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531E]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote National Medical Director]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657531]]></requisitionid>
    <referencenumber><![CDATA[1657531F]]></referencenumber>
    <apijobid><![CDATA[1657531]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657531/remote-national-medical-director/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active Certification in Internal or Family Medicine, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 11:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658051]]></requisitionid>
    <referencenumber><![CDATA[1658051]]></referencenumber>
    <apijobid><![CDATA[1658051]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658051/care-coordinator-ii/]]></url>
    <company><![CDATA[Managed Health Services Wisconsin]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere in the United States. The work schedule is Monday - Friday, 8am - 5pm Central. Candidates with previous assessment experience and/or call center experience are preferred.</p><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br> </p>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager Transition of Care (RN)]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1658060]]></requisitionid>
    <referencenumber><![CDATA[1658060]]></referencenumber>
    <apijobid><![CDATA[1658060]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1658060/care-manager-transition-of-care-rn/]]></url>
    <company><![CDATA[Health Net]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Performs care management duties to assess, plan and coordinate aspects of medical and supporting services across the continuum of care for post-discharge members, promoting quality and cost effective care. Completes medication review for pre-admission and post-discharge reconciliation. Works with the care management and coordination teams to identify transition support services.</p><p><strong>Key Details: </strong>Candidates must possess an active RN license in the state of California. Preference will be given to candidates who reside in California and are able to work Pacific Time (PST) hours. Experience in case management, transitional care, care coordination, and discharge planning is strongly preferred.</p><ul><li>Evaluates the needs of the member by completing post discharge assessments for members transitioning from healthcare facilities</li><li>Evaluates medication and performs reconciliation between pre-admit and post-discharge medications</li><li>Develops a care/service plan and collaborates with discharge planners, providers, specialists, and interdisciplinary teams to support member transition and discharge needs</li><li>Assesses member current health status, resource needs, services, and treatment plans and provides appropriate interventions</li><li>Facilitates the transition into active care management based on member needs</li><li>Provides or facilitates education and resource materials to members, authorized caregivers, and providers to promote wellness activities to improve member overall quality of care</li><li>Facilitates services between Primary Care Physician (PCP), specialists, medical providers, and non-medical resources as necessary to meet the medical and socio economic needs of members</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulations</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>LISW, LCSW, LMSW, LMFT, LMHC, LPC, or <strong>RN required</strong></li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Arabic)]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655781]]></requisitionid>
    <referencenumber><![CDATA[1655781]]></referencenumber>
    <apijobid><![CDATA[1655781]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655781/health-benefit-rep-bilingual-arabic/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Jackson Heights]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11372]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working in Queens, New York. Primarily within Astoria, Jackson heights, and Elmhurst. Fluency in Arabic highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Arabic)]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655781]]></requisitionid>
    <referencenumber><![CDATA[1655781A]]></referencenumber>
    <apijobid><![CDATA[1655781]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655781/health-benefit-rep-bilingual-arabic/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Astoria]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11105]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working in Queens, New York. Primarily within Astoria, Jackson heights, and Elmhurst. Fluency in Arabic highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Health Benefit Rep (Bilingual Arabic)]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655781]]></requisitionid>
    <referencenumber><![CDATA[1655781B]]></referencenumber>
    <apijobid><![CDATA[1655781]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655781/health-benefit-rep-bilingual-arabic/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Elmhurst]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11373]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Health Benefit Representative (HBR) is responsible for educating and assisting individuals with enrolling in affordable health insurance coverage through the NY State of Health Marketplace. This includes Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP). The HBR engages prospective members who are uninsured or seeking new coverage and supports existing members with renewals and benefit education. All activities are performed in compliance with the Affordable Care Act (ACA), FE Integrity Guidelines, Regulatory Guidelines, and Fidelis Care Standards, with a strong focus on customer experience and community engagement.</p><p><br> </p><p><strong>Key Details: </strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><p>Field based position working in Queens, New York. Primarily within Astoria, Jackson heights, and Elmhurst. Fluency in Arabic highly preferred.</p><ul><li><p>Educate and assist individuals with enrolling in coverage through the NY State of Health Marketplace, including Medicaid (NYM), Child Health Plus (CHP), Essential Plan (EP), Qualified Health Plans (QHP), and Health & Recovery Plan (HARP)</p></li><li><p>Explain eligibility for public programs, federal premium tax credits, and cost-sharing reductions, including potential impacts to consumers</p></li><li><p>Teach members about Fidelis digital tools (member portal, mobile app)</p></li><li><p>Describe plan features, benefits, and cost-sharing mechanisms (deductibles, co-pays, co-insurance) and how these affect consumers</p></li><li><p>Explain metal tiers within the Marketplace and how benefits vary by income level</p></li><li><p>Assist consumers with submitting required documents via scan, fax, or mail</p></li><li><p>Support existing members with renewals and recertifications</p></li><li><p>Help consumers with premium payment submissions when required</p></li><li><p>Provide culturally and linguistically appropriate assistance</p></li><li><p>Conduct public education activities and presentations to raise awareness of Fidelis Care products and Marketplace options</p></li><li><p>Participate in ACA forums, workshops, and community events as requested</p></li><li><p>Maintain a daily tracking tool that entails detailed rep activity</p></li><li><p>Monitor all applications in personal dashboard to ensure timely and accurate follow through from applicants</p></li><li><p>Conduct a daily review of personal dashboard to address and follow-up on any and/or all potential leads for consumers seeking assistance</p></li><li><p>Keep abreast of all the Marketplace functionalities to effectively manage individual accounts</p></li><li><p>Follow-up on all new potential enrollment leads and consumer inquiries. Record all follow-up dispositions in a timely and accurate manner within the required "CRM"</p></li><li><p>Data enter all applicant demographic, enrollment site and PCP selection data in the required "CRM" at the time of the initial enrollment encounter</p></li><li><p>Must be in compliance with all conflict-of-interest standards and regulations</p></li><li><p>Required to work evenings and weekends</p></li><li><p>Secure and safeguarding confidential information to prevent Protected Health Information (PHI) from being obtained from unauthorized personnel to ensure compliance with privacy and security standards</p></li><li><p>Provide information in a manner that is culturally and linguistically appropriate to the needs of the population being served by the Marketplace</p></li><li><p>Participate in all trainings, updates and webinars and other forums in which information is necessary to carry out roles and responsibilities</p></li><li><p>Mandated to meet the annual Marketplace Facilitated Enroller (MFE) recertification requirements</p></li><li><p>Keep abreast of all industry and regulatory updates as it pertains to the ACA and Marketplace</p></li><li><p>Maintain discretion regarding business-related files, reports, and conversations within the provisions of applicable State and Federal Statutes and regulations</p></li><li><p>Perform all other tasks and responsibilities as required to satisfy the expectations of the role</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> Must have a High School Diploma or GED. 2+ years of prior experience in managed care, sales, customer service or related experience preferred. Must have basic computer skills. Must have prior Public Speaking experience.<br><strong>Driver's License:</strong> Preferred for NYC counties, Mandatory for non-NYC counties.<br><br><strong>Certifications:</strong> Must complete and pass the NY State of Health approved training program and become certified. Must complete all required annual recertification courses/learnings.</p>Pay Range: $23.23 - $39.61 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 16:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Data Security Engineer II]]></title>
    <date><![CDATA[Wed, 09 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653978]]></requisitionid>
    <referencenumber><![CDATA[1653978]]></referencenumber>
    <apijobid><![CDATA[1653978]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653978/data-security-engineer-ii/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Responsible for the operation, maintenance, and continuous improvement of enterprise data security technologies that protect and govern sensitive data. This role independently resolves technical issues, implements new capabilities, and drives operational improvements that strengthen the organization's data security posture. </p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Administer advanced functions in all Data Security systems. </li><li>Possess independent troubleshooting abilities for Data Security systems. </li><li>Perform System Upgrades adhering to Change Management procedures.</li><li>Advanced understanding of systems and networking concepts.</li><li>Ability to learn and document new systems and tools, implement new functionality and make operational improvements.</li><li>Understand basic knowledge around common Security Control Frameworks (CIS CSC, NIST CSF, NIST 800-171, ISO 27001). ​</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 2 – 4 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Knowledge around common Security Control Frameworks (CIS CSC, NIST CSF, NIST 800-171, ISO 27001).</li><li>Advanced understanding of data security systems and networking concepts.</li><li>Understanding of data patterns for healthcare.</li><li>Understanding of data patterns for a large corporation.</li><li>Basic understanding of cloud application design.</li><li>Basic understanding of AI.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty.</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions.</li><li>Intermediate - Ability to work independently.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>CompTIA Security + preferred.</li><li>Certified Ethical Hacker (CEH) preferred.</li><li>Cloud Foundations preferred.</li><li>Proofpoint Protection Server Administration preferred.</li></ul>Pay Range: $30.58 - $55.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 10 Sep 2026 09:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1654361]]></requisitionid>
    <referencenumber><![CDATA[1654361]]></referencenumber>
    <apijobid><![CDATA[1654361]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1654361/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.</p><div><div><div><div><div><div><div><div><div><div><div><div><p><strong>Key Details:</strong> This is a field-based role supporting members with Behavioral Health (BH) and Developmental Disabilities (DD) needs and must reside in Arkansas. Candidates should have experience working with BH and/or DD populations, including care coordination, case management, community-based services, or related support programs. Travel is required throughout assigned service areas within Arkansas to meet with members, providers, caregivers, and community partners. Experience supporting Medicaid populations and conducting field-based member outreach is strongly preferred. Candidates must have reliable transportation and be willing to travel as needed to support member needs.</p></div></div></div></div></div></div></div></div></div></div></div></div><ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li><li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li><li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li><li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li><li>May support performing service assessments/screenings for members and documenting the member’s care needs</li><li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li><li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li><li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li><li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul>Pay Range: $17.84 - $28.02 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 23:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649582]]></requisitionid>
    <referencenumber><![CDATA[1649582]]></referencenumber>
    <apijobid><![CDATA[1649582]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649582/quality-practice-advisor/]]></url>
    <company><![CDATA[Buckeye Community Health Plan]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong><em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></strong></p><p><strong>Position Purpose: </strong>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><p><strong>Key Details: </strong>Must reside in the state of OH and have the ability to travel up to 50% of the time. Reliable transportation and valid drivers' license and insurance is required.</p><ul><li>Collects, summarizes, trends, and delivers provider quality performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in Quality.</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Ability to travel up to 50% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent required. 3+ years in HEDIS record collection and risk adjustment (coding) required. Intermediate to advanced excel and healthcare reporting skills highly preferred. Managed care or health insurance experience is highly preferred. Preferred experience interacting and working with provider groups, process improvement knowledge and application using QI science methodologies (i.e., IHI model for improvement or lean six sigma). <br><br><strong>For Buckeye Health Plan -- No license/certification is required</strong></p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 15:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Quality Practice Advisor]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1656578]]></requisitionid>
    <referencenumber><![CDATA[1656578]]></referencenumber>
    <apijobid><![CDATA[1656578]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1656578/associate-quality-practice-advisor/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong><em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></strong></p><p><strong>Position Purpose:</strong> Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS.</p><p><strong>Key Details:</strong> Must have reliable transportation and a valid drivers' license. Must live in the <strong>Southeast Pennsylvania </strong>area and be willing to travel up to 75% of the time.</p><ul><li>Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.</li><li>Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement.</li><li>Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Assists in delivering provider specific metrics and coaches providers on gap closing opportunities.</li><li>Assists in identifying specific practice needs where WellCare can provide support.</li><li>Partners with physicians/physician staff to find ways to encourage member clinical participation in wellness and education.</li><li>Provides resources and educational opportunities to provider and staff.</li><li>Captures concerns and issues in action plans as agreed upon with provider.</li><li>Documents action plans and details of visits and outcomes.</li><li>Reports critical incidents and information regarding quality of care issues.</li><li>Communicates with external data sources as needed to gather data necessary to measure identified outcomes.</li><li>Provides communication such as newsletter articles, member education, outreach interventions and provider education.</li><li>Supports quality improvement HEDIS and program studies as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.</li><li>Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements.</li><li>Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline.</li><li>Enter documentation of findings in identified databases and ensure accuracy in medical records for data collection, DE and reporting.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>A bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field or equivalent work experience within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to perform the role is required.<strong> </strong>A Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field is preferred. 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff OR 2 years medical coding or other transferable experience and skill set combination that demonstrates the ability to learn and perform the level of the position.<br><br><strong>A license in one of the following is preferred:</strong> Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor (LMHC), Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) (ACNP-BC), Other Foreign trained physician/MD, Health Care Quality and Management (HCQM), Certified Healthcare Professional (CHP), Certified Professional in Healthcare Quality (CPHQ).</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 15:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Associate Quality Practice Advisor]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1656578]]></requisitionid>
    <referencenumber><![CDATA[1656578A]]></referencenumber>
    <apijobid><![CDATA[1656578]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1656578/associate-quality-practice-advisor/]]></url>
    <company><![CDATA[Pennsylvania Health & Wellness]]></company>
    <city><![CDATA[Mechanicsburg]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[17050]]></postalcode>
    <description><![CDATA[<p><strong><em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></strong></p><p><strong>Position Purpose:</strong> Establishes and fosters a healthy working relationship between community physician and small provider practices and WellCare. Educates providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS.</p><p><strong>Key Details:</strong> Must have reliable transportation and a valid drivers' license. Must live in the <strong>Southeast Pennsylvania </strong>area and be willing to travel up to 75% of the time.</p><ul><li>Under general guidance form Senior Quality Practice Advisors and management, educates community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with NCQA requirements.</li><li>Collects, summarizes and trends provider performance data to identify and strategize opportunities for provider improvement.</li><li>Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Assists in delivering provider specific metrics and coaches providers on gap closing opportunities.</li><li>Assists in identifying specific practice needs where WellCare can provide support.</li><li>Partners with physicians/physician staff to find ways to encourage member clinical participation in wellness and education.</li><li>Provides resources and educational opportunities to provider and staff.</li><li>Captures concerns and issues in action plans as agreed upon with provider.</li><li>Documents action plans and details of visits and outcomes.</li><li>Reports critical incidents and information regarding quality of care issues.</li><li>Communicates with external data sources as needed to gather data necessary to measure identified outcomes.</li><li>Provides communication such as newsletter articles, member education, outreach interventions and provider education.</li><li>Supports quality improvement HEDIS and program studies as needed, requesting records from providers, maintaining databases, and researching to identify members' provider encounter history.</li><li>Ensures that documentation produced and/or processed complies with state regulations and/or accrediting body requirements.</li><li>Ensures assigned contract/regulatory report content is accurate and that submission adheres to deadline.</li><li>Enter documentation of findings in identified databases and ensure accuracy in medical records for data collection, DE and reporting.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>A bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field or equivalent work experience within a managed care environment related to HEDIS record review, quality improvement, medical coding or transferable skill sets that demonstrates the ability to perform the role is required.<strong> </strong>A Master's Degree in Healthcare, Public Health, Nursing, Psychology, Health Administration, Social Work or related field is preferred. 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data and chart reviews to provide consultation and education to providers and provider staff OR 2 years medical coding or other transferable experience and skill set combination that demonstrates the ability to learn and perform the level of the position.<br><br><strong>A license in one of the following is preferred:</strong> Certified Coding Specialist (CCS), Licensed Practical Nurse (LPN), Licensed Master Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor (LMHC), Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse (RN), Acute Care Nurse Practitioner (APRN) (ACNP-BC), Other Foreign trained physician/MD, Health Care Quality and Management (HCQM), Certified Healthcare Professional (CHP), Certified Professional in Healthcare Quality (CPHQ).</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 15:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Business Development ICHRA]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653717]]></requisitionid>
    <referencenumber><![CDATA[1653717]]></referencenumber>
    <apijobid><![CDATA[1653717]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653717/senior-director-business-development-ichra/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Lead the development and execution of business development strategies that expand the company's market presence and drive growth of Individual Coverage Health Reimbursement Arrangements (ICHRAs). Build and strengthen relationships with brokers, employers, and key stakeholders; identify and advance new business opportunities; and develop market expansion strategies that support sustainable growth and organizational objectives.</p><p><strong>Key Details:</strong> Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Develop and execute business development strategies that expand ICHRA adoption and drive organizational growth.</li><li>Identify, evaluate, and advance new market opportunities through strategic analysis of market, financial, operational, and regulatory factors.</li><li>Lead market expansion initiatives and direct business planning activities to support entry into new and emerging markets.</li><li>Build executive relationships with brokers, employers, consultants, and key stakeholders to strengthen market presence and accelerate growth.</li><li>Oversee implementation of new business initiatives by establishing governance, performance measures, and accountability for results.</li><li>Identify and mitigate business, operational, and regulatory risks through collaboration with internal and external stakeholders.</li><li>Monitor and communicate business performance, growth opportunities, and market trends to executive leadership.</li><li>Represent the organization with regulators, policymakers, and industry stakeholders to support strategic business objectives.</li><li>Lead and develop a team responsible for business development, market execution, and relationship management across assigned markets.</li></ul><p><br><strong>Education/Experience: </strong><strong>Bachelor's Degree in Business Administration, Economics, Political Science or related field required. </strong>Master's Degree in a related field preferred. 8+ years years of business development, sales, or investment analysis required. Experience with closing deals. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff required. Experience with healthcare and group benefits sales & administration preferred. Extensive travel required<br> </p>Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IAM Engineer]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655654]]></requisitionid>
    <referencenumber><![CDATA[1655654]]></referencenumber>
    <apijobid><![CDATA[1655654]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655654/senior-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Senior IAM Engineer designs, develops, implements, and supports enterprise Identity and Access Management solutions. This role operates as an independent technical expert and combines strong IAM engineering depth with a developer mindset. The engineer must be able to understand existing code, troubleshoot complex behavior, modify and test code safely, and build scalable solutions that meet business, security, and regulatory needs. The role leads technical integrations, serves as an escalation point for other engineers, and contributes to future-state IAM architecture and roadmap planning.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Design, develop, configure, test, implement, and support advanced IAM capabilities, including identity lifecycle management, identity governance, provisioning, SSO, MFA, PAM, RBAC, access certification, and policy enforcement.</li><li>Read, analyze, troubleshoot, and modify application or integration code; develop scripts, APIs, connectors, workflows, and automation using languages and tools such as Java, BeanShell, Python, PowerShell, REST APIs, JSON, XML, SQL, and Git-based version control.</li><li>Lead technical integrations between IAM platforms and enterprise applications, directories, cloud services, infrastructure, and security tools.</li><li>Diagnose and resolve complex, non-standard IAM engineering issues across code, configuration, data, APIs, connectors, workflows, and dependent systems.</li><li>Create and enforce IAM engineering standards, technical procedures, deployment practices, and controls aligned with identity lifecycle management and security best practices.</li><li>Produce accurate technical requirements, solution designs, test plans, implementation plans, support documentation, and operational runbooks.</li><li>Serve as a senior escalation point and mentor current team through technical guidance, code review, troubleshooting, and hands-on problem resolution.</li><li>Partner with security architects, application owners, developers, system administrators, infrastructure teams, risk partners, and business stakeholders to deliver end-to-end IAM solutions.</li><li>Evaluate system performance, reliability, security, and supportability; recommend and implement improvements that increase delivery speed, quality, resilience, and operational efficiency.</li><li>Contribute to IAM strategy, platform roadmaps, future-state architecture, cloud IAM, Zero Trust, DevSecOps, and automation opportunities.</li><li>Ensure solutions comply with corporate policies, ethical standards, security requirements, and applicable regulatory obligations, including SOX, HIPAA, PCI-DSS, and privacy requirements.</li><li>Lead or contribute to cross-functional implementations from requirements and design through testing, deployment, stabilization, and transition to support.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Required: Hands-on IAM engineering experience with SailPoint IdentityIQ or a comparable identity governance platform; Active Directory and Microsoft Entra ID; REST/SOAP APIs; scripting or software development; source control; testing; troubleshooting; and production support.</li><li>Strongly preferred: SailPoint IdentityIQ development using Java, BeanShell, connector and workflow development, Python, PowerShell, SQL, JSON/XML, CI/CD, cloud identity, Okta or Ping, CyberArk or other PAM platforms, and healthcare or highly regulated industry experience.</li><li>Demonstrated ability to work independently, balance multiple complex priorities, communicate clearly with technical and non-technical partners, make sound decisions under pressure, and deliver accurate work on schedule.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty.</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions.</li><li>Intermediate - Ability to work independently.</li><li>Intermediate - Demonstrated analytical skills.</li><li>Intermediate - Demonstrated project management skills.</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure.</li><li>Intermediate - Demonstrates excellent judgment and decision making skills.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>No certification is required. Preferred certifications include SailPoint, CyberArk, Microsoft Identity and Access Administrator, Okta, CISSP, CIAM, CIST, or CAMS.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IAM Engineer]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655654]]></requisitionid>
    <referencenumber><![CDATA[1655654A]]></referencenumber>
    <apijobid><![CDATA[1655654]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655654/senior-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Senior IAM Engineer designs, develops, implements, and supports enterprise Identity and Access Management solutions. This role operates as an independent technical expert and combines strong IAM engineering depth with a developer mindset. The engineer must be able to understand existing code, troubleshoot complex behavior, modify and test code safely, and build scalable solutions that meet business, security, and regulatory needs. The role leads technical integrations, serves as an escalation point for other engineers, and contributes to future-state IAM architecture and roadmap planning.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Design, develop, configure, test, implement, and support advanced IAM capabilities, including identity lifecycle management, identity governance, provisioning, SSO, MFA, PAM, RBAC, access certification, and policy enforcement.</li><li>Read, analyze, troubleshoot, and modify application or integration code; develop scripts, APIs, connectors, workflows, and automation using languages and tools such as Java, BeanShell, Python, PowerShell, REST APIs, JSON, XML, SQL, and Git-based version control.</li><li>Lead technical integrations between IAM platforms and enterprise applications, directories, cloud services, infrastructure, and security tools.</li><li>Diagnose and resolve complex, non-standard IAM engineering issues across code, configuration, data, APIs, connectors, workflows, and dependent systems.</li><li>Create and enforce IAM engineering standards, technical procedures, deployment practices, and controls aligned with identity lifecycle management and security best practices.</li><li>Produce accurate technical requirements, solution designs, test plans, implementation plans, support documentation, and operational runbooks.</li><li>Serve as a senior escalation point and mentor current team through technical guidance, code review, troubleshooting, and hands-on problem resolution.</li><li>Partner with security architects, application owners, developers, system administrators, infrastructure teams, risk partners, and business stakeholders to deliver end-to-end IAM solutions.</li><li>Evaluate system performance, reliability, security, and supportability; recommend and implement improvements that increase delivery speed, quality, resilience, and operational efficiency.</li><li>Contribute to IAM strategy, platform roadmaps, future-state architecture, cloud IAM, Zero Trust, DevSecOps, and automation opportunities.</li><li>Ensure solutions comply with corporate policies, ethical standards, security requirements, and applicable regulatory obligations, including SOX, HIPAA, PCI-DSS, and privacy requirements.</li><li>Lead or contribute to cross-functional implementations from requirements and design through testing, deployment, stabilization, and transition to support.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Required: Hands-on IAM engineering experience with SailPoint IdentityIQ or a comparable identity governance platform; Active Directory and Microsoft Entra ID; REST/SOAP APIs; scripting or software development; source control; testing; troubleshooting; and production support.</li><li>Strongly preferred: SailPoint IdentityIQ development using Java, BeanShell, connector and workflow development, Python, PowerShell, SQL, JSON/XML, CI/CD, cloud identity, Okta or Ping, CyberArk or other PAM platforms, and healthcare or highly regulated industry experience.</li><li>Demonstrated ability to work independently, balance multiple complex priorities, communicate clearly with technical and non-technical partners, make sound decisions under pressure, and deliver accurate work on schedule.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty.</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions.</li><li>Intermediate - Ability to work independently.</li><li>Intermediate - Demonstrated analytical skills.</li><li>Intermediate - Demonstrated project management skills.</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure.</li><li>Intermediate - Demonstrates excellent judgment and decision making skills.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>No certification is required. Preferred certifications include SailPoint, CyberArk, Microsoft Identity and Access Administrator, Okta, CISSP, CIAM, CIST, or CAMS.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior IAM Engineer]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655654]]></requisitionid>
    <referencenumber><![CDATA[1655654B]]></referencenumber>
    <apijobid><![CDATA[1655654]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655654/senior-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>The Senior IAM Engineer designs, develops, implements, and supports enterprise Identity and Access Management solutions. This role operates as an independent technical expert and combines strong IAM engineering depth with a developer mindset. The engineer must be able to understand existing code, troubleshoot complex behavior, modify and test code safely, and build scalable solutions that meet business, security, and regulatory needs. The role leads technical integrations, serves as an escalation point for other engineers, and contributes to future-state IAM architecture and roadmap planning.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Design, develop, configure, test, implement, and support advanced IAM capabilities, including identity lifecycle management, identity governance, provisioning, SSO, MFA, PAM, RBAC, access certification, and policy enforcement.</li><li>Read, analyze, troubleshoot, and modify application or integration code; develop scripts, APIs, connectors, workflows, and automation using languages and tools such as Java, BeanShell, Python, PowerShell, REST APIs, JSON, XML, SQL, and Git-based version control.</li><li>Lead technical integrations between IAM platforms and enterprise applications, directories, cloud services, infrastructure, and security tools.</li><li>Diagnose and resolve complex, non-standard IAM engineering issues across code, configuration, data, APIs, connectors, workflows, and dependent systems.</li><li>Create and enforce IAM engineering standards, technical procedures, deployment practices, and controls aligned with identity lifecycle management and security best practices.</li><li>Produce accurate technical requirements, solution designs, test plans, implementation plans, support documentation, and operational runbooks.</li><li>Serve as a senior escalation point and mentor current team through technical guidance, code review, troubleshooting, and hands-on problem resolution.</li><li>Partner with security architects, application owners, developers, system administrators, infrastructure teams, risk partners, and business stakeholders to deliver end-to-end IAM solutions.</li><li>Evaluate system performance, reliability, security, and supportability; recommend and implement improvements that increase delivery speed, quality, resilience, and operational efficiency.</li><li>Contribute to IAM strategy, platform roadmaps, future-state architecture, cloud IAM, Zero Trust, DevSecOps, and automation opportunities.</li><li>Ensure solutions comply with corporate policies, ethical standards, security requirements, and applicable regulatory obligations, including SOX, HIPAA, PCI-DSS, and privacy requirements.</li><li>Lead or contribute to cross-functional implementations from requirements and design through testing, deployment, stabilization, and transition to support.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Required: Hands-on IAM engineering experience with SailPoint IdentityIQ or a comparable identity governance platform; Active Directory and Microsoft Entra ID; REST/SOAP APIs; scripting or software development; source control; testing; troubleshooting; and production support.</li><li>Strongly preferred: SailPoint IdentityIQ development using Java, BeanShell, connector and workflow development, Python, PowerShell, SQL, JSON/XML, CI/CD, cloud identity, Okta or Ping, CyberArk or other PAM platforms, and healthcare or highly regulated industry experience.</li><li>Demonstrated ability to work independently, balance multiple complex priorities, communicate clearly with technical and non-technical partners, make sound decisions under pressure, and deliver accurate work on schedule.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty.</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions.</li><li>Intermediate - Ability to work independently.</li><li>Intermediate - Demonstrated analytical skills.</li><li>Intermediate - Demonstrated project management skills.</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure.</li><li>Intermediate - Demonstrates excellent judgment and decision making skills.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>No certification is required. Preferred certifications include SailPoint, CyberArk, Microsoft Identity and Access Administrator, Okta, CISSP, CIAM, CIST, or CAMS.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1657028]]></requisitionid>
    <referencenumber><![CDATA[1657028]]></referencenumber>
    <apijobid><![CDATA[1657028]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1657028/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649677]]></requisitionid>
    <referencenumber><![CDATA[1649677]]></referencenumber>
    <apijobid><![CDATA[1649677]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649677/quality-practice-advisor/]]></url>
    <company><![CDATA[Iowa Total Care]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong><em>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</em></strong></p><p><strong>Position Purpose: </strong>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><p><strong>Key details: </strong>Must have reliable transportation and a valid drivers' license. Must live in the <strong>Central or Eastern IA area </strong>and be willing to travel up to 75% of the time.</p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree or equivalent required. 3+ years in HEDIS record collection and risk adjustment (coding) required.<br><br><strong>Licenses/Certifications:</strong><br>One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS.</p>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 15:00:14 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Medical Director, New Hampshire]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1656373]]></requisitionid>
    <referencenumber><![CDATA[1656373]]></referencenumber>
    <apijobid><![CDATA[1656373]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1656373/senior-medical-director-new-hampshire/]]></url>
    <company><![CDATA[New Hampshire Healthy Families]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Assist the Vice President of Medical Affairs to direct and coordinate the medical affairs functions for the business unit. Oversee the denials and appeals department. May manage other medical directors. Assume VPMA responsibility in absence of VPMA.</p><p><strong>Key Details:</strong></p><p>Serve as Clinical Executive leader representing the health plan both internally and externally; specifically serving in the role as physician executive leader with NH Department of Health and Human Services on all clinical escalations, state fair hearings and health plan advocacy. The Senior Medical Director must be located in New Hampshire or willing to relocate.</p><ul><li>Provide medical leadership for all utilization management, pharmacy, case management, disease management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Perform medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services.</li></ul><ul><li>Support the effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assist VPMA in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provide medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assist the VPMA in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Oversee the activities of physician advisors and other medical directors.</li></ul><ul><li>Utilize the services of medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participate in provider network development and new market expansion as appropriate.</li></ul><ul><li>Participate in provider profiling initiatives.</li></ul><ul><li>Assist in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identify utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identify clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice by profiling providers in order to improve the quality and cost of care.</li></ul><ul><li>Interface with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Review claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>May develop alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represent the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May oversee all aspects of the Appeals and Denials department including implementing budgetary, policy, and personnel decisions for the department.</li></ul><ul><li>Work flexible hours to ensure adequate staffing levels and coverage, including weekends and holidays, to meet patient care needs and support case coverage.</li></ul><ul><li>Performs other duties as assigned</li></ul><ul><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>7+ years of clinical experience in the practice of medicine.</li><li>Managed care or ACO leadership experience strongly preferred.</li><li>Management experience preferred.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Active American Board Certification in Internal or Family Medicine, preferred. Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $215,000.00 - $408,500.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 14:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Product Strategy]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653551]]></requisitionid>
    <referencenumber><![CDATA[1653551]]></referencenumber>
    <apijobid><![CDATA[1653551]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653551/vice-president-product-strategy/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging, easy-to-use products across all business units.<ul><li>Develop and oversee the model for managing product development strategy.</li> <li>Develop and oversee product roadmap in alignment with company strategic goals, market trends, competitive landscape, client, and consumer needs.</li> <li>Drive digital and data/analytics product innovation ensuring highly engaging products with high ease of use.</li> <li>Partner with strategic business unit team leadership (Operations, Pharma sales, Provider Sales and Account Management) and portfolio management to plan and manage complex set of priorities and resources to meet dynamic business, client, and market needs.</li> <li>Build an effective and efficient product organization, including product management, consumer engagement, strategic partnerships and innovation.</li> <li>Drive efficiency within the RFP and client implementation processes.</li> <li>Review market landscape, analyze usage of product offerings, and review business case and key metrics to ensure ROI.</li> <li>Monitor and measure product competitiveness and support new business opportunities.</li> <li>Manage, measure and monitor strategic partners.</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in related field or equivalent experience required<br>For Operations: 10+ years of progressive experience in product development, ownership and management, business strategy, technology delivery, operations, or a related field, including 5+ years leading cross-functional product initiatives, managing complex roadmaps, and influencing senior stakeholders in a matrixed environment. required.<br> </p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 29 Sep 2026 21:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[DRG Reviewer]]></title>
    <date><![CDATA[Tue, 08 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651697]]></requisitionid>
    <referencenumber><![CDATA[1651697]]></referencenumber>
    <apijobid><![CDATA[1651697]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651697/drg-reviewer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<div></div><div><strong>Position Purpose:</strong><br>Responsible for independently conducting comprehensive reviews of MS-DRG and APR-DRG coding and clinical documentation to ensure the accuracy of DRG assignment and reimbursement. Requires advanced expertise in ICD-10-CM/PCS coding and the ability to exercise discretion and professional judgment in assessing complex clinical information, validating diagnosis code assignments, and identifying discrepancies such as coding errors or upcoding. Operates with significant autonomy in supporting DRG validation reviews and appeals, interpreting regulatory requirements, and making authoritative decisions to ensure compliance with all applicable laws, payer contracts, and organizational policies.</div><p><strong>Key Details: </strong></p><p>Remote Role: 4+ years experience of performing MS-DRG and APR-DRG coding required. In-patient and post-pay experience highly preferred. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Independently conducts comprehensive MS-DRG and APR-DRG coding and clinical validation reviews, exercising professional judgment to verify ICD-10-CM/PCS assignments, validate clinical diagnoses, identify discrepancies, and apply inpatient reimbursement rules without direct supervision.</li></ul><ul><li>Collaborates with the Medical Director on complex cases, providing expert recommendations and influencing review outcomes to ensure clinical accuracy and compliance.</li></ul><ul><li>Leads the evaluation of complex cases and proactively identifies opportunities to develop medical policy in the absence of established guidelines, demonstrating discretion and authority in decision-making.</li></ul><ul><li>Applies advanced knowledge of coding guidelines and clinical policies throughout the review process, making autonomous determinations regarding coding accuracy and regulatory compliance.</li></ul><ul><li>Prepares clear, concise, and well-supported audit findings, referencing authoritative sources such as AHA Coding Clinic and ICD-10 guidelines, approved Centene policies, and adopted clinical guidelines, ensuring recommendations reflect professional expertise.</li></ul><ul><li>Evaluates claims and medical records for compliance with state and federal regulations, payer contracts, and company policies, exercising independent judgment in interpreting requirements and resolving ambiguities.</li></ul><ul><li>Consistently meets or exceeds established quality and productivity standards while managing priorities and workflow autonomously.</li></ul><ul><li>Contributes to strategic initiatives by assisting in the development of audit concepts, identifying new audit opportunities, and selecting claims for review, demonstrating leadership in shaping audit methodologies.</li></ul><ul><li>Performs other duties as assigned.</li></ul><ul><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br><br>Associate's Degree in Health Information Management, Nursing, or related field required<br><br>4+ years experience of performing MS-DRG and APR-DRG coding required<br><br>2+ years experience of performing DRG reviews for a Payment Integrity vendor or Payer required<br><br>2+ years experience of using DRG encoder/grouper experience (TruCode/TruBridge, 3M, Optum Encoder, Webstrat, PSI, or similar) required<br><br>1+ years experience of inpatient hospital documentation improvement preferred<br><br><br><br><strong>Licenses/Certifications:</strong><br>RHIT - Registered Health Information Technician required or<br>RHIA - Registered Health Information Administrator required or:<br>CCS-Certified Coding Specialist required or:<br>Certified International Credit Professional (CICP) required or:<br>CCDS Certified Clinical Documentation Specialist required or: RN - Registered Nurse - State Licensure and/or Compact State Licensure Registered Nurse or Higher (in combination with a coding credential) preferred</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 09 Sep 2026 11:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Trainer]]></title>
    <date><![CDATA[Mon, 07 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655851]]></requisitionid>
    <referencenumber><![CDATA[1655851]]></referencenumber>
    <apijobid><![CDATA[1655851]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655851/senior-trainer/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Responsible for developing and conducting a variety of training programs and auditing tools for Sunshine State Health Plan departments supporting members and providers.</p><p><strong>Key Details: </strong>The Senior Trainer role is primarily remote with 25% travel expectation throughout the state of Florida. Candidates residing in Florida are highly preferred.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Coordinate training efforts with various cross-functional areas</p></li><li><p>Develop and administer a universal training curriculum, employ technologies, and enhance training development programs</p></li><li><p>Conduct training sessions covering a variety of department specific processes</p></li><li><p>Develop teaching aids such as training handbooks, demonstration models, multimedia visual aids, computer tutorials, and reference works</p></li><li><p>Evaluate effectiveness of training programs, including cost and benefit analyses and communicate results to management</p></li><li><p>Audit team results, identify gaps in training and implement improvements in training programs</p></li><li><p>Review and recommend updates to policies and procedures</p></li><li><p>Ability to travel</p></li></ul><p><strong>Highly Preferred Skills:</strong></p><ul><li><p>Claims background and prior knowledge or experience working with claims or providers</p></li><li><p>Extensive Training experience (including curriculum development and facilitation)</p></li><li><p>Excellent communication skills both verbal and written</p></li><li><p>Critical thinking skills</p></li></ul><p><strong>Education/Experience:</strong> Bachelor's degree in related field or equivalent experience. 4+ years of training and auditing experience, preferably in a managed care or healthcare environment.<br><br><strong>License/Certification:</strong> Valid driver's license.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Human Resources & Training]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 08 Sep 2026 17:00:08 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Contracting & Network Development.]]></title>
    <date><![CDATA[Mon, 07 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655903]]></requisitionid>
    <referencenumber><![CDATA[1655903]]></referencenumber>
    <apijobid><![CDATA[1655903]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655903/senior-director-contracting-network-development/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversee the development and implementation of contracting activities in network development and enhancement.</p><p><strong>Key Details: </strong>The Senior Director, Network Development & Contracting is responsible for providing strategic leadership, direction, and oversight of provider contracting, network development, and network optimization initiatives across multiple product lines. This role is accountable for developing and executing network strategies that support organizational growth, regulatory compliance, network adequacy, affordability objectives, and provider engagement goals. The Senior Director serves as a key business leader, collaborating with executive leadership and cross-functional stakeholders to develop innovative contracting solutions, strengthen provider partnerships, and drive operational excellence across the network development organization. The team prefers a candidate living in TX.</p><ul><li>Direct the evaluation, review, negotiations and ongoing management of product-specific contracts and amendments between health plan and vendors</li><li>Work with business development and providers to develop a strategy for developing new networks including plans to meet network access and unit cost objectives</li><li>Determine necessary resources to develop the network and assemble the appropriate team across all business functions.</li><li>Complete development of budget in alignment with Centene network management and financial objectives</li><li>Support the new business launch in diverse markets while considering individual market circumstances, provider community, budgeting constraints and available resources</li><li>Lead the network development specialists during the implementation and development stages</li><li>Monitor performance, develop, and implement business solutions to address process and quality gaps.</li><li>Communicate with senior management and other Centene leaders regarding network strategy and planning</li><li>Complete negotiations with complex and major provider contracts as needed to support network objectives</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in Healthcare Administration, Business Administration, related field or equivalent experience. 7+ years of related contracting or healthcare operations experience. Experience establishing new markets including the development of the strategy and oversight of the implementation.Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Tue, 08 Sep 2026 10:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Member Enrollment & Billing]]></title>
    <date><![CDATA[Thu, 03 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1654057]]></requisitionid>
    <referencenumber><![CDATA[1654057]]></referencenumber>
    <apijobid><![CDATA[1654057]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1654057/vice-president-member-enrollment-billing/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> A key executive role responsible for leading and managing billing and enrollment processes across multiple regions. this position ensures operational efficiency, accuracy, and compliance with healthcare regulations, which driving strategic initiatives and fostering a culture of excellence.<ul><li>Develop and implement strategic plans for enrollment and billing operations, aligning with the company's overall goals.</li> <li>Oversee daily operations, ensuring compliance with federal, state, and local healthcare regulations.</li> <li>Manage departmental budgets, analyze financial data, and collaborate with finance for accurate billing.</li> <li>Implement and maintain policies to ensure regulatory compliance, conduct audits, and resolve compliance issues.</li> <li>Maintain elevated levels of customer satisfaction and strong stakeholder relationships.</li> <li>Manage and monitor key performance indicators (KPIs) related to enrollment, billing, and revenue.</li> <li>Contribute to long-term strategic plans, identify growth opportunities, and stay informed on industry trends.</li> <li>Ensure accurate and timely processing of enrollment applications, billing statements, and claims.</li> <li>Develop and mentor a high-performing team, fostering continuous improvement and accountability.</li> <li>Identify and implement process improvements to enhance efficiency, accuracy, and member satisfaction.</li> <li>Oversee all aspects of enrollment and billing operations, including member enrollment, policy administration, claim processing, and revenue cycle management.</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Bachelor's Degree in business administration, healthcare management, or related field or equivalent experience required.<br>Master's Degree in a related field preferred.<br>10+ years 10+ years of healthcare operations experience required.<br>Previous experience managing staff, including hiring, training, managing workload and performance required.<br>Extensive experience in health insurance enrollment and billing operations required.<br>Experience with healthcare billing systems and revenue cycle management preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Pay Range: $207,000.00 - $392,100.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Infrastructure Security Engineer]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655636]]></requisitionid>
    <referencenumber><![CDATA[1655636]]></referencenumber>
    <apijobid><![CDATA[1655636]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655636/senior-infrastructure-security-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Infrastructure Security Engineer is responsible for operating and maturing Centene’s Attack Surface Management (ASM) and Breach Attack Simulation (BAS) programs across hybrid, cloud, on-premises, and enterprise environments. This role strengthens security visibility and risk reduction by validating internet-facing assets, confirming ownership, assessing security coverage, maintaining inventory accuracy, coordinating remediation activities, executing breach attack simulation exercises, validating control effectiveness, and producing actionable reporting. The position partners across security, infrastructure, cloud, application, risk, compliance, and business teams to improve accountability, reduce exposure, validate defensive controls, and support effective security program operations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Ensures the implementation and maintenance of application security standards as per industry best practices.</li><li>Performs architectural analysis of the current application security architecture to detect critical deficiencies and recommend solutions for improvement.</li><li>Audits of application security and operational configurations.</li><li>Monitors & remediates application security incoming alerts/vulnerabilities like malware, injection attacks, unauthorized access, etc.</li><li>Creates application security documents, design standard operating procedures, report findings, and track them to closure by working with related parties.</li><li>Automates routine operational tasks related to application security and design self-service options to align with best-in-class security standards.</li><li>Implements application security solutions such as authentication, authorization, encryption, logging, and application security testing throughout the secure software development life cycle (SSDLC) process.</li><li>Undertakes initiatives/policies to review and generate recommendations for the application security configuration.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Attack Surface Management: Tenable and Wiz.</li><li>Breach Attack Simulation: Wiz and other BAS simulation platforms and control validation tooling.</li><li>Asset visibility and vulnerability management: Armis Centrix, Armis VIPR, Tenable, and Wiz.</li><li>Workflow, collaboration, and reporting: ServiceNow, Microsoft 365, SharePoint, Power BI, Jira, and project tracking tools.</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>Attack Surface Management and external asset discovery.</li><li>Breach Attack Simulation, adversary emulation, control validation, and security detection improvement.</li><li>Asset inventory management, ownership validation, and security coverage assessment.</li><li>Vulnerability management, remediation coordination, and ServiceNow workflow support.</li><li>Security reporting, metrics development, process documentation, and cross-functional program coordination.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>CompTIA Security+ Certification preferred.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Infrastructure Security Engineer]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655636]]></requisitionid>
    <referencenumber><![CDATA[1655636A]]></referencenumber>
    <apijobid><![CDATA[1655636]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655636/senior-infrastructure-security-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Infrastructure Security Engineer is responsible for operating and maturing Centene’s Attack Surface Management (ASM) and Breach Attack Simulation (BAS) programs across hybrid, cloud, on-premises, and enterprise environments. This role strengthens security visibility and risk reduction by validating internet-facing assets, confirming ownership, assessing security coverage, maintaining inventory accuracy, coordinating remediation activities, executing breach attack simulation exercises, validating control effectiveness, and producing actionable reporting. The position partners across security, infrastructure, cloud, application, risk, compliance, and business teams to improve accountability, reduce exposure, validate defensive controls, and support effective security program operations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Ensures the implementation and maintenance of application security standards as per industry best practices.</li><li>Performs architectural analysis of the current application security architecture to detect critical deficiencies and recommend solutions for improvement.</li><li>Audits of application security and operational configurations.</li><li>Monitors & remediates application security incoming alerts/vulnerabilities like malware, injection attacks, unauthorized access, etc.</li><li>Creates application security documents, design standard operating procedures, report findings, and track them to closure by working with related parties.</li><li>Automates routine operational tasks related to application security and design self-service options to align with best-in-class security standards.</li><li>Implements application security solutions such as authentication, authorization, encryption, logging, and application security testing throughout the secure software development life cycle (SSDLC) process.</li><li>Undertakes initiatives/policies to review and generate recommendations for the application security configuration.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Attack Surface Management: Tenable and Wiz.</li><li>Breach Attack Simulation: Wiz and other BAS simulation platforms and control validation tooling.</li><li>Asset visibility and vulnerability management: Armis Centrix, Armis VIPR, Tenable, and Wiz.</li><li>Workflow, collaboration, and reporting: ServiceNow, Microsoft 365, SharePoint, Power BI, Jira, and project tracking tools.</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>Attack Surface Management and external asset discovery.</li><li>Breach Attack Simulation, adversary emulation, control validation, and security detection improvement.</li><li>Asset inventory management, ownership validation, and security coverage assessment.</li><li>Vulnerability management, remediation coordination, and ServiceNow workflow support.</li><li>Security reporting, metrics development, process documentation, and cross-functional program coordination.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>CompTIA Security+ Certification preferred.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Infrastructure Security Engineer]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655636]]></requisitionid>
    <referencenumber><![CDATA[1655636B]]></referencenumber>
    <apijobid><![CDATA[1655636]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655636/senior-infrastructure-security-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Infrastructure Security Engineer is responsible for operating and maturing Centene’s Attack Surface Management (ASM) and Breach Attack Simulation (BAS) programs across hybrid, cloud, on-premises, and enterprise environments. This role strengthens security visibility and risk reduction by validating internet-facing assets, confirming ownership, assessing security coverage, maintaining inventory accuracy, coordinating remediation activities, executing breach attack simulation exercises, validating control effectiveness, and producing actionable reporting. The position partners across security, infrastructure, cloud, application, risk, compliance, and business teams to improve accountability, reduce exposure, validate defensive controls, and support effective security program operations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Ensures the implementation and maintenance of application security standards as per industry best practices.</li><li>Performs architectural analysis of the current application security architecture to detect critical deficiencies and recommend solutions for improvement.</li><li>Audits of application security and operational configurations.</li><li>Monitors & remediates application security incoming alerts/vulnerabilities like malware, injection attacks, unauthorized access, etc.</li><li>Creates application security documents, design standard operating procedures, report findings, and track them to closure by working with related parties.</li><li>Automates routine operational tasks related to application security and design self-service options to align with best-in-class security standards.</li><li>Implements application security solutions such as authentication, authorization, encryption, logging, and application security testing throughout the secure software development life cycle (SSDLC) process.</li><li>Undertakes initiatives/policies to review and generate recommendations for the application security configuration.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Attack Surface Management: Tenable and Wiz.</li><li>Breach Attack Simulation: Wiz and other BAS simulation platforms and control validation tooling.</li><li>Asset visibility and vulnerability management: Armis Centrix, Armis VIPR, Tenable, and Wiz.</li><li>Workflow, collaboration, and reporting: ServiceNow, Microsoft 365, SharePoint, Power BI, Jira, and project tracking tools.</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>Attack Surface Management and external asset discovery.</li><li>Breach Attack Simulation, adversary emulation, control validation, and security detection improvement.</li><li>Asset inventory management, ownership validation, and security coverage assessment.</li><li>Vulnerability management, remediation coordination, and ServiceNow workflow support.</li><li>Security reporting, metrics development, process documentation, and cross-functional program coordination.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>CompTIA Security+ Certification preferred.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Infrastructure Security Engineer]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655636]]></requisitionid>
    <referencenumber><![CDATA[1655636C]]></referencenumber>
    <apijobid><![CDATA[1655636]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655636/senior-infrastructure-security-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> The Senior Infrastructure Security Engineer is responsible for operating and maturing Centene’s Attack Surface Management (ASM) and Breach Attack Simulation (BAS) programs across hybrid, cloud, on-premises, and enterprise environments. This role strengthens security visibility and risk reduction by validating internet-facing assets, confirming ownership, assessing security coverage, maintaining inventory accuracy, coordinating remediation activities, executing breach attack simulation exercises, validating control effectiveness, and producing actionable reporting. The position partners across security, infrastructure, cloud, application, risk, compliance, and business teams to improve accountability, reduce exposure, validate defensive controls, and support effective security program operations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Ensures the implementation and maintenance of application security standards as per industry best practices.</li><li>Performs architectural analysis of the current application security architecture to detect critical deficiencies and recommend solutions for improvement.</li><li>Audits of application security and operational configurations.</li><li>Monitors & remediates application security incoming alerts/vulnerabilities like malware, injection attacks, unauthorized access, etc.</li><li>Creates application security documents, design standard operating procedures, report findings, and track them to closure by working with related parties.</li><li>Automates routine operational tasks related to application security and design self-service options to align with best-in-class security standards.</li><li>Implements application security solutions such as authentication, authorization, encryption, logging, and application security testing throughout the secure software development life cycle (SSDLC) process.</li><li>Undertakes initiatives/policies to review and generate recommendations for the application security configuration.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 – 6 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li>Attack Surface Management: Tenable and Wiz.</li><li>Breach Attack Simulation: Wiz and other BAS simulation platforms and control validation tooling.</li><li>Asset visibility and vulnerability management: Armis Centrix, Armis VIPR, Tenable, and Wiz.</li><li>Workflow, collaboration, and reporting: ServiceNow, Microsoft 365, SharePoint, Power BI, Jira, and project tracking tools.</li></ul><p><strong>Preferred Experience:</strong></p><ul><li>Attack Surface Management and external asset discovery.</li><li>Breach Attack Simulation, adversary emulation, control validation, and security detection improvement.</li><li>Asset inventory management, ownership validation, and security coverage assessment.</li><li>Vulnerability management, remediation coordination, and ServiceNow workflow support.</li><li>Security reporting, metrics development, process documentation, and cross-functional program coordination.</li></ul><p><br><strong>Soft Skills:</strong></p><ul><li>Intermediate - Seeks to acquire knowledge in area of specialty</li><li>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</li><li>Intermediate - Ability to work independently</li><li>Intermediate - Demonstrated analytical skills</li><li>Intermediate - Demonstrated project management skills</li><li>Intermediate - Demonstrates a high level of accuracy, even under pressure</li><li>Intermediate - Demonstrates excellent judgment and decision making skills</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>CompTIA Security+ Certification preferred.</li></ul>Pay Range: $87,000.00 - $161,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 13:00:11 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Contract Negotiator V]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655904]]></requisitionid>
    <referencenumber><![CDATA[1655904]]></referencenumber>
    <apijobid><![CDATA[1655904]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655904/contract-negotiator-v/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Identify, negotiate and manage high performing provider and vendor partnerships.</p><p><strong>Key Details: </strong>The Contract Negotiator V delivers significant organizational value by leading complex provider negotiations, strengthening strategic partnerships, supporting affordability and network adequacy goals, and serving as a senior contracting expert. This role requires advanced negotiation, organizational, analytical, and presentation skills to effectively manage multiple strategic initiatives, communicate complex concepts to executive audiences, and drive business outcomes that enhance the performance and sustainability of the provider network. The team prefers a candidate that lives in TX. </p><ul><li>Negotiate vendor or provider contracts and manage implementations and ongoing relationships.</li><li>Perform market research and analysis as directed.</li><li>Define, initiate, and direct financial analyses and operational reporting for the assigned vendor and provider agreements.</li><li>Lead, manage, and track ongoing financial and operational success of designated partnership.</li><li>Develop and initiate corrective action plans or agreement modifications where necessary, coordinating with local health plans and other applicable internal teams.</li><li>Initiate and lead meetings with health plans and corporate teams, including executive management, to review vendor and provider agreement performance data and scorecards, and partnership strategy.</li></ul><p><br><strong>Education/Experience:</strong><br>Bachelor’s degree in Computer Science, Finance or related field or equivalent experience. 8+ years of vendor and/or provider contract negotiations, contract analysis and/or modeling experience in health care or similar industry. Experience negotiating contracts with successful outcomes and measurable financial results. Experience with presenting and communicating negotiation strategies and results at senior levels. Experience with health care provider negotiations for pharmacy benefit management or managed care preferred.<br><br><br> </p>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Provider Networking & Contracting]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 17:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Clinical Training]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1646401]]></requisitionid>
    <referencenumber><![CDATA[1646401]]></referencenumber>
    <apijobid><![CDATA[1646401]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1646401/director-clinical-training/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Direct and oversee all training activities, including training assessment and evaluation, material development, and training facilitation. Partner with subject matter experts to develop relevant training programs that may utilize different instructional practices. Lead the development and implementation of appropriate training curriculum across the business unit. Conduct trainings as applicable.<br><ul><li>Develop specific learning and development initiatives to blend technical, business and cultural responsibilities by focusing on succession planning, career development and performance management</li><li>Conduct gap analysis in an effort to identify organization effectiveness issues. Make recommendations for improvement through the use of specific training and development programs</li><li>Confer with appropriate management and staff to gain knowledge of work situations, processes, regulations, business initiatives and technologies in order to develop appropriate training programs/materials</li><li>Oversee and coordinate training efforts to meet training demands</li><li>Collaborate with Human Resources to assist with the delivery of New Employee Orientation, on-boarding training and employee development</li><li>Oversee online interactive training initiatives from development to facilitation</li><li>Analyze and evaluate training effectiveness and ROI and provide reports and recommendations to management</li><li>Identify and implement cost savings while maintaining effective training programs</li><li>Oversee the auditing of team results, identify gaps in training and implement improvements in training programs</li><li>Determine appropriateness of contracting with outside vendors to accomplish the organization’s training goals and objectives</li><li>Develop comprehensive training calendar for internal offering and maintain a library of external resources</li><li>Ability to travel</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 7+ years of training experience, preferably in a managed care or insurance environment. Familiarity with computer based training tools and other technology based training platforms. Knowledge of training methodologies, adult learning styles, and evaluative methodologies in measuring impact on organization and ROI of training expenditures.</p><h3></h3><h3><strong>Highly Preferred:</strong><br>Current licensure as an RN, LPN, Social Worker, or other licensed clinical healthcare professional.</h3>Pay Range: $118,400.00 - $219,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Human Resources & Training]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 09:00:15 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Gold Card Program]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637007]]></requisitionid>
    <referencenumber><![CDATA[1637007]]></referencenumber>
    <apijobid><![CDATA[1637007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637007/senior-director-gold-card-program/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversight of the Gold Card Program ensuring effective performance and communication of strategic priorities and outcomes with stakeholders.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Develop and execute the strategic vision for a National Gold Card Program.</p></li><li><p>Identify opportunities to simplify provider interactions and improve healthcare delivery through innovative approaches to utilization management.</p></li><li><p>Drive adoption and expansion strategies across multiple products and markets.</p></li><li><p>Oversee outcomes related to provider experience, operational efficiency, compliance, and business value.</p></li><li><p>Monitor industry trends, emerging regulations, and best practices related to utilization management and provider burden reduction to inform program operations</p></li><li><p>Foster a culture of accountability, innovation, collaboration, and continuous improvement.</p></li></ul><p><strong>Highly Preferred Skills:</strong></p><ul><li><p>Experience developing and executing strategic initiatives with measurable business outcomes.</p></li><li><p>Demonstrated success leading large-scale transformation efforts across matrixed organizations.</p></li><li><p>Strong executive presence with exceptional communication and stakeholder management skills.</p></li><li><p>Experience working with cross-functional teams spanning clinical, operational, regulatory, and technology functions.</p></li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 7+ years of product development/management or related experience. Experience with product planning, development, execution, and product financials. Experience across different market segments and product types.Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 12:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Gold Card Program]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637007]]></requisitionid>
    <referencenumber><![CDATA[1637007A]]></referencenumber>
    <apijobid><![CDATA[1637007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637007/senior-director-gold-card-program/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversight of the Gold Card Program ensuring effective performance and communication of strategic priorities and outcomes with stakeholders.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Develop and execute the strategic vision for a National Gold Card Program.</p></li><li><p>Identify opportunities to simplify provider interactions and improve healthcare delivery through innovative approaches to utilization management.</p></li><li><p>Drive adoption and expansion strategies across multiple products and markets.</p></li><li><p>Oversee outcomes related to provider experience, operational efficiency, compliance, and business value.</p></li><li><p>Monitor industry trends, emerging regulations, and best practices related to utilization management and provider burden reduction to inform program operations</p></li><li><p>Foster a culture of accountability, innovation, collaboration, and continuous improvement.</p></li></ul><p><strong>Highly Preferred Skills:</strong></p><ul><li><p>Experience developing and executing strategic initiatives with measurable business outcomes.</p></li><li><p>Demonstrated success leading large-scale transformation efforts across matrixed organizations.</p></li><li><p>Strong executive presence with exceptional communication and stakeholder management skills.</p></li><li><p>Experience working with cross-functional teams spanning clinical, operational, regulatory, and technology functions.</p></li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 7+ years of product development/management or related experience. Experience with product planning, development, execution, and product financials. Experience across different market segments and product types.Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 12:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Gold Card Program]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637007]]></requisitionid>
    <referencenumber><![CDATA[1637007B]]></referencenumber>
    <apijobid><![CDATA[1637007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637007/senior-director-gold-card-program/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversight of the Gold Card Program ensuring effective performance and communication of strategic priorities and outcomes with stakeholders.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Develop and execute the strategic vision for a National Gold Card Program.</p></li><li><p>Identify opportunities to simplify provider interactions and improve healthcare delivery through innovative approaches to utilization management.</p></li><li><p>Drive adoption and expansion strategies across multiple products and markets.</p></li><li><p>Oversee outcomes related to provider experience, operational efficiency, compliance, and business value.</p></li><li><p>Monitor industry trends, emerging regulations, and best practices related to utilization management and provider burden reduction to inform program operations</p></li><li><p>Foster a culture of accountability, innovation, collaboration, and continuous improvement.</p></li></ul><p><strong>Highly Preferred Skills:</strong></p><ul><li><p>Experience developing and executing strategic initiatives with measurable business outcomes.</p></li><li><p>Demonstrated success leading large-scale transformation efforts across matrixed organizations.</p></li><li><p>Strong executive presence with exceptional communication and stakeholder management skills.</p></li><li><p>Experience working with cross-functional teams spanning clinical, operational, regulatory, and technology functions.</p></li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 7+ years of product development/management or related experience. Experience with product planning, development, execution, and product financials. Experience across different market segments and product types.Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 12:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Gold Card Program]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637007]]></requisitionid>
    <referencenumber><![CDATA[1637007C]]></referencenumber>
    <apijobid><![CDATA[1637007]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637007/senior-director-gold-card-program/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Oversight of the Gold Card Program ensuring effective performance and communication of strategic priorities and outcomes with stakeholders.</p><p><strong>Responsibilities:</strong></p><ul><li><p>Develop and execute the strategic vision for a National Gold Card Program.</p></li><li><p>Identify opportunities to simplify provider interactions and improve healthcare delivery through innovative approaches to utilization management.</p></li><li><p>Drive adoption and expansion strategies across multiple products and markets.</p></li><li><p>Oversee outcomes related to provider experience, operational efficiency, compliance, and business value.</p></li><li><p>Monitor industry trends, emerging regulations, and best practices related to utilization management and provider burden reduction to inform program operations</p></li><li><p>Foster a culture of accountability, innovation, collaboration, and continuous improvement.</p></li></ul><p><strong>Highly Preferred Skills:</strong></p><ul><li><p>Experience developing and executing strategic initiatives with measurable business outcomes.</p></li><li><p>Demonstrated success leading large-scale transformation efforts across matrixed organizations.</p></li><li><p>Strong executive presence with exceptional communication and stakeholder management skills.</p></li><li><p>Experience working with cross-functional teams spanning clinical, operational, regulatory, and technology functions.</p></li></ul><strong>Education/Experience:</strong> Bachelor’s degree in related field or equivalent experience. 7+ years of product development/management or related experience. Experience with product planning, development, execution, and product financials. Experience across different market segments and product types.Pay Range: $134,600.00 - $249,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 12:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968A]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968B]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968C]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968D]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DC]]></city>
    <state><![CDATA[District of Columbia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968E]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-DE]]></city>
    <state><![CDATA[Delaware]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968F]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968G]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968H]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968I]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ID]]></city>
    <state><![CDATA[Idaho]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968J]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968K]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968L]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968M]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968N]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968O]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968P]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MD]]></city>
    <state><![CDATA[Maryland]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968Q]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ME]]></city>
    <state><![CDATA[Maine]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968R]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968S]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968T]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968U]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968V]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MT]]></city>
    <state><![CDATA[Montana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968W]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968X]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-ND]]></city>
    <state><![CDATA[North Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968Y]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968Z]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968[]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968\]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NM]]></city>
    <state><![CDATA[New Mexico]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968]]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968^]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968_]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968`]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968a]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968b]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968c]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-RI]]></city>
    <state><![CDATA[Rhode Island]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968d]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968e]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SD]]></city>
    <state><![CDATA[South Dakota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968f]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TN]]></city>
    <state><![CDATA[Tennessee]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968g]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968h]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968i]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VT]]></city>
    <state><![CDATA[Vermont]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968j]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968k]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968l]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WV]]></city>
    <state><![CDATA[West Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Actuarial Analyst]]></title>
    <date><![CDATA[Wed, 02 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655968]]></requisitionid>
    <referencenumber><![CDATA[1655968m]]></referencenumber>
    <apijobid><![CDATA[1655968]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655968/senior-actuarial-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WY]]></city>
    <state><![CDATA[Wyoming]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose</strong></p><p>Assist in financial analysis, pricing, and risk assessment to estimate outcomes. Support business decision-making through actuarial analysis, healthcare cost trend evaluation, and the identification of savings opportunities across healthcare data sources.</p><p><strong>Key Details:</strong> This position is fully remote and can be performed from anywhere within the Continental United States. Candidates are required to have actuarial experience and demonstrated progress toward an actuarial credential through successful completion of actuarial exams. This role is part of Centene's Actuarial Development Program, offering exam support and professional development opportunities. Relevant experience includes healthcare analytics, cost trend analysis, medical claims analysis, working with large relational datasets, navigating varying levels of data granularity, and building actuarial models with clear, flexible assumptions and summarized outputs. Successful candidates will be able to communicate findings to project management, team leadership, and executive stakeholders.</p><ul><li>Connect eligibility, revenue, claims, provider, and other healthcare data sources to identify and quantify savings opportunities through external partnerships and internal operational efficiencies.</li><li>Communicate findings and recommendations clearly and effectively to project leadership and key stakeholders.</li><li>Work with large relational datasets and navigate varying levels of data granularity to appropriately consolidate and prepare key input data.</li><li>Build actuarial models with clear, flexible assumption inputs and summarized outputs.</li><li>Apply knowledge of mathematics, probability, statistics, principles of finance, and business to calculate financial outcomes.</li><li>Assist with developing probability tables based on analysis of statistical data and other pertinent information.</li><li>Analyze and evaluate required premium rates.</li><li>Assess cash reserves and liabilities to enable payment of future benefits.</li><li>Develop and run data reports.</li><li>Assist with determining an equitable basis for distributing money for insurance benefits.</li><li>Participate in merger and acquisition analysis.</li><li>Perform other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's degree in a related field or equivalent experience. Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p><p><strong>License/Certification:</strong></p><p>Combination of years of experience and number of actuarial exams passed equals or exceeds 5 (Rule of 5). For example, 2 years of actuarial experience and 3 passed actuarial exams.</p>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Accounting, Finance & Actuarial]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 03 Sep 2026 20:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Special Investigation Unit (SIU)]]></title>
    <date><![CDATA[Tue, 01 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655682]]></requisitionid>
    <referencenumber><![CDATA[1655682]]></referencenumber>
    <apijobid><![CDATA[1655682]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655682/manager-special-investigation-unit-siu/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.</p><ul><li>Monitor business processes and systems to assure integrity and compliance in billing and claims payment</li><li>Lead a team appropriately investigate all possible fraud, waste and abuse referrals</li><li>Develop educational materials to address/identify waste activities as requested by the health plan and on an ad-hoc basis</li><li>Attend state/federal meetings as required by specific contracts</li><li>Review post-payment cases with appropriate parties to obtain refund</li><li>Prepare and distribute monthly and quarterly saving reports</li><li>Participate in Appeals Committee, work groups and interdepartmental meetings</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience.</li><li>4+ years of combined medical claim investigation, financial impact analysis, business analysis, compliance or fraud and abuse experience required.</li><li>Thorough knowledge of medical terminology required.</li><li>Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred.</li><li>Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred.</li></ul><p><br><strong>License/Certification:</strong></p><ul><li>Medical records or coding license preferred.</li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager - Behavioral Health]]></title>
    <date><![CDATA[Tue, 01 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643314]]></requisitionid>
    <referencenumber><![CDATA[1643314]]></referencenumber>
    <apijobid><![CDATA[1643314]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643314/ltss-service-care-manager-behavioral-health/]]></url>
    <company><![CDATA[Sunflower Health Plan]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Program/Team Supported:</strong> This position supports the Population Health LTSS Care Management team, specifically the SED Waiver program.</p><p><strong>Travel:</strong> This is a field-based role requiring approximately 50% travel throughout Kansas. Travel will typically be within approximately a one-hour drive.</p><p><strong>Schedule:</strong> The standard schedule is Monday through Friday from 8:00 a.m. to 5:00 p.m. There are no weekend or holiday requirements.</p><p><strong>Location:</strong> This is a field-based position in Kansas and is open to candidates residing throughout the state.</p><p><strong>Preferred Areas:</strong> Candidates located in Northeast Kansas are preferred, particularly those residing in or near Shawnee, Jackson, Nemaha, Brown, Atchison, and Jefferson counties.</p><p><strong>Position Purpose:</strong><br>Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs.</p><ul><li>Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc</li><li>Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc</li><li>Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members</li><li>Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>For Sunflower plan only: Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LMSW, LCSW, LMFT, LMHC, LPC and RN with BH experience required</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 01 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655683]]></requisitionid>
    <referencenumber><![CDATA[1655683]]></referencenumber>
    <apijobid><![CDATA[1655683]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655683/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Serves as a partner and advisor between enterprise stakeholders and Enterprise Privacy & Security Risk Management (EPSRM), ensuring regulatory and contractual privacy, security, AI, and business continuity requirements are translated into practical operational controls, processes, and governance activities. Partners closely with key stakeholders to translate complex legal, regulatory, and policy obligations within the context of business operations and supporting technology environments, enabling the organization to achieve compliance while effectively managing risk and maintaining operational efficiency. Partners with business, technology, compliance, legal, and operational stakeholders to identify emerging requirements, assess impacts, drive remediation of control gaps, and promote audit-ready compliance. Acting as an advisor and second-line risk partner, the role helps embed privacy, security, and resilience objectives into business decision-making, ensuring risks are proactively identified, communicated, and mitigated in alignment with organizational goals and regulatory expectations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Acts as a key partner and advisor between EPSRM and assigned business partners, including Health Plans, Health Care Enterprises, Shared Services, Compliance, and Market Technology Leads, building strong stakeholder relationships and ensuring clear understanding of requirements, risks, gaps, priorities, and compliance expectations.</li><li>Conducts impact analysis on new requirements and facilitate cross-functional working groups to educate, identify resource needs to manage organizational and regulatory changes, and drive complex, enterprise-wide initiatives to maintain audit-ready compliance of our business and technology processes and systems.</li><li>Enables risk-informed business decisions by translating complex contractual and regulatory privacy, security, AI, and resilience requirements into actionable business and technology guidance that balances compliance obligations with operational realities.</li><li>Identifies, assesses, and facilitates solutions to risks, control gaps, and compliance issues related to privacy, security, AI, and business continuity, partnering with internal and external stakeholders to remove barriers, break down silos, drive collaboration, and escalate issues.</li><li>Supports regulatory audits, assessments, and readiness reviews by coordinating and validating compliance evidence and control effectiveness, facilitating responses, and providing subject matter expertise to demonstrate audit-ready compliance.</li><li>Supports business growth and operational readiness activities, including market expansion, contract renewals, RFP responses, tabletop exercises, and readiness reviews by evaluating privacy, security, AI, and business continuity preparedness.</li><li>Partners with Legal, Procurement, and business stakeholders to update third-party agreements, addendums, and contractual requirements in response to evolving privacy, security, AI, and business continuity obligations.</li><li>Partners with Government Affairs and regulatory stakeholders to provide subject matter expertise, recommendations, and impact assessments on proposed legislation and regulatory developments affecting privacy, security, AI, and business continuity.</li><li>Maintains deep knowledge of Centene’s business operations, technology ecosystems, vendors, and supporting processes, and how privacy, security, AI, and business continuity requirements apply across those environments.</li><li>Establishes and maintains program governance structures such as RACIs, decision frameworks, reporting mechanisms, and project tracking processes to monitor and manage progress, and provide executive-level communications that clearly convey program status, compliance posture, business impacts, risks, decisions, and required actions across complex, multi-department initiatives.</li><li>Monitors emerging industry, regulatory, and enforcement trends through participation in professional associations, regulatory forums, industry roundtables, ISACs, and requests-for-comment activities, using insights to anticipate future requirements and risks.</li><li>Drives continuous improvement of Enterprise Engagement practices, including methodologies, stakeholder engagement strategies, reporting processes, governance approaches, and operational effectiveness.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Systems, Risk/Compliance, Business Law, or industry related field; or equivalent experience required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>3+ years Identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience interpreting regulatory, contractual, and compliance requirements and translating them into operational controls, risk management processes, business capabilities, and remediation strategies within highly regulated environments required.</li><li>Experience leading complex, cross-functional projects or workstreams involving multiple stakeholders, including the development of executive communications, risk assessments, status reporting, and corrective action plans required.</li><li>Working knowledge of healthcare regulatory and security frameworks, including HIPAA/HITECH, state privacy laws, AI governance, business continuity and resilience requirements, NIST 800-53, CMS MARS-E/ARC-AMPE, HITRUST, SOC 2, NCQA, and ISO 27001 required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 01 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655683]]></requisitionid>
    <referencenumber><![CDATA[1655683A]]></referencenumber>
    <apijobid><![CDATA[1655683]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655683/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Serves as a partner and advisor between enterprise stakeholders and Enterprise Privacy & Security Risk Management (EPSRM), ensuring regulatory and contractual privacy, security, AI, and business continuity requirements are translated into practical operational controls, processes, and governance activities. Partners closely with key stakeholders to translate complex legal, regulatory, and policy obligations within the context of business operations and supporting technology environments, enabling the organization to achieve compliance while effectively managing risk and maintaining operational efficiency. Partners with business, technology, compliance, legal, and operational stakeholders to identify emerging requirements, assess impacts, drive remediation of control gaps, and promote audit-ready compliance. Acting as an advisor and second-line risk partner, the role helps embed privacy, security, and resilience objectives into business decision-making, ensuring risks are proactively identified, communicated, and mitigated in alignment with organizational goals and regulatory expectations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Acts as a key partner and advisor between EPSRM and assigned business partners, including Health Plans, Health Care Enterprises, Shared Services, Compliance, and Market Technology Leads, building strong stakeholder relationships and ensuring clear understanding of requirements, risks, gaps, priorities, and compliance expectations.</li><li>Conducts impact analysis on new requirements and facilitate cross-functional working groups to educate, identify resource needs to manage organizational and regulatory changes, and drive complex, enterprise-wide initiatives to maintain audit-ready compliance of our business and technology processes and systems.</li><li>Enables risk-informed business decisions by translating complex contractual and regulatory privacy, security, AI, and resilience requirements into actionable business and technology guidance that balances compliance obligations with operational realities.</li><li>Identifies, assesses, and facilitates solutions to risks, control gaps, and compliance issues related to privacy, security, AI, and business continuity, partnering with internal and external stakeholders to remove barriers, break down silos, drive collaboration, and escalate issues.</li><li>Supports regulatory audits, assessments, and readiness reviews by coordinating and validating compliance evidence and control effectiveness, facilitating responses, and providing subject matter expertise to demonstrate audit-ready compliance.</li><li>Supports business growth and operational readiness activities, including market expansion, contract renewals, RFP responses, tabletop exercises, and readiness reviews by evaluating privacy, security, AI, and business continuity preparedness.</li><li>Partners with Legal, Procurement, and business stakeholders to update third-party agreements, addendums, and contractual requirements in response to evolving privacy, security, AI, and business continuity obligations.</li><li>Partners with Government Affairs and regulatory stakeholders to provide subject matter expertise, recommendations, and impact assessments on proposed legislation and regulatory developments affecting privacy, security, AI, and business continuity.</li><li>Maintains deep knowledge of Centene’s business operations, technology ecosystems, vendors, and supporting processes, and how privacy, security, AI, and business continuity requirements apply across those environments.</li><li>Establishes and maintains program governance structures such as RACIs, decision frameworks, reporting mechanisms, and project tracking processes to monitor and manage progress, and provide executive-level communications that clearly convey program status, compliance posture, business impacts, risks, decisions, and required actions across complex, multi-department initiatives.</li><li>Monitors emerging industry, regulatory, and enforcement trends through participation in professional associations, regulatory forums, industry roundtables, ISACs, and requests-for-comment activities, using insights to anticipate future requirements and risks.</li><li>Drives continuous improvement of Enterprise Engagement practices, including methodologies, stakeholder engagement strategies, reporting processes, governance approaches, and operational effectiveness.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Systems, Risk/Compliance, Business Law, or industry related field; or equivalent experience required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>3+ years Identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience interpreting regulatory, contractual, and compliance requirements and translating them into operational controls, risk management processes, business capabilities, and remediation strategies within highly regulated environments required.</li><li>Experience leading complex, cross-functional projects or workstreams involving multiple stakeholders, including the development of executive communications, risk assessments, status reporting, and corrective action plans required.</li><li>Working knowledge of healthcare regulatory and security frameworks, including HIPAA/HITECH, state privacy laws, AI governance, business continuity and resilience requirements, NIST 800-53, CMS MARS-E/ARC-AMPE, HITRUST, SOC 2, NCQA, and ISO 27001 required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 01 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655683]]></requisitionid>
    <referencenumber><![CDATA[1655683B]]></referencenumber>
    <apijobid><![CDATA[1655683]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655683/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Serves as a partner and advisor between enterprise stakeholders and Enterprise Privacy & Security Risk Management (EPSRM), ensuring regulatory and contractual privacy, security, AI, and business continuity requirements are translated into practical operational controls, processes, and governance activities. Partners closely with key stakeholders to translate complex legal, regulatory, and policy obligations within the context of business operations and supporting technology environments, enabling the organization to achieve compliance while effectively managing risk and maintaining operational efficiency. Partners with business, technology, compliance, legal, and operational stakeholders to identify emerging requirements, assess impacts, drive remediation of control gaps, and promote audit-ready compliance. Acting as an advisor and second-line risk partner, the role helps embed privacy, security, and resilience objectives into business decision-making, ensuring risks are proactively identified, communicated, and mitigated in alignment with organizational goals and regulatory expectations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Acts as a key partner and advisor between EPSRM and assigned business partners, including Health Plans, Health Care Enterprises, Shared Services, Compliance, and Market Technology Leads, building strong stakeholder relationships and ensuring clear understanding of requirements, risks, gaps, priorities, and compliance expectations.</li><li>Conducts impact analysis on new requirements and facilitate cross-functional working groups to educate, identify resource needs to manage organizational and regulatory changes, and drive complex, enterprise-wide initiatives to maintain audit-ready compliance of our business and technology processes and systems.</li><li>Enables risk-informed business decisions by translating complex contractual and regulatory privacy, security, AI, and resilience requirements into actionable business and technology guidance that balances compliance obligations with operational realities.</li><li>Identifies, assesses, and facilitates solutions to risks, control gaps, and compliance issues related to privacy, security, AI, and business continuity, partnering with internal and external stakeholders to remove barriers, break down silos, drive collaboration, and escalate issues.</li><li>Supports regulatory audits, assessments, and readiness reviews by coordinating and validating compliance evidence and control effectiveness, facilitating responses, and providing subject matter expertise to demonstrate audit-ready compliance.</li><li>Supports business growth and operational readiness activities, including market expansion, contract renewals, RFP responses, tabletop exercises, and readiness reviews by evaluating privacy, security, AI, and business continuity preparedness.</li><li>Partners with Legal, Procurement, and business stakeholders to update third-party agreements, addendums, and contractual requirements in response to evolving privacy, security, AI, and business continuity obligations.</li><li>Partners with Government Affairs and regulatory stakeholders to provide subject matter expertise, recommendations, and impact assessments on proposed legislation and regulatory developments affecting privacy, security, AI, and business continuity.</li><li>Maintains deep knowledge of Centene’s business operations, technology ecosystems, vendors, and supporting processes, and how privacy, security, AI, and business continuity requirements apply across those environments.</li><li>Establishes and maintains program governance structures such as RACIs, decision frameworks, reporting mechanisms, and project tracking processes to monitor and manage progress, and provide executive-level communications that clearly convey program status, compliance posture, business impacts, risks, decisions, and required actions across complex, multi-department initiatives.</li><li>Monitors emerging industry, regulatory, and enforcement trends through participation in professional associations, regulatory forums, industry roundtables, ISACs, and requests-for-comment activities, using insights to anticipate future requirements and risks.</li><li>Drives continuous improvement of Enterprise Engagement practices, including methodologies, stakeholder engagement strategies, reporting processes, governance approaches, and operational effectiveness.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Systems, Risk/Compliance, Business Law, or industry related field; or equivalent experience required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>3+ years Identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience interpreting regulatory, contractual, and compliance requirements and translating them into operational controls, risk management processes, business capabilities, and remediation strategies within highly regulated environments required.</li><li>Experience leading complex, cross-functional projects or workstreams involving multiple stakeholders, including the development of executive communications, risk assessments, status reporting, and corrective action plans required.</li><li>Working knowledge of healthcare regulatory and security frameworks, including HIPAA/HITECH, state privacy laws, AI governance, business continuity and resilience requirements, NIST 800-53, CMS MARS-E/ARC-AMPE, HITRUST, SOC 2, NCQA, and ISO 27001 required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 01 Sep 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1655683]]></requisitionid>
    <referencenumber><![CDATA[1655683C]]></referencenumber>
    <apijobid><![CDATA[1655683]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1655683/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Serves as a partner and advisor between enterprise stakeholders and Enterprise Privacy & Security Risk Management (EPSRM), ensuring regulatory and contractual privacy, security, AI, and business continuity requirements are translated into practical operational controls, processes, and governance activities. Partners closely with key stakeholders to translate complex legal, regulatory, and policy obligations within the context of business operations and supporting technology environments, enabling the organization to achieve compliance while effectively managing risk and maintaining operational efficiency. Partners with business, technology, compliance, legal, and operational stakeholders to identify emerging requirements, assess impacts, drive remediation of control gaps, and promote audit-ready compliance. Acting as an advisor and second-line risk partner, the role helps embed privacy, security, and resilience objectives into business decision-making, ensuring risks are proactively identified, communicated, and mitigated in alignment with organizational goals and regulatory expectations.</p><p><strong>Key Details:</strong> Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Acts as a key partner and advisor between EPSRM and assigned business partners, including Health Plans, Health Care Enterprises, Shared Services, Compliance, and Market Technology Leads, building strong stakeholder relationships and ensuring clear understanding of requirements, risks, gaps, priorities, and compliance expectations.</li><li>Conducts impact analysis on new requirements and facilitate cross-functional working groups to educate, identify resource needs to manage organizational and regulatory changes, and drive complex, enterprise-wide initiatives to maintain audit-ready compliance of our business and technology processes and systems.</li><li>Enables risk-informed business decisions by translating complex contractual and regulatory privacy, security, AI, and resilience requirements into actionable business and technology guidance that balances compliance obligations with operational realities.</li><li>Identifies, assesses, and facilitates solutions to risks, control gaps, and compliance issues related to privacy, security, AI, and business continuity, partnering with internal and external stakeholders to remove barriers, break down silos, drive collaboration, and escalate issues.</li><li>Supports regulatory audits, assessments, and readiness reviews by coordinating and validating compliance evidence and control effectiveness, facilitating responses, and providing subject matter expertise to demonstrate audit-ready compliance.</li><li>Supports business growth and operational readiness activities, including market expansion, contract renewals, RFP responses, tabletop exercises, and readiness reviews by evaluating privacy, security, AI, and business continuity preparedness.</li><li>Partners with Legal, Procurement, and business stakeholders to update third-party agreements, addendums, and contractual requirements in response to evolving privacy, security, AI, and business continuity obligations.</li><li>Partners with Government Affairs and regulatory stakeholders to provide subject matter expertise, recommendations, and impact assessments on proposed legislation and regulatory developments affecting privacy, security, AI, and business continuity.</li><li>Maintains deep knowledge of Centene’s business operations, technology ecosystems, vendors, and supporting processes, and how privacy, security, AI, and business continuity requirements apply across those environments.</li><li>Establishes and maintains program governance structures such as RACIs, decision frameworks, reporting mechanisms, and project tracking processes to monitor and manage progress, and provide executive-level communications that clearly convey program status, compliance posture, business impacts, risks, decisions, and required actions across complex, multi-department initiatives.</li><li>Monitors emerging industry, regulatory, and enforcement trends through participation in professional associations, regulatory forums, industry roundtables, ISACs, and requests-for-comment activities, using insights to anticipate future requirements and risks.</li><li>Drives continuous improvement of Enterprise Engagement practices, including methodologies, stakeholder engagement strategies, reporting processes, governance approaches, and operational effectiveness.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Systems, Risk/Compliance, Business Law, or industry related field; or equivalent experience required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>3+ years Identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience interpreting regulatory, contractual, and compliance requirements and translating them into operational controls, risk management processes, business capabilities, and remediation strategies within highly regulated environments required.</li><li>Experience leading complex, cross-functional projects or workstreams involving multiple stakeholders, including the development of executive communications, risk assessments, status reporting, and corrective action plans required.</li><li>Working knowledge of healthcare regulatory and security frameworks, including HIPAA/HITECH, state privacy laws, AI governance, business continuity and resilience requirements, NIST 800-53, CMS MARS-E/ARC-AMPE, HITRUST, SOC 2, NCQA, and ISO 27001 required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[LTSS Service Care Manager]]></title>
    <date><![CDATA[Mon, 31 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649747]]></requisitionid>
    <referencenumber><![CDATA[1649747]]></referencenumber>
    <apijobid><![CDATA[1649747]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649747/ltss-service-care-manager/]]></url>
    <company><![CDATA[Sunshine State Health Plan]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> 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 and their families/caregivers on services and benefits available to meet member needs.</p><p><strong>Key Details:</strong> This is a field-based position, and applicants must reside in Alexander, Anson, Cabarrus, Catawba, Cleveland, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union, Davie, Davidson, Yadkin, or Wilkes County, North Carolina. Candidates must hold one of the following required licenses or certifications: NC LCSW (Licensed Clinical Social Worker) or RN (Registered Nurse). Candidates with technological proficiency, excellent customer service and communication skills, strong assessment skills, change management experience, and LTSS and/or HCBS coordination experience are preferred.</p><ul><li>Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome</li><li>Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members</li><li>Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs</li><li>Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met</li><li>Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 2 – 4 years of related experience.</p><p>or</p><p>Individuals with a Bachelor’s degree in health, human, social work or education services with one or more years of qualifying experience; or a high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population.</p><p>Experience: Experience interviewing and assessing member needs; Knowledge and experience regarding caseload management and casework practices; Knowledge regarding determining eligibility for DHSS programs; Knowledge regarding Federal and State law as it applies to DHSS programs; The ability to effectively solve problems and locate community resources; The ability to collaborate with caregivers, involved State agency representatives and providers; Good interpersonal skills; Ability to practice Cultural Competency with awareness and respect for diversity; and Knowledge of the needs and service delivery system for all populations in the case manager’s caseload.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong></p><ul><li>For North Carolina Standard Plan: Two (2) years of prior LTSS and/or HCBS coordination, care delivery monitoring and care management experience; Prior experience with social work, geriatrics, gerontology, pediatrics, or human services.</li><li>RN or LCSW required.</li></ul>Pay Range: $27.02 - $48.55 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643436]]></requisitionid>
    <referencenumber><![CDATA[1643436]]></referencenumber>
    <apijobid><![CDATA[1643436]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643436/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Education/Experience:<br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.<br><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643436]]></requisitionid>
    <referencenumber><![CDATA[1643436A]]></referencenumber>
    <apijobid><![CDATA[1643436]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643436/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Education/Experience:<br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.<br><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643436]]></requisitionid>
    <referencenumber><![CDATA[1643436B]]></referencenumber>
    <apijobid><![CDATA[1643436]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643436/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p>Education/Experience:<br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.<br><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643434]]></requisitionid>
    <referencenumber><![CDATA[1643434]]></referencenumber>
    <apijobid><![CDATA[1643434]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643434/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643434]]></requisitionid>
    <referencenumber><![CDATA[1643434A]]></referencenumber>
    <apijobid><![CDATA[1643434]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643434/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643434]]></requisitionid>
    <referencenumber><![CDATA[1643434B]]></referencenumber>
    <apijobid><![CDATA[1643434]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643434/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.<br> </p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859A]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859B]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859C]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859D]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859E]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859F]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859G]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859H]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead Proposal Writer]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653859]]></requisitionid>
    <referencenumber><![CDATA[1653859I]]></referencenumber>
    <apijobid><![CDATA[1653859]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653859/lead-proposal-writer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develop written responses to complex, high-scoring Medicaid Request for Proposal (RFP) section supporting the company's growth and expansion goals.</p><p><strong>Key Details: </strong>Occasional evening and weekend work may be required during peak RFP and re-procurement periods. Clinical healthcare experience and strong Medicaid proposal writing skills are preferred.</p><ul><li>Project manage and respond to assigned high-scoring RFP questions in support of new business and renewal procurement</li><li>Partners with internal functional area Subject Matter Experts (SMEs) to translate SME-provided policies, examples, and reports into compelling narrative </li><li>Ensure responses to assigned RFP questions comply with RFP requirements and drafting guides, and are 'on message' with identified win themes and key differentiators</li><li>Develop topic papers in assigned areas in advance of RFP release to help other writers understand topic, approach, and associated tactics and programs</li><li>Serve as the department’s SME for assigned functional areas by understanding key concepts and terms under that discipline</li><li>Provide backup support for department reporting, competitive intelligence, and project management activities as needed</li><li>Mentor departmental staff and assist in the development of RFP responses and reviews</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in English, Marketing, Health Care, or related field. Over five years of proposal writing experience, preferably in Medicaid managed care. Experience managing proposals, marketing, technical or contract writing experience preferred.</p><p><strong>Licenses</strong>:</p><p>Clinical license (e.g., RN, LCSW) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 04 Sep 2026 14:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643435]]></requisitionid>
    <referencenumber><![CDATA[1643435]]></referencenumber>
    <apijobid><![CDATA[1643435]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643435/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643435]]></requisitionid>
    <referencenumber><![CDATA[1643435A]]></referencenumber>
    <apijobid><![CDATA[1643435]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643435/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643435]]></requisitionid>
    <referencenumber><![CDATA[1643435B]]></referencenumber>
    <apijobid><![CDATA[1643435]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643435/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643431]]></requisitionid>
    <referencenumber><![CDATA[1643431]]></referencenumber>
    <apijobid><![CDATA[1643431]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643431/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.</p><p><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643431]]></requisitionid>
    <referencenumber><![CDATA[1643431A]]></referencenumber>
    <apijobid><![CDATA[1643431]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643431/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.</p><p><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643431]]></requisitionid>
    <referencenumber><![CDATA[1643431B]]></referencenumber>
    <apijobid><![CDATA[1643431]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643431/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.</p><p><br>Master's Degree preferred.</p><p><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643437]]></requisitionid>
    <referencenumber><![CDATA[1643437]]></referencenumber>
    <apijobid><![CDATA[1643437]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643437/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.<br><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643437]]></requisitionid>
    <referencenumber><![CDATA[1643437A]]></referencenumber>
    <apijobid><![CDATA[1643437]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643437/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.<br><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Enterprise Engagement Lead Analyst]]></title>
    <date><![CDATA[Sun, 30 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643437]]></requisitionid>
    <referencenumber><![CDATA[1643437B]]></referencenumber>
    <apijobid><![CDATA[1643437]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643437/enterprise-engagement-lead-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Supports Enterprise Privacy & Security Risk Management (EPSRM) and other teams across Centene by translating complex regulatory, legislative, and contractual requirements into actionable, risk-informed analysis and advisory-ready outputs, among other duties.<br><br>Serves as a critical execution layer within the Privacy & Security Enterprise Engagement model, working as part of a team of Lead Analysts that support both Market Enterprise Engagement Officers (EEOs) and Shared Services EEOs. Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational resilience.<br><br>Operating in a Second Line of Defense (2LoD) advisory capacity, this role enables EEOs to focus on stakeholder engagement and decision-making by delivering high-quality analysis, requirement traceability, and executive-ready insights. Applies deep subject matter expertise, operates with limited oversight, and influences cross-functional stakeholders to ensure regulatory and contractual requirements are effectively operationalized across the enterprise.</p><ul><li>Analyzes and interprets federal/state laws, regulations, and contractual obligations (e.g., state contracts, DPAs, security addenda) to identify requirements impacting operations, systems, and data, and maintain awareness of evolving regulatory landscapes (CMS, HIPAA, state programs, AI governance).</li><li>Translates regulatory and contractual requirements into structured, enforceable, and testable obligations aligned to enterprise frameworks (e.g., NIST, CMS/MARSE/ARC-AMPE, NCQA), including development and maintenance of requirement inventories, mappings, and traceability artifacts linking controls, owners, and evidence.</li><li>Performs impact assessments and support regulatory change management to evaluate the effect of new or changing requirements across business and technology environments, including maintaining regulatory tracking mechanisms and GRC inputs to support enterprise visibility.</li><li>Acts as a core support partner to EEOs and enterprise stakeholders, delivering risk-informed insights, recommendations, and updates on regulatory developments, compliance posture, and mitigation strategies.</li><li>Develops executive-ready outputs (e.g., briefings, dashboards, summaries, risk analyses) to support decision-making and communicate complex requirements in a clear, actionable manner.</li><li>Supports the development of playbooks, templates, and standard operating procedures (SOPs), and identify opportunities to enhance processes, tools, and analytical methods to drive consistency and efficiency.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree Information Security, Information Technology, Cybersecurity, Public Policy, Legal/Paralegal Studies, or related field; or equivalent experience required.<br><br>Master's Degree preferred.<br><br>Juris Doctor (JD) preferred.</p><ul><li>5+ years Privacy, security, compliance, risk management, or related field required.</li><li>5+ years Analyzing regulatory, legislative, or contractual requirements required.</li><li>3+ years Healthcare, government programs (Medicare, Medicaid, Marketplace), or similarly highly regulated industries required.</li><li>Experience producing executive-ready communications and advisory materials, influencing business and technical stakeholders without direct authority, and supporting risk-informed decision-making within a Second Line of Defense (2LoD) advisory model in complex, cross-functional environments preferred.</li><li>Experience applying healthcare regulatory frameworks (e.g., CMS, HIPAA, state Medicaid/Exchange requirements, NCQA) and security/privacy control frameworks (e.g., NIST 800-53, ISO 27001, CMS/MARSE/ARC-AMPE) within compliance, risk, or technology environments preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong><br>CISSP, CISM, CRISC, or similar information security or risk certification preferred.<br><br>Privacy, AI Governance or compliance-related certifications (e.g., CIPP, CIPM, AIGP, etc.) preferred.</p>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, External Audit Compliance]]></title>
    <date><![CDATA[Thu, 27 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649624]]></requisitionid>
    <referencenumber><![CDATA[1649624]]></referencenumber>
    <apijobid><![CDATA[1649624]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649624/manager-external-audit-compliance/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Manage and oversee the coordination of regulatory audits, examinations, and oversight activities for a regional portfolio of Medicaid health plans across the West Region. Provide leadership and direction to team members responsible for day-to-day audit execution while ensuring consistent application of departmental processes and standards.</p><p><strong>Key Details: </strong> Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. However, the selected candidate must be available to work Pacific Time business hours and will be required to travel as needed for business purposes.</p><ul><li>Lead a team of audit coordinators supporting regulatory audits and examinations.</li><li>Oversee audit readiness, coordination, documentation management, and stakeholder engagement activities across assigned markets.</li><li>Partner with health plan leadership, Operations, Compliance, and business subject matter experts throughout the audit lifecycle.</li><li>Monitor audit timelines, deliverables, risks, and escalation items.</li><li>Present audit status updates, risks, trends, and outcomes to leadership audiences.</li><li>Drive adherence to established audit management processes and continuous improvement initiatives.</li><li>Support development of audit strategies, lessons learned, and knowledge-sharing practices across markets.</li><li>Mentor and develop team members while ensuring workload balancing and effective resource allocation.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business Administration, Healthcare Administration, Compliance, Law or related field; or equivalent experience required</li><li>Master's Degree preferred</li><li>Juris Doctor (JD) preferred</li><li>4+ years Compliance experience, preferably in a healthcare environment; or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position required</li><li>2+ years Medicaid, Medicare or Commercial Managed Care experience required</li><li>Previous experience demonstrating effective interaction with federal and state regulatory agencies in a managed care or insurance environment preferred</li></ul>Pay Range: $87,700.00 - $157,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Compliance and Vendor Management Oversight Specialist]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651838]]></requisitionid>
    <referencenumber><![CDATA[1651838]]></referencenumber>
    <apijobid><![CDATA[1651838]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651838/senior-compliance-and-vendor-management-oversight-specialist/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Leads the integrity and governance of Centene's and/or its vendors corporate ethics and compliance program, and ongoing oversight and analysis of regulatory compliance practices.</p><p><strong>Key Details: </strong> Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.</p><ul><li>Collaborates with internal teams and external vendors or subcontractors to promote contract compliance and uphold program integrity through structured oversight and monitoring of government-sponsored healthcare programs.</li><li>Oversee the management of the entire contract lifecycle, from drafting to finalization, ensuring compliance and mitigating risks.</li><li>Conducts reviews, audits, and assessments of vendor relationships to ensure adherence to Centene's s and Government-sponsored health care program Requirements.</li><li>Collaborates with business owners and vendors to drive process improvements, maintaining integrity, and ensuring compliance with Government-sponsored healthcare program requirements.</li><li>Leads the timely, consistent, and accurate communication of state and federal regulatory updates impacting Medicaid and Marketplace regulatory filings in collaboration with market and product compliance officers. Prepares, organizes, and package subcontractor files for approval/notification.</li><li>Develop clear, accurate and timely written reports detailing oversight and monitoring findings and recommendations. Ensures all supporting documentation and workpapers meet Centene and department standards, including the inclusion of sufficient evidence to substantiate findings.</li><li>Partners with internal departments and subcontractors to route compliance concerns to the appropriate channels for investigation and resolution.</li><li>Supports regulatory notifications and documentation of approvals/notifications.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree in related field; or, equivalent experience. required</li><li>Master's Degree preferred</li><li>Juris Doctor (JD) preferred</li><li>4+ years Managed Care/Health Insurance and knowledge of relevant legal and regulatory frameworks required</li><li>2+ years Project oversight with demonstrated ability to drive implementation and influence others preferred</li><li>2+ years Reading, analyzing, and interpreting State and Federal laws, rules and regulations preferred</li><li>2+ years State Medicaid or government sponsored healthcare compliance preferred</li></ul><p><strong>Licenses/Certifications:</strong></p><ul><li>HealthCare Compliance (CHC) preferred</li></ul>Pay Range: $70,100.00 - $126,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Marketing]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652600]]></requisitionid>
    <referencenumber><![CDATA[1652600]]></referencenumber>
    <apijobid><![CDATA[1652600]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652600/senior-director-marketing/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans.</p><p><strong>Key Details: </strong>Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail.</li><li>Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities.</li><li>Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets.</li><li>Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies.</li><li>Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors.</li><li>Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship.</li><li>Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities.</li><li>Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities.</li><li>Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10+ years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Marketing]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652600]]></requisitionid>
    <referencenumber><![CDATA[1652600A]]></referencenumber>
    <apijobid><![CDATA[1652600]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652600/senior-director-marketing/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans.</p><p><strong>Key Details: </strong>Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail.</li><li>Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities.</li><li>Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets.</li><li>Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies.</li><li>Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors.</li><li>Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship.</li><li>Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities.</li><li>Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities.</li><li>Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10+ years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Marketing]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652600]]></requisitionid>
    <referencenumber><![CDATA[1652600B]]></referencenumber>
    <apijobid><![CDATA[1652600]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652600/senior-director-marketing/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans.</p><p><strong>Key Details: </strong>Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail.</li><li>Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities.</li><li>Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets.</li><li>Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies.</li><li>Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors.</li><li>Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship.</li><li>Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities.</li><li>Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities.</li><li>Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10+ years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Marketing]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652600]]></requisitionid>
    <referencenumber><![CDATA[1652600C]]></referencenumber>
    <apijobid><![CDATA[1652600]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652600/senior-director-marketing/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans.</p><p><strong>Key Details: </strong>Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail.</li><li>Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities.</li><li>Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets.</li><li>Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies.</li><li>Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors.</li><li>Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship.</li><li>Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities.</li><li>Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities.</li><li>Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10+ years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Marketing]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652600]]></requisitionid>
    <referencenumber><![CDATA[1652600D]]></referencenumber>
    <apijobid><![CDATA[1652600]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652600/senior-director-marketing/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-KY]]></city>
    <state><![CDATA[Kentucky]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans.</p><p><strong>Key Details: </strong>Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail.</li><li>Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities.</li><li>Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets.</li><li>Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies.</li><li>Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors.</li><li>Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship.</li><li>Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities.</li><li>Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities.</li><li>Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10+ years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Marketing]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652600]]></requisitionid>
    <referencenumber><![CDATA[1652600E]]></referencenumber>
    <apijobid><![CDATA[1652600]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652600/senior-director-marketing/]]></url>
    <company><![CDATA[Centene Commercial Solutions]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Drive market-leading business acquisition growth and retention through national operating scale and consumer-insight driven marketing activations for our ICHRA plans.</p><p><strong>Key Details: </strong>Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a market-based alternative to traditional employer-sponsored health insurance. The ICHRA model combines predictable employer healthcare spending with employee choice and portability. This role will play a pivotal role in building and scaling our growing ICHRA-focused insurance business. </p><ul><li>Build 5-year, growth oriented, integrated multichannel marketing strategies across multiple touchpoints and channels. Build and execute associated annual marketing plans, inclusive of critical connection to line-of-business (LoB) and sales teams to deliver growth & financial commitments. Lead marketing team and agency partners to successfully execute annual plans, including creative and content, omnichannel media – spanning linear DRTV, CTV, digital and social media, search, radio, out-of-home – web, SEO, and direct mail.</li><li>Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain marketing products, precision marketing and data analytics to improve ROI and program effectiveness and enable ROI driven investment decisions and scenario planning. Ensure relevance to target audiences, with in-language, in-culture content and media. Set and optimize BME investment to ensure effective and efficient allocation across all investment priorities.</li><li>Lead day-to-day partnership with key agency partners, including creative, media, and SEO. Support development of agency scopes-of-work and budgets.</li><li>Create a digital-first marketing team & culture that is consumer & market obsessed; data focused, continuously shortening cycle time from data to insights to actions; and, forward looking, with a bias for action to early adopt new capabilities and technologies.</li><li>Create a culture of learning, performance, inclusion, health and giving back to the community. Role model and advance inclusive leadership behaviors.</li><li>Equip all people managers with training and coaching to recruit and decisively manage talent, holding talent accountable to clear goals and performance standards, and accelerating development of diverse talent through sponsored programs and active mentorship.</li><li>Empower teams to act with speed, agility, and accountability, ruthlessly cutting low value-added discussion, meetings, and work to enable strong focus on consumer & marketplace trends and critical action against key priorities.</li><li>Actively influence partners to develop robust new products and ensure customer insights and needs are incorporated in long-lead new products and business opportunities.</li><li>Collaborate effectively with all business partners, with strong fluency and engagement across Product, Sales, Operations, Finance, HR, Compliance, etc. to enable business results, integrated delivery of business commitments and a high-performance culture for the team.</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Marketing, Business Administration, Marketing or related field. Master’s degree preferred. 10+ years of experience in marketing within a regulated industry required; health care industry experience in group benefit administration strongly preferred. Proven track record in organization and talent management including experience in successfully leading change and demonstrated strength in talent leadership. Demonstrated success in partnering with, and influencing, key internal and external stakeholders within a complex business environment.</p>Pay Range: $148,000.00 - $274,200.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Business Development, Sales & Marketing]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556A]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556B]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556C]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556D]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556E]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556F]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556G]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556H]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OR]]></city>
    <state><![CDATA[Oregon]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556I]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556J]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-UT]]></city>
    <state><![CDATA[Utah]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556K]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653556]]></requisitionid>
    <referencenumber><![CDATA[1653556L]]></referencenumber>
    <apijobid><![CDATA[1653556]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653556/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-WI]]></city>
    <state><![CDATA[Wisconsin]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred.</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653836]]></requisitionid>
    <referencenumber><![CDATA[1653836]]></referencenumber>
    <apijobid><![CDATA[1653836]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653836/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Dallas]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75244]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in-home assessments. The service delivery area is South Dallas (Oak Cliff, Lancaster or DeSoto) area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Wed, 26 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653836]]></requisitionid>
    <referencenumber><![CDATA[1653836A]]></referencenumber>
    <apijobid><![CDATA[1653836]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653836/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Desoto]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[75115]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing in-home assessments. The service delivery area is South Dallas (Oak Cliff, Lancaster or DeSoto) area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Austin]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78741]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713A]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Belton]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76513]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713B]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[College Station]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77840]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713C]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[College Station]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[77845]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713D]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Killeen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76540]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713E]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Killeen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76541]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713F]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Killeen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76542]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713G]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Killeen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76543]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713H]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Killeen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76548]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713I]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Killeen]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76549]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653713]]></requisitionid>
    <referencenumber><![CDATA[1653713J]]></referencenumber>
    <apijobid><![CDATA[1653713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653713/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Temple]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[76502]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Detail:</strong> This is a hybrid role performing in-person assessments. The service delivery area is Bell and Brazos counties.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Provider Quality Liaison]]></title>
    <date><![CDATA[Tue, 25 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652177]]></requisitionid>
    <referencenumber><![CDATA[1652177]]></referencenumber>
    <apijobid><![CDATA[1652177]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652177/provider-quality-liaison/]]></url>
    <company><![CDATA[SilverSummit Healthplan]]></company>
    <city><![CDATA[Remote-NV]]></city>
    <state><![CDATA[Nevada]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with providers. Use existing resources to collaborate with provider offices and internal partners on performance measure barriers, actions to mitigate low performing measures, and the sharing of quality best practices to support providers.</p><p><strong>Key Details: </strong>Candidates must reside in Nevada, with preference given to those located in Northern Nevada. The ideal candidate will be willing to travel as needed and possess experience in HEDIS, provider engagement, and healthcare quality improvement initiatives</p><ul><li>References and connects providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record documentation guidelines and Member Experience measures.</li><li>Acts as an ongoing resource to providers for quality improvement via regular touch points and meetings.</li><li>Educates, supports, and resolves provider practice sites issues around P4P (Pay for Performance), RxEffect, CAHPS (Consumer Assessment of Healthcare Providers and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollments, Appeals, and Grievances.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in Quality (Clinical and Member Experience measures). Provides clear insight into provider group dynamics, identifies areas of opportunity, builds action plan and collaborates cross functionally to support quality performance.</li><li>Develops, enhances and maintains provider relationship across all product lines (Medicare, Medicaid, Ambetter). Supports the development and implementation of quality improvement interventions in relation to Plan providers</li><li>Conducts telephonic outreach to members to encourage members to visit the physician in an effort to close quality care gaps.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>High school diploma or equivalent. Associate’s degree preferred. 2+ years of experience with clinical and member experience quality.<br><br><strong>License/Certification:</strong> Driver’s License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure preferred.</p>Pay Range: $19.43 - $32.98 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197A]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CT]]></city>
    <state><![CDATA[Connecticut]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197B]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197C]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MA]]></city>
    <state><![CDATA[Massachusetts]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197D]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197E]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NJ]]></city>
    <state><![CDATA[New Jersey]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653197]]></requisitionid>
    <referencenumber><![CDATA[1653197F]]></referencenumber>
    <apijobid><![CDATA[1653197]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653197/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose: </strong>Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities, prepare reports and referrals, collaborate with internal and external stakeholders, and support program integrity efforts while ensuring compliance with applicable laws, regulations, contractual obligations, and organizational standards.</p><p><strong>Key Details: </strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT.</p><ul><li>Conducts fraud, waste, and abuse (FWA) investigations utilizing referrals, claims data, medical records, interviews, data analytics, and other investigative resources to identify potential misconduct and support case resolution.</li><li>Analyzes, documents, and maintains investigative activities, findings, recommendations, and outcomes in accordance with established procedures, regulatory requirements, and service standards.</li><li>Reviews claims, medical records, provider billing practices, enrollment information, financial records, and other documentation to identify potential fraud, waste, abuse, overpayments, or compliance concerns.</li><li>Prepares investigative reports, case summaries, referrals, and supporting documentation for internal stakeholders, regulatory agencies, law enforcement entities, and other authorized parties, as appropriate.</li><li>Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.</li><li>Supports audits, overpayment identification and recovery efforts, regulatory responses, special projects, and other program integrity initiatives.</li><li>Maintains compliance with applicable federal and state regulations, contractual requirements, privacy standards, investigative protocols, and organizational policies and procedures.</li><li>Monitors for emerging fraud schemes, billing irregularities, and trends that may present risks to healthcare programs and recommend appropriate actions for further review.</li><li>Supports investigative case progression through onsite audits, visits, drive-by and additional investigative activities such as a member, provider, witness interviews, etc.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare Administration, Public Health, or a related field; or equivalent experience required.</li><li>2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.</li><li>Experience analyzing healthcare claims, medical records, billing and coding documentation, provider data, financial information, or related records to support investigations and case development, preferred preferred.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE)[MF1.1], Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification. preferred</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Contact Center Platforms]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651359]]></requisitionid>
    <referencenumber><![CDATA[1651359]]></referencenumber>
    <apijobid><![CDATA[1651359]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651359/vice-president-contact-center-platforms/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Responsible for leading the integration, modernization, and efficient operation of Centene's enterprise telephony and contact center platforms. Involves close collaboration with business process owners, external technology vendors, and Business Technology Systems professionals to align telephony and contact center solutions with organizational objectives, while delivering a more seamless, efficient, and scalable experience for members, providers, and associates.<ul><li>Collaborates with business process owners, product owners, and Business Technology Systems professionals to define the technology strategy and platform direction for shared services contact center processes, ensuring alignment with the organizational objectives of the supported lines of business.</li> <li>Partners with stakeholders to assess system needs across member, provider, and associate-facing operations; support requirements development; influence the design of integrated telephony and contact center solutions; and develop integration strategies, including oversight of implementation and deployment across the platform.</li> <li>Drives modernization and consolidation of inbound, outbound, IVR, predictive dialing, and third-party telephony platforms — including AWS and Amazon Connect — to improve scalability, performance, customer experience, and cost effectiveness.</li> <li>Advances conversational AI, virtual assistants, intelligent routing, and speech technologies to enhance customer interactions, improve agent effectiveness, and optimize member, provider, and associate journeys.</li> <li>Leads the relationship with our contact center platform vendors and works with our business partners to ensure we have the most effective and efficient tools, pricing and deployment.</li> <li>Identifies and resolves issues related to telephony and contact center systems integration, and provides technical support to end-users while being a bridge to our technology development team.</li> <li>Ensures telephony and contact center platforms comply with regulatory, privacy, security, and audit requirements, including standards for call recording and data retention.</li> <li>Partners with the Centene technology team to documents integration processes, workflows, and system configurations, and works with our learning and development team to build training to relevant personnel as we evolve our user technology platforms.</li> <li>Continuously monitors the performance of integrated telephony and contact center systems, identifies areas for improvement, and optimizes system performance and reliability.</li> <li>Partner with business, operations, and customer experience leaders to deliver seamless omnichannel experiences that improve access, satisfaction, service efficiency, and process simplification for members, providers, brokers, and associates.</li> <li>Ensures Centene's telephony and contact center systems operate cohesively and effectively to support a seamless omnichannel experience for members, providers, brokers, and associates.</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Bachelor's Degree in Information Technology, Computer Science, Engineering, Business, or a related field required.<br>Master's degree in a related field preferred<br>10+ years of executive leadership experience defining and executing enterprise-wide contact center, telephony, and customer experience platform strategy, leading large-scale, multi-year transformation initiatives within highly complex organizations and influencing senior business and enterprise stakeholders required.<br>7+ expertise in cloud-based contact center ecosystems (e.g., AWS/Amazon Connect), with accountability for end-to-end platform architecture, integration, modernization, and operational performance, including advanced capabilities across omnichannel engagement, IVR, intelligent routing, workforce optimization, and enterprise-scale analytics required.<br>Recognized leader in next-generation customer engagement innovation, with extensive experience advancing AI-driven capabilities (e.g., conversational AI, generative AI, intelligent automation, and virtual assistants) to drive enterprise transformation, elevate customer experience, and enable data-driven decision-making required.<br>Experience within healthcare, managed care, payer, provider, or regulated industries preferred.<br>Experience supporting contact center technologies across member services, provider services, care management, pharmacy, Medicare, Medicaid, Marketplace, and other healthcare operations preferred.<br>Experience in transformation initiatives, leveraging analytics, speech intelligence, and AI-driven insights to enhance customer experience and operational performance preferred.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Pay Range: $227,700.00 - $431,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Interoperability Strategy and Operations]]></title>
    <date><![CDATA[Mon, 24 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651529]]></requisitionid>
    <referencenumber><![CDATA[1651529]]></referencenumber>
    <apijobid><![CDATA[1651529]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651529/vice-president-interoperability-strategy-and-operations/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<strong>Position Purpose:</strong> Provides strategic and operational leadership for enterprise interoperability capabilities across the enterprise. Responsible for enabling healthcare data to move securely and seamlessly between systems, organizations, stakeholders including members, providers, payers and business partners. Leads the strategy, governance, development and execution of scalable, compliant data exchange solutions that support business performance, improved health outcomes, regulatory readiness, and a better experience for members and providers across all lines of business.<ul><li>Lead the enterprise interoperability strategy, roadmap, and operating model to enable seamless exchange and utilization of healthcare data across the enterprise.</li> <li>Oversee interoperability solutions that facilitates secure, accurate and timely data exchange between members, providers, health plans and payer-to-payer capabilities.</li> <li>Ensure alignment with federal and state interoperability requirements and translate regulatory changes into actionable business and technology plans.</li> <li>Partner across lines of business, clinical, operational, and technology teams to improve data exchange across core managed care workflows.</li> <li>Establish governance, performance measures, and risk controls to support effective delivery and continuous improvement.</li> <li>Lead partnership management for EHR & Third-Party Integrators (e.g., Epic, Oracle, Athena) to ensure seamless bidirectional communication, reduce administrative burden and advance Centene’s strategic roadmap.</li> <li>Build and maintain strategic relationships with providers, vendors, delegated entities, and external partners.</li> <li>Lead, coach, and develop high-performing teams while fostering accountability, collaboration, and results.</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><strong>Education/Experience:</strong> Bachelor's Degree in healthcare administration, business, information technology, informatics, or related field required.<br>10+ years progressive leadership experience in healthcare interoperability, managed care operations, payer technology or related functions required.<br>5+ experience leading enterprise interoperability strategy and execution within a payer or managed care environment.<br>5+ strong knowledge of interoperability standards and requirements, including FHIR, HL7, EDI, and applicable CMS regulations.<br>5+ experience with core managed care workflows such as claims, utilization management, provider data, clinical data exchange, and prior authorization.<br>5+ demonstrated ability to influence across functions, communicate effectively with senior leaders, and drive results in a complex organization.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.Pay Range: $227,700.00 - $431,400.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior LTSS Service Care Manager RN]]></title>
    <date><![CDATA[Sun, 23 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653227]]></requisitionid>
    <referencenumber><![CDATA[1653227]]></referencenumber>
    <apijobid><![CDATA[1653227]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653227/senior-ltss-service-care-manager-rn/]]></url>
    <company><![CDATA[Superior HealthPlan]]></company>
    <city><![CDATA[Corpus Christi]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[78401]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br><br>Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.</p><p><strong>Key Details:</strong> This is a hybrid role performing face-to-face assessments. Coverage needed in the Alice, Victoria or Falfurrias area.</p><ul><li>Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome</li><li>Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs</li><li>Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans / service plans</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines</li><li>Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Acts as liaison and member advocate between the member/family, physician, and facilities/agencies</li><li>Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)</li><li>May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required</li><li>Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness</li><li>May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice</li><li>May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience<br>Bachelor's degree in Nursing preferred<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required or</li><li>NP - Nurse Practitioner - Current State's Nurse Licensure required</li><li>Resource Utilization Group (RUG) certification must be obtained within 90 days of hire required</li></ul>Pay Range: $36.21 - $65.09 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Engagement Officer]]></title>
    <date><![CDATA[Sun, 23 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651330]]></requisitionid>
    <referencenumber><![CDATA[1651330]]></referencenumber>
    <apijobid><![CDATA[1651330]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651330/privacy-security-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Engagement Officer]]></title>
    <date><![CDATA[Sun, 23 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651330]]></requisitionid>
    <referencenumber><![CDATA[1651330A]]></referencenumber>
    <apijobid><![CDATA[1651330]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651330/privacy-security-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Engagement Officer]]></title>
    <date><![CDATA[Sun, 23 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651330]]></requisitionid>
    <referencenumber><![CDATA[1651330B]]></referencenumber>
    <apijobid><![CDATA[1651330]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651330/privacy-security-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Engagement Officer]]></title>
    <date><![CDATA[Sun, 23 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651330]]></requisitionid>
    <referencenumber><![CDATA[1651330C]]></referencenumber>
    <apijobid><![CDATA[1651330]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651330/privacy-security-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Sun, 23 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1653146]]></requisitionid>
    <referencenumber><![CDATA[1653146]]></referencenumber>
    <apijobid><![CDATA[1653146]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1653146/care-navigator/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><p><strong>Key Details: </strong>Applicants for this role have the flexibility to work remotely from their home anywhere within the state of Missouri. This role provides education and support to pregnant members. A Missouri LPN license is strongly preferred. The work schedule is Monday - Friday, 8am - 5pm.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong></p><ul><li>Current state’s clinical license preferred</li></ul>Pay Range: $22.94 - $38.79 per hour<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Clinical Technology UM Portfolio Management]]></title>
    <date><![CDATA[Thu, 20 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1641747]]></requisitionid>
    <referencenumber><![CDATA[1641747]]></referencenumber>
    <apijobid><![CDATA[1641747]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1641747/vice-president-clinical-technology-um-portfolio-management/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong></p><p>Oversee the product development function, including formulating product vision and strategy, defining future product needs and enhancements, and driving the creation of profitable, highly engaging, easy-to-use products across all business units.</p><ul><li>Lead enterprise UM portfolio strategy and governance, partnering with clinical technology vendors and product development partners to align roadmap priorities, enforce SLA accountability, and drive end-to-end delivery across prior authorization, concurrent review, and clinical correspondence workflows.</li><li>Drive deployment of AI-enabled and other Tech capabilities across the UM lifecycle, from intake through determination and correspondence, establishing operational effectiveness frameworks that measure productivity, accuracy, and throughput gains to enable scalable, compliant automation.</li><li>Own the enterprise ROI and KPI measurement framework for UM technology investments and strategic initiatives, delivering executive-ready reporting on financial performance, vendor outcomes, and AI impact to inform senior leadership decision-making.</li><li>Develop and oversee the model for managing product development strategy.</li><li>Develop and oversee product roadmap in alignment with company strategic goals, market trends, competitive landscape, client, and consumer needs.</li><li>Drive clinical, digital and data/analytics product innovation ensuring highly engaging products with high ease of use.</li><li>Partner with strategic business unit team leadership (Operations, Pharma sales, Provider Sales and Account Management) and portfolio management to plan and manage complex set of priorities and resources to meet dynamic business, client, and market needs.</li><li>Build an effective and efficient product organization, including product management, consumer engagement, strategic partnerships and innovation.</li><li>Drive efficiency within the RFP and client implementation processes.</li><li>Review market landscape, analyze usage of product offerings, and review business case and key metrics to ensure ROI.</li><li>Monitor and measure product competitiveness and support new business opportunities.</li><li>Manage, measure and monitor strategic partners.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong></p><p>Bachelor's Degree in related field or equivalent experience required.<br>8+ years of clinical technology experience</p><p>Deep understanding of the member journey.<br>Product development experience.</p>Pay Range: $188,900.00 - $359,800.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Care Management - Foster Care]]></title>
    <date><![CDATA[Wed, 19 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651681]]></requisitionid>
    <referencenumber><![CDATA[1651681]]></referencenumber>
    <apijobid><![CDATA[1651681]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651681/director-care-management-foster-care/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Oklahoma City]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[73134]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> Must reside within Oklahoma or be willing to relocate. Onsite meetings at the Oklahoma City office.</p><ul><li>Directs and evaluates departmental operations, including the care management model, staffing, use of information technologies, and staff competencies to achieve performance and quality objectives</li><li>Oversees care management team on performance, improvement, and talent management</li><li>Sets goals and objectives for care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Oversight of the development and implementation of care management policies and procedures within the care management team to ensure compliance with regulatory requirements for federal, state, and National Committee for Quality Assurance (NCQA) standards, as required</li><li>Stays up to date on latest trends and best practices in Payer Care Management and related fields and attends conferences, as required</li><li>Leads process improvements for the care management team to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new care management team members to ensure adequate training and high quality-care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 7+ years of related experience, including prior management experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong></p><ul><li>For Oklahoma Complete Health Only: Oklahoma Registered Nurse (RN) license or Compact Registered Nurse (RN) license and nationally recognized case management certification required</li></ul>Pay Range: $121,500.00 - $224,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Care Management - Foster Care]]></title>
    <date><![CDATA[Wed, 19 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651681]]></requisitionid>
    <referencenumber><![CDATA[1651681A]]></referencenumber>
    <apijobid><![CDATA[1651681]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651681/director-care-management-foster-care/]]></url>
    <company><![CDATA[Oklahoma Complete Health]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong> Directs the care management team and the care (management) of members to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within care management to improve member and/or provider experience.</p><p><strong>Key Details:</strong> Must reside within Oklahoma or be willing to relocate. Onsite meetings at the Oklahoma City office.</p><ul><li>Directs and evaluates departmental operations, including the care management model, staffing, use of information technologies, and staff competencies to achieve performance and quality objectives</li><li>Oversees care management team on performance, improvement, and talent management</li><li>Sets goals and objectives for care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Oversight of the development and implementation of care management policies and procedures within the care management team to ensure compliance with regulatory requirements for federal, state, and National Committee for Quality Assurance (NCQA) standards, as required</li><li>Stays up to date on latest trends and best practices in Payer Care Management and related fields and attends conferences, as required</li><li>Leads process improvements for the care management team to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new care management team members to ensure adequate training and high quality-care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor's degree and 7+ years of related experience, including prior management experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong></p><ul><li>For Oklahoma Complete Health Only: Oklahoma Registered Nurse (RN) license or Compact Registered Nurse (RN) license and nationally recognized case management certification required</li></ul>Pay Range: $121,500.00 - $224,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Director]]></title>
    <date><![CDATA[Wed, 19 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652900]]></requisitionid>
    <referencenumber><![CDATA[1652900]]></referencenumber>
    <apijobid><![CDATA[1652900]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652900/medical-director/]]></url>
    <company><![CDATA[Arizona Complete Health]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><p><strong>Key Details: </strong>Must be a Board Certified Physician and licensed in the state of Arizona.<strong> </strong></p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $225,700.00 - $428,900.00 per year<br><br><p><strong>At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. </strong>You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.<br> </p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 18 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649639]]></requisitionid>
    <referencenumber><![CDATA[1649639]]></referencenumber>
    <apijobid><![CDATA[1649639]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649639/senior-care-manager-rn/]]></url>
    <company><![CDATA[Coordinated Care]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>This is a remote position. Hours are M-F 8:00 am-5:00 pm Pacific Standard Time (PST). WA State RN Licensure and/or Compact State Licensure required.</strong></p><p><strong>Position Purpose:</strong> Assesses, plans, and implements complex care management activities based on member activities to enable quality, cost-effective healthcare outcomes. Develops a personalized care plan / service plan for care members, addresses issues, and educates members and their families/care givers on services and benefit options available to receive appropriate high-quality care.</p><ul><li>Develops and continuously assesses ongoing care plans / service plans and collaborates with providers to identify providers, specialist, and/or community resources needed to address member's unmet needs</li><li>Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>May identify problems/barriers for care management and appropriate care management interventions for escalated cases</li><li>Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations</li><li>Reviews referrals information and intake assessments to develop appropriate care plans/service plans</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Partners with leadership team to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness ​</li><li>Provides guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice​</li><li>Engages and assists New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success</li><li>Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School or Nursing or a Bachelor's degree in Nursing and 4 – 6 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li></ul><p><strong>This is a remote position. Hours are M-F 8:00 am-5:00 pm Pacific Standard Time (PST). WA State RN Licensure and/or Compact State Licensure required.</strong></p>Pay Range: $75,300.00 - $135,400.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Business Process Consultant]]></title>
    <date><![CDATA[Tue, 18 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651209]]></requisitionid>
    <referencenumber><![CDATA[1651209]]></referencenumber>
    <apijobid><![CDATA[1651209]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651209/business-process-consultant/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose: </strong>The Business Process Consultant leads large scale, cross-functional initiatives for the Encounter Business Operations (EBO) department focused on regulatory compliance, encounter quality, and operational process improvement. This role will support department leadership and cross-functional stakeholders by coordinating communication and helping drive initiatives to completion across multiple markets.</p><p>***The Business Process Consultant is primarily remote. Candidates will be considered nationally. ***</p><p><strong>Responsibilities:</strong></p><ul><li><p>Facilitates the optimization of encounters business operational performance by enhancing alignment of policy, process and technology, and designing/implementing for future business needs as well.</p></li><li><p>Leads large scale, cross-functional initiatives.</p></li><li><p>Provides policy guidance on encounter initiatives so that end-to-end processes are considered for maximizing effective implementation.</p></li><li><p>Organizes work teams, drives consensus, and ensures end-to-end policy/process integrity to accomplish project work including identification and confirmation of participants, establishment of a project plan, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation, and implementation oversight.</p></li><li><p>Performs detailed analysis of data, workflows, policies, procedures, organization of staff, skills and offers potential solutions in order to execute initiatives.</p></li><li><p>Supports the project work by utilizing project management software such as, but not limited to, Excel, PowerPoint, Visio, and Microsoft Project.</p></li><li><p>Leads all levels of staff who are responsible for initiatives in order to support their success, development and effective completion and communication of their initiatives.</p></li><li><p>Assists other project leaders in specific areas as needed such as facilitation, analysis, process mapping, brainstorming, project management issues, etc.</p></li><li><p>Writes and delivers communication to all levels of the organization to ensure support, awareness, and effectiveness of process improvement initiatives.</p></li><li><p>Provides other related support as needed to improve the performance of the business.</p></li><li><p>Performs other duties as assigned.</p></li><li><p>Complies with all policies and standards.</p></li></ul><p><strong>Highly Preferred Skills:</strong></p><ul><li><p>Prior experience working with encounters data and processes</p></li><li><p>Data Analytical skills and demonstrated proficiency in Excel</p></li><li><p>Managed care and/or payer experience</p></li><li><p>Ability and comfort level presenting and storytelling with data</p></li><li><p>Excellent written and verbal communication skills</p></li></ul><p><strong>Education/Experience: </strong>Bachelor's Degree in a related field or equivalent experience required. Master's Degree in a related field preferred. 5+ years health care, insurance or related experience required. Demonstrated experience and skill in training, presenting, and facilitating required.<br> </p>Pay Range: $70,100.00 - $126,200.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 18 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652488]]></requisitionid>
    <referencenumber><![CDATA[1652488]]></referencenumber>
    <apijobid><![CDATA[1652488]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652488/care-manager-rn/]]></url>
    <company><![CDATA[Magnolia Health Plan]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.<ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li> <li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li> <li>Identifies problems/barriers to care and provide appropriate care management interventions</li> <li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li> <li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li> <li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li> <li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li> <li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li> <li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li> <li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li> <li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li> <li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li><li><strong>*Must be licensed in Mississippi</strong></li></ul><p><strong>Location: Position is remote. Must live in Mississippi. </strong></p>Pay Range: $56,200.00 - $101,000.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Tue, 18 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652176]]></requisitionid>
    <referencenumber><![CDATA[1652176]]></referencenumber>
    <apijobid><![CDATA[1652176]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652176/care-navigator/]]></url>
    <company><![CDATA[Magnolia Health Plan]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Location: Position is remote. Must live in Mississippi. </strong></p><p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><strong>*Prefer OB experience</strong></p><p><br><strong>License/Certification:</strong></p><ul><li>For Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare related field (social work, sociology, psychology, public health) and 2 – 4 years of related experience; LSW,LMSW preferred.</li></ul><p><strong>Location: Position is remote. Must live in Mississippi. </strong></p>Pay Range: $22.94 - $38.79 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (RN)]]></title>
    <date><![CDATA[Tue, 18 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652431]]></requisitionid>
    <referencenumber><![CDATA[1652431]]></referencenumber>
    <apijobid><![CDATA[1652431]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652431/care-manager-rn/]]></url>
    <company><![CDATA[Magnolia Health Plan]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Location: Position is remote. Candidate must live in Mississippi. </strong></p><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.</p><ul><li>Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome</li><li>Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs</li><li>Identifies problems/barriers to care and provide appropriate care management interventions</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services</li><li>Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs</li><li>Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate</li><li>Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Other duties or responsibilities as assigned by people leader to meet business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li>RN - Registered Nurse - State Licensure and/or Compact State Licensure required</li><li><strong>*Must be licensed in Mississippi</strong></li></ul><p><strong>Location: Position is remote. Candidate must live in Mississippi. </strong></p>Pay Range: $56,200.00 - $101,000.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Mon, 17 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651992]]></requisitionid>
    <referencenumber><![CDATA[1651992]]></referencenumber>
    <apijobid><![CDATA[1651992]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651992/care-navigator/]]></url>
    <company><![CDATA[Magnolia Health Plan]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.<ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li> <li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li> <li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li> <li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li> <li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li> <li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li> <li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li> <li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li> <li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>License/Certification:</strong></p><ul><li>For Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare related field (social work, sociology, psychology, public health) and 2 – 4 years of related experience; LSW,LMSW preferred.</li></ul><p><strong>Location: Candidate must live in Mississippi. </strong></p>Pay Range: $22.94 - $38.79 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Compliance Oversight Specialist (Non Clinical)]]></title>
    <date><![CDATA[Mon, 17 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1652159]]></requisitionid>
    <referencenumber><![CDATA[1652159]]></referencenumber>
    <apijobid><![CDATA[1652159]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1652159/compliance-oversight-specialist-non-clinical/]]></url>
    <company><![CDATA[]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p>*Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States*</p><p><strong>Position Purpose:</strong> Participates in the oversight of WellCare's and/or its delegated subcontractor's corporate ethics and compliance program, and ongoing oversight and analysis of regulatory compliance issues. Responsibilities include conducting focused reviews and audit, oversight, and monitoring of activities to assess compliance with WellCare's contractual and regulatory requirements; collaborates with business owners and/or delegated vendors to drive remediation and assist WellCare and delegated subcontractors to maintain integrity through oversight and monitoring and in meeting Government-sponsored health care program requirements.</p><ul><li>Collaborates with and assist those within the Company and the Company’s delegated subcontractors to maintain integrity through oversight and monitoring and in meeting the requirements of our executed contracts with Government-sponsored health care programs.</li><li>Assists in the assessment of new and amended Government-sponsored health care program contracts and requirements.</li><li>Assists Markets (local), Shared Services (corporate), and/or delegated subcontracts in the identification and assessment of compliance risks.</li><li>Evaluates the effectiveness of Market (local), Shared Services (corporate), and/or delegated subcontractor compliance programs and related policies and procedures designed to promote legal and ethical compliance.</li><li>Prepares accurate and timely formal written reports on oversight and monitoring activity findings and recommendations and ensure workpapers are properly prepared in accordance with WellCare and departmental standards, including sufficient evidentiary material exists to support oversight and monitoring activity findings.</li><li>Collaborates with other departments and/or delegated subcontractors to direct compliance issues to appropriate channels for research and resolution.</li><li>Reviews and evaluates the status and effectiveness of corrective action plans and provide comprehensive follow up to stakeholders, Senior Management, Market Compliance Oversight Committees, and/or the Audit, Finance, and Regulatory Compliance Committee of the Board of Directors.</li><li>Participates in special projects as needed, including training.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong></p><ul><li><p>A Bachelor's Degree in Related field, or Associates with 4 years of applicable experience, or HSD/GED with 5 years of applicable experience in lieu of Bachelor’s degree required</p></li><li><p>Required 3+ years of experience in Managed Care/Health Insurance</p></li><li><p>Preferred 1+ year of experience in project oversight type role with demonstrated ability to drive implementation and influence others</p></li><li><p>Preferred 1+ year of experience in reading, analyzing, and interpreting State and Federal laws, rules and regulations</p></li><li><p>Preferred 1+ year of experience in State Medicaid or Federal managed care compliance</p></li></ul><p><br><strong>Licenses and Certifications: </strong>Certified in HealthCare Compliance (CHC) preferred</p>Pay Range: $56,200.00 - $101,000.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Coordinator II]]></title>
    <date><![CDATA[Thu, 13 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1651214]]></requisitionid>
    <referencenumber><![CDATA[1651214]]></referencenumber>
    <apijobid><![CDATA[1651214]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1651214/care-coordinator-ii/]]></url>
    <company><![CDATA[Arkansas Total Care]]></company>
    <city><![CDATA[Remote-AR]]></city>
    <state><![CDATA[Arkansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><strong>Position Purpose:</strong> Supports 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 achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.<ul><li>Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate</li> <li>Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed</li> <li>Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan</li> <li>Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service</li> <li>May support performing service assessments/screenings for members and documenting the member’s care needs</li> <li>Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed</li> <li>Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards</li> <li>Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager</li> <li>Provide education on benefits and resources available</li><li>Performs other duties as assigned.</li> <li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a High School diploma or GED.<br>Requires 1 – 2 years of related experience<br><br><strong>License/Certification:</strong></p><ul><li>For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required</li></ul><p><strong>Preferred Qualifications:</strong></p><ul><li>This is a field-based role supporting members with developmental disabilities needs. Candidates should have strong experience working with the Developmental Disabilities (DD) population. Applicants must reside in or be able to support members throughout St. Francis, Cross, and Crittenden counties in Arkansas.</li></ul>Pay Range: $17.84 - $28.02 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Trauma & Evidence Based Interventions - Foster Care]]></title>
    <date><![CDATA[Thu, 13 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649585]]></requisitionid>
    <referencenumber><![CDATA[1649585]]></referencenumber>
    <apijobid><![CDATA[1649585]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649585/director-trauma-evidence-based-interventions-foster-care/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Must be certified trainer for TF-CBT ( Trauma Focused Cognitive Behavioral Therapy)</strong></p><p><strong>20%-25% travel for in-person trainings. </strong></p><p><strong>Position Purpose:</strong> Provide national expertise to assist with the expansion of the business unit’s position nationally, as a thought leader, regarding the foster care population, treatment, and service needs. Assist with the shaping of evidence based practices within the foster care provider network, stakeholder system and internal operations.</p><ul><li>Participate at the national level in evidence based practice activities, to include committees, trainings and speaking engagements</li><li>Maintain recognition of national expertise through continued involvement in cutting edge topics to include a focus on integrating Cenpatico at this national level as a thought leader</li><li>Provide TF-CBT training and other evidence based training’s to foster care clinicians nationally</li><li>Maintain involvement with the developers of evidence based practice, seeking certifications to train in newly developed clinical methodologies Develop learning collaborative type opportunities for foster care clinicians that participate in TF-CBT</li><li>Establish, as appropriate, consultation opportunities for foster care clinicians</li><li>Lead workgroups in the establishment of a Mental Health Assessment Toolkit specifically for the foster care population that includes, but is not limited to PTSD, sexual abuse and trauma</li><li>Outreach to and develop relationships with potential stakeholders in new and existing markets</li><li>Ability to travel</li></ul><strong>Education/Experience:</strong> Master’s degree in related field. 10+ years providing direct clinical interventions to youth in foster care. Experience with Trauma Focused Cognitive Behavioral Therapy (TF-CBT) Learning Collaborative. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br><strong>License/Certification:</strong> Licensure as an LPC or LCSW required. Must be current or former member of the National Child Trauma Stress Network (NCTSN). Certification by developers of TF-CBT to train TF-CBT required.Pay Range: $118,400.00 - $219,000.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Manager (Behavioral Health)]]></title>
    <date><![CDATA[Thu, 13 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649574]]></requisitionid>
    <referencenumber><![CDATA[1649574]]></referencenumber>
    <apijobid><![CDATA[1649574]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649574/care-manager-behavioral-health/]]></url>
    <company><![CDATA[Arizona Complete Health]]></company>
    <city><![CDATA[Remote-AZ]]></city>
    <state><![CDATA[Arizona]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Location: Position is remote. Must live in Arizona. </strong></p><p><strong>Position Purpose:</strong> Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.</p><ul><li>Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs</li><li>May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources</li><li>Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders</li><li>Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members</li><li>Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs</li><li>Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services</li><li>Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs</li><li>Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.<br><br><strong>License/Certification:</strong></p><ul><li><strong>For AZ Health Plan Only: Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC, LAC) or RN based on state contract requirements with BH experience. Must reside in Arizona. required</strong></li></ul><p><strong>Location: Position is remote. Must live in Arizona. </strong></p>Pay Range: $56,200.00 - $101,000.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Wed, 12 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649590]]></requisitionid>
    <referencenumber><![CDATA[1649590]]></referencenumber>
    <apijobid><![CDATA[1649590]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649590/quality-practice-advisor/]]></url>
    <company><![CDATA[Carolina Complete Health]]></company>
    <city><![CDATA[Asheville]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[28806]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</strong></p><p><strong>*This position is a hybrid role that requires fieldwork</strong><strong>. Qualified candidates must reside in the state of North Carolina in one of the following counties: Avery, Buncombe, Burke, Caldwell. Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, or Yancey</strong><strong>*</strong></p><p><strong>RN licensure highly preferred. </strong></p><p><strong>Position Purpose:</strong><br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><strong>Licenses/Certifications:</strong><br>One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS<br><strong>Registered Health Information Technician (RHIT®):</strong> For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply<br> </p>Pay Range: $27.02 - $48.55 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Practice Advisor]]></title>
    <date><![CDATA[Wed, 12 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649590]]></requisitionid>
    <referencenumber><![CDATA[1649590A]]></referencenumber>
    <apijobid><![CDATA[1649590]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649590/quality-practice-advisor/]]></url>
    <company><![CDATA[Carolina Complete Health]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT</strong></p><p><strong>*This position is a hybrid role that requires fieldwork</strong><strong>. Qualified candidates must reside in the state of North Carolina in one of the following counties: Avery, Buncombe, Burke, Caldwell. Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, or Yancey</strong><strong>*</strong></p><p><strong>RN licensure highly preferred. </strong></p><p><strong>Position Purpose:</strong><br>Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.</p><ul><li>Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.</li><li>Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.</li><li>Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).</li><li>Identifies specific practice needs where Centene can provide support.</li><li>Develops, enhances and maintains provider clinical relationship across product lines.</li><li>Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards.</li><li>Ability to travel up to 75% of time to provider offices.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree or equivalent required<br>3+ years in HEDIS record collection and risk adjustment (coding) required<br><br><strong>Licenses/Certifications:</strong><br>One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS<br><strong>Registered Health Information Technician (RHIT®):</strong> For positions aligned to a corporate line of business that report into and operate within a state specific health plan, state requirements apply<br> </p>Pay Range: $27.02 - $48.55 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Quality Improvement Coordinator II]]></title>
    <date><![CDATA[Wed, 12 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649640]]></requisitionid>
    <referencenumber><![CDATA[1649640]]></referencenumber>
    <apijobid><![CDATA[1649640]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649640/quality-improvement-coordinator-ii/]]></url>
    <company><![CDATA[Coordinated Care]]></company>
    <city><![CDATA[Remote-WA State]]></city>
    <state><![CDATA[Washington]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Strongly preferred qualifications:</strong></p><p><strong>*RN licensed in WA state</strong></p><p><strong>*Candidate residing in WA state</strong></p><p><strong>Position will work PST hours and requires some travel for intervention health events. </strong></p><p><strong>Position Purpose:</strong><br>Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers.</p><ul><li>Perform quality on site reviews of delegated entities, physician office/clinics, resolve quality issues, generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC).</li><li>Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care issues.</li><li>Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities</li><li>Function as the primary liaison between community resources/agencies and the company related to clinical initiatives and technical guidance.</li><li>Schedule and chair meetings with delegated entities in accordance with their contract.</li><li>Gather data and compile various utilization and quality improvement reports.</li><li>Develop and implement Corrective Action Plans.</li><li>Recommend changes/enhancements to the Quality Improvement policies and procedures.</li><li>Identify best practices, research new processes and recommend program enhancements.</li><li>Coordinate QIC activities and monthly meetings.</li><li>Oversee the enforcement of contract terms regarding data submission for delegated entities.</li><li>Participate in the development of reporting and data outcome reports.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong><br>Bachelor’s degree in Nursing preferred. 3+ years of clinical, quality improvement or healthcare experience. 2+ years of experience in quality function in a healthcare setting.<br><br><strong>License/Certification:</strong> LPN, LVN, RN, PA, or LCSW license preferred. CPHQ (Certified Professional in Healthcare Quality) preferred.</p><p><strong>Strongly preferred qualifications:</strong></p><p><strong>*RN licensed in WA state</strong></p><p><strong>*Candidate residing in WA state</strong></p><p><strong>Position will work PST hours and requires some travel for intervention health events.</strong></p>Pay Range: $33.71 - $60.67 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Quality]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Director, Pharmacy]]></title>
    <date><![CDATA[Tue, 11 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642187]]></requisitionid>
    <referencenumber><![CDATA[1642187]]></referencenumber>
    <apijobid><![CDATA[1642187]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642187/senior-director-pharmacy/]]></url>
    <company><![CDATA[Centene Pharmacy Services]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><strong>Position Purpose:</strong> Manage all aspects of pharmacy operations in two markets with multiple products. Perform duties to develop, direct and implement a pharmacy benefit management program. Aid in formulating and administering related organizational policies and procedures, including pharmacy service quality, pharmacy utilization management and achievement of Company goals for pharmacy and medical programs.<br><ul><li>Establish the strategic vision, objectives and policies and procedures for the pharmacy program in support of the Corporate strategic vision for multiple plans and markets.</li><li>Plan, direct and implement pharmacy activities for multiple plans and products.</li><li>Act as the pharmacy contract administrator for the development and implementation of key contracts and ensure that relevant performance standards are met by vendors.</li><li>Participate in external accreditation initiatives for multiple plans and products.</li><li>Manage and analyze operating costs and participate in preparing materials needed for budget planning or special initiatives.</li><li>Generate, review and analyze drug utilization, utilization management, financial and other ad-hoc reports, records and directives. Confer with staff to obtain data required for planning work function activities.</li><li>Review statistical analysis in support of recommendations and/or decision making for policies and operational procedures.</li><li>Maintain daily communication with plan management relative to each market and product.</li><li>Manage pharmacy department staff to assure adequate coverage and support in multiple locations and for multiple products.</li><li>Support provider education initiatives such as counter detailing and incentive programs in multiple markets.</li></ul><strong>Education/Experience:</strong> Bachelor’s degree in Pharmacy or advanced pharmacy degree (PharmD., M.S.) from an accredited college of pharmacy. 6+ years of clinical pharmacy care experience. 1+ years of experience managing a pharmacy program. Managed care, retail or hospital pharmacy experience required. Thorough knowledge of pharmaceutical care and pharmacy benefit management practices. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br><strong>Licenses/Certifications:</strong> Current Pharmacist license. Ability to receive license in additional states as required. Valid driver's license.Pay Range: $185,700.00 - $352,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Finance (FP&A and G&A)]]></title>
    <date><![CDATA[Tue, 11 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1646844]]></requisitionid>
    <referencenumber><![CDATA[1646844]]></referencenumber>
    <apijobid><![CDATA[1646844]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1646844/vice-president-finance-fpa-and-ga/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.<br> </p><p><strong>Location: </strong> Hybrid - 3 days a week in the NYC office, two weeks out of the month.<br><br><strong>Position Purpose:</strong> Provide leadership, oversight and proactive management of all aspects of finance (FP&A and G&A) for the Business Unit.</p><ul><li>Oversee all finance FP&A and G&A related activities for business unit including developing and monitoring progress against Annual Operating Plan.</li><li>Responsible for financial analysis, identification of month end financial drivers, and forecasting including headcount planning to ensure compliance with state requirements.</li><li>Responsible for identifying medical cost trends.</li><li>Align with Corporate Functions on Reserving Methodology and Medical Cost Estimates</li><li>Prepare Management and Reporting Packs on Financial Performance</li><li>Review monthly performance and financial results of the business units and provide recommendations, rationale for variances and impact to forecast to senior management.</li><li>Responsible for the business unit’s contribution to corporate.</li><li>Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan.</li><li>Direct health plan analytical needs and coordinate reporting strategy.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Finance, Accounting, Economics, Business Administration or equivalent experience required. Master's Degree preferred. 8+ years in a high-level finance role in the healthcare or insurance industry required. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.<br><br>CPA preferred. Medicaid and Medicare experience preferred.<br> </p>Pay Range: $188,900.00 - $359,800.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Care Navigator]]></title>
    <date><![CDATA[Tue, 11 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1649679]]></requisitionid>
    <referencenumber><![CDATA[1649679]]></referencenumber>
    <apijobid><![CDATA[1649679]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1649679/care-navigator/]]></url>
    <company><![CDATA[Magnolia Health Plan]]></company>
    <city><![CDATA[Remote-MS]]></city>
    <state><![CDATA[Mississippi]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Location: Position is remote. Must live in Mississippi. </strong></p><p><strong>Position Purpose:</strong> Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination.</p><ul><li>Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome</li><li>Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care</li><li>Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans</li><li>Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner</li><li>May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate</li><li>Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators</li><li>May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate</li><li>May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits</li><li>Other duties or responsibilities as assigned by people leader to meet the member and/or business needs</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong> Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure.<br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><strong>Will work with Foster Care population. </strong></p><p><br><strong>License/Certification:</strong></p><ul><li>For Mississippi Magnolia Health plan: Bachelor’s or Master’s degree in a healthcare related field (social work, sociology, psychology, public health) and 2 – 4 years of related experience; LSW,LMSW preferred.</li></ul><p><strong>Location: Position is remote. Must live in Mississippi. </strong></p>Pay Range: $22.94 - $38.79 per hour<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317A]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317B]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317C]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317D]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MN]]></city>
    <state><![CDATA[Minnesota]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317E]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NY]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317F]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-PA]]></city>
    <state><![CDATA[Pennsylvania]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317G]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Lead IAM Engineer]]></title>
    <date><![CDATA[Tue, 04 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1648317]]></requisitionid>
    <referencenumber><![CDATA[1648317H]]></referencenumber>
    <apijobid><![CDATA[1648317]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1648317/lead-iam-engineer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-VA]]></city>
    <state><![CDATA[Virginia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Leads the Identity and Access Management systems and solutions, support of the Production SailPoint IdentityIQ and Identity Now solutions. Performs review of system, user, and administrative roles and accounts and to understand access levels for enterprise applications and platforms. Designs, builds, tests, and maintains scalable and stable off-the-shelf software applications or custom builds technology software solutions to meet technical business identity access needs. Leads cross functional teams through the entire implementation process.</p><ul><li><p>Enforces policies and procedures related to identity lifecycle management, and supporting resources using IAM technical best practices</p></li><li><p>Competence in identifying code deficiencies, reviewing logs, researching errors, and replicating issues to find solutions.</p></li><li><p>Solid programming skills in Java, BeanShell, with PowerShell being a beneficial addition.</p></li><li><p>Experience in coding for Lifecycle Event management and a clear understanding of its phases.</p></li><li><p>Development expertise in SailPoint connectors, including but not limited to Web Services, SCIM, JDBC, delimited file, and IIQ ServiceNow configuration.</p></li><li><p>In-depth knowledge of Identity Cubes, Identity Attribute Mappings, LCM/LCE Workflows.</p></li><li><p>Analyzes, designs, develops, implements, and supports identity related areas of software applications and identity governance</p></li><li><p>Reviews documentation of IAM related technical requirements, designs, infrastructure, and support processes</p></li><li><p>Liaises with other teams in information security risk management infrastructure, architecture management, and business functions to implement end to end IAM solutions</p></li><li><p>Leads the development of overall IAM technical strategies, designs, standards and procedures which support business strategies</p></li><li><p>Performs the coding, configuring, testing and documentation of developments in the IAM landscape</p></li><li><p>Troubleshoots and solves a wide variety of security focused IAM issues</p></li><li><p>Ensures compliance with corporate policies and procedures, ethical practices, and regulatory guidelines</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires 5 – 7 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Profound experience in SailPoint IdentityIQ support and development.</p></li><li><p>Knowledge of Cloud Computing Security</p></li><li><p>Knowledge of Other: Identity as a Service (IDaaS) solutions</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Intermediate - Seeks to acquire knowledge in area of specialty</p></li><li><p>Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Intermediate - Ability to work independently</p></li><li><p>Intermediate - Demonstrated analytical skills</p></li><li><p>Intermediate - Demonstrated project management skills</p></li><li><p>Intermediate - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Intermediate - Demonstrates excellent judgment and decision making skills</p></li><li><p>Intermediate - Ability to communicate and make recommendations to upper management</p></li><li><p>Intermediate - Ability to drive multiple projects to successful completion</p></li><li><p>Intermediate - Possesses technical aptitude</p></li></ul><p><br><strong>License/Certification:</strong></p><ul><li><p>Certified Identity and Access Manager (CIAM) within 120 Days required</p></li><li><p>SailPoint certification (e.g., IdentityNow or IIQ Certified Implementation Engineer).</p></li><li><p>Certified Identity and Security Technologist (CIST) preferred</p></li><li><p>Certified Access Management Specialist (CAMS) preferred</p></li></ul>Pay Range: $102,900.00 - $190,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Compliance Corrections Specialist]]></title>
    <date><![CDATA[Sun, 02 Aug 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642208]]></requisitionid>
    <referencenumber><![CDATA[1642208]]></referencenumber>
    <apijobid><![CDATA[1642208]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642208/senior-compliance-corrections-specialist/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States.</strong></p><p><strong>Position Purpose:</strong><br>Participates in corrections process for all lines of business. Responsibilities include intaking and triaging suspected issues of non-compliance, entry of compliance issues into GRC tool and assignment/coordination of issues to corrections team members. Collaborates with compliance and business stakeholders to gather information, develop corrective action plans, identify and escalate barriers to progress and gather evidence of remediation. Updates GRC tool to support corrections reporting.</p><ul><li>Collaborates with compliance and business stakeholders to ensure adequate root cause analysis and development of corrective actions plans to effectively address non-compliance.</li><li>Reviews and oversees progress towards remediation and documented key milestones in GRC tool.</li><li>Identifies issues that require escalation and ensures they are addressed timely through established paths and processes.</li><li>Conducts review of evidence to address root cause of issue and facilitate timely closure of issues.</li><li>Develops, implements and continually refines corrections reporting that provides meaningful trend analysis for business stakeholders and senior leadership on new, in progress and closed issues as well as regulatory sanctions.</li><li>Supports management in the development and maintenance of corrections processes and tools designed to effectively remediate compliance issues in a timely manner, ensure timely escalation and sustainable resolutions.</li><li>Educates, encourages, and assists those within the company to maintain integrity through correction of identified non-compliance in order to meet the requirements of Government-sponsored health care programs.</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Managed Care/Health Insurance or related field, or equivalent experience required</li><li>5+ years experience in Managed Care/Health Insurance or related experience required</li><li>Experience with data analytics preferred</li><li>Excellent Microsoft Office skills preferred</li></ul><p><strong>Licenses/Certifications:</strong><br>Certified in HealthCare Compliance (CHC) preferred<br>Certified Compliance & Ethics Professional (CCEP) preferred</p>Pay Range: $70,100.00 - $126,200.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Supervisor, Payment Integrity- Coding & Clinical (DRG)]]></title>
    <date><![CDATA[Tue, 28 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1647105]]></requisitionid>
    <referencenumber><![CDATA[1647105]]></referencenumber>
    <apijobid><![CDATA[1647105]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1647105/supervisor-payment-integrity-coding-clinical-drg/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Remote Role: </strong> Minimum experience required 6+ years Performing MS-DRG and APR-DRG coding experience and 3+ years Conducting DRG reviews for a Payment Integrity vendor or payer experience.</p><p><strong>Position Purpose:</strong><br>Supervise and coordinate the day-to-day activities of the Coding & Clinical Review team within Payment Integrity, ensuring accurate diagnosis-related group assignment, clinical validation, and audit outcomes in alignment with established policies, regulatory requirements, and organizational objectives. This role executes strategies and initiatives established by leadership while driving team performance, quality, operational efficiency, and consistent application of coding and clinical review standards. The position may oversee diagnosis-related group audit, Quality Assurance, Readmissions, Appeals, or broader operational teams and serves as a subject matter expert for complex coding, clinical validation, and audit-related matters. This role also adheres to and promotes American Health Information Management Association Code of Ethics and professional standards.</p><ul><li>Supervise and coordinate daily work activities of Coding & Clinical Review staff to ensure timely and accurate completion of DRG audit, QA, readmissions, appeals, and/or operational workflows</li><li>Monitor and evaluate team performance against established productivity, quality, and service level expectations; take appropriate action to address gaps</li><li>Provide guidance and direction on coding, clinical validation, and audit determinations in accordance with ICD-10-CM/PCS guidelines, DRG methodologies, and applicable payer and regulatory policies</li><li>Review and resolve complex or escalated cases; elevate high-risk issues to management as appropriate</li><li>Implement and support departmental policies, procedures, and program initiatives to ensure consistent execution of Payment Integrity strategies</li><li>Conduct quality assurance activities including audits, calibration sessions, and inter-rater reliability reviews to ensure consistency and accuracy of determinations</li><li>Support appeals processes by reviewing clinical documentation, validating determinations, and guiding response development</li><li>Analyze operational and audit data to identify trends, variances, and improvement opportunities; communicate findings to management</li><li>Ensure compliance with regulatory requirements, internal policies, payer guidelines, and AHIMA ethical standards; reinforce a culture of integrity and accountability</li><li>Collaborate with cross-functional partners (e.g., Medical Directors, Provider Relations, Compliance, Appeals) to address issues and improve outcomes</li><li>Assist with staff selection, onboarding, training, and workforce planning</li><li>Participate in and support process improvement efforts to enhance efficiency, quality, and financial performance</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><br><strong>Education/Experience:</strong><br><br>Associate's Degree in Health Information Management, Nursing, or related field required<br><br><strong>6+ years Performing MS-DRG and APR-DRG coding experience required<br><br>3+ years Conducting DRG reviews for a Payment Integrity vendor or payer experience required<br><br>3+ years DRG encoder/grouper experience (TruCode/TruBridge, 3M, Optum Encoder, Webstrat, PSI, or similar) experience required<br><br>1+ years Inpatient hospital documentation improvement, complex appeal/dispute review, or auditor education/training experience preferred</strong><br><br><strong>Licenses/Certifications:</strong><br><br><strong>RHIT - Registered Health Information Technician required or:<br>CCS-Certified Coding Specialist required or: (CIC) required or</strong><br><br><strong>Certified Clinical Documentation Specialist (CCDS) required or:</strong> RN - Registered Nurse - State Licensure and/or Compact State Licensure Registered Nurse (in combination with a coding credential) preferred</p>Pay Range: $87,700.00 - $157,800.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Director]]></title>
    <date><![CDATA[Tue, 28 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1646848]]></requisitionid>
    <referencenumber><![CDATA[1646848]]></referencenumber>
    <apijobid><![CDATA[1646848]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1646848/medical-director/]]></url>
    <company><![CDATA[Home State Health Plan]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>We’re Hiring: Full time Medical Director</strong></p><p>Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace.</p><p>Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community?</p><p><strong>Qualifications for this role include:</strong></p><ul><li><p>MD or DO without restrictions</p></li><li><p>Must be licensed one of the following states: MO, IL, KS, IA, NE, MI, WI, IN, OH, PA</p></li></ul><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li><p>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</p></li><li><p>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</p></li><li><p>Supports effective implementation of performance improvement initiatives for capitated providers.</p></li><li><p>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</p></li><li><p>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</p></li><li><p>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</p></li><li><p>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</p></li><li><p>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</p></li><li><p>Participates in provider network development and new market expansion as appropriate.</p></li><li><p>Assists in the development and implementation of physician education with respect to clinical issues and policies.</p></li><li><p>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</p></li><li><p>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</p></li><li><p>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</p></li><li><p>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</p></li><li><p>Develops alliances with the provider community through the development and implementation of the medical management programs.</p></li><li><p>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</p></li><li><p>Represents the business unit at appropriate state committees and other ad hoc committees.</p></li><li><p>May be required to work weekends and holidays in support of business operations, as needed.</p></li></ul><p><strong>Education/Experience:</strong><br>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine. Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred.<br><br><strong>License/Certifications:</strong> Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services. (Certification in Psychiatry specialty Is required.) Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs .Must be licensed one of the following states: MO, IL, KS, IA, NE, MI, WI, IN, OH, PA</p>Pay Range: $225,700.00 - $428,900.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Director]]></title>
    <date><![CDATA[Mon, 27 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1646746]]></requisitionid>
    <referencenumber><![CDATA[1646746]]></referencenumber>
    <apijobid><![CDATA[1646746]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1646746/medical-director/]]></url>
    <company><![CDATA[New Hampshire Healthy Families]]></company>
    <city><![CDATA[Remote-NH]]></city>
    <state><![CDATA[New Hampshire]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>We’re Hiring: Full time Medical Director for our Health Plan in New Hampshire</strong></p><p>Centene Corporation is a leading provider of government-sponsored healthcare coverage, providing access to affordable, high-quality services to Medicaid and Medicare members, as well as to individuals and families served by the Health Insurance Marketplace.</p><p>Looking for a compelling opportunity to move beyond patient encounters and drive meaningful change in the community?</p><p><strong>Qualifications for this role include:</strong></p><ul><li>MD or DO without restrictions</li><li>Board Certified Physician</li><li>Must be licensed in New Hampshire</li></ul><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li><li>Participates in provider network development and new market expansion as appropriate.</li><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine or has been an actively practicing physician within the last 5 years.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><strong>License/Certifications:</strong></p><ul><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.</li><li>Current New Hampshire state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul>Pay Range: $215,000.00 - $408,500.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Eastern Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643172]]></requisitionid>
    <referencenumber><![CDATA[1643172]]></referencenumber>
    <apijobid><![CDATA[1643172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643172/remote-behavioral-medical-director-eastern-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p>.<br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Eastern Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643172]]></requisitionid>
    <referencenumber><![CDATA[1643172A]]></referencenumber>
    <apijobid><![CDATA[1643172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643172/remote-behavioral-medical-director-eastern-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-GA]]></city>
    <state><![CDATA[Georgia]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p>.<br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Eastern Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643172]]></requisitionid>
    <referencenumber><![CDATA[1643172B]]></referencenumber>
    <apijobid><![CDATA[1643172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643172/remote-behavioral-medical-director-eastern-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p>.<br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Eastern Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643172]]></requisitionid>
    <referencenumber><![CDATA[1643172C]]></referencenumber>
    <apijobid><![CDATA[1643172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643172/remote-behavioral-medical-director-eastern-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NC]]></city>
    <state><![CDATA[North Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p>.<br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Eastern Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643172]]></requisitionid>
    <referencenumber><![CDATA[1643172D]]></referencenumber>
    <apijobid><![CDATA[1643172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643172/remote-behavioral-medical-director-eastern-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OH]]></city>
    <state><![CDATA[Ohio]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p>.<br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Eastern Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643172]]></requisitionid>
    <referencenumber><![CDATA[1643172E]]></referencenumber>
    <apijobid><![CDATA[1643172]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643172/remote-behavioral-medical-director-eastern-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-SC]]></city>
    <state><![CDATA[South Carolina]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred. Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p>.<br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045A]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IA]]></city>
    <state><![CDATA[Iowa]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045B]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045C]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-KS]]></city>
    <state><![CDATA[Kansas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045D]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-NE]]></city>
    <state><![CDATA[Nebraska]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045E]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-OK]]></city>
    <state><![CDATA[Oklahoma]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Behavioral Medical Director, Central Region]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1644045]]></requisitionid>
    <referencenumber><![CDATA[1644045F]]></referencenumber>
    <apijobid><![CDATA[1644045]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1644045/remote-behavioral-medical-director-central-region/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-TX]]></city>
    <state><![CDATA[Texas]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.</p><ul><li>Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.</li></ul><ul><li>Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.</li></ul><ul><li>Supports effective implementation of performance improvement initiatives for capitated providers.</li></ul><ul><li>Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.</li></ul><ul><li>Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.</li></ul><ul><li>Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.</li></ul><ul><li>Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.</li></ul><ul><li>Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.</li></ul><ul><li>Participates in provider network development and new market expansion as appropriate.</li></ul><ul><li>Assists in the development and implementation of physician education with respect to clinical issues and policies.</li></ul><ul><li>Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.</li></ul><ul><li>Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.</li></ul><ul><li>Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.</li></ul><ul><li>Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.</li></ul><ul><li>Develops alliances with the provider community through the development and implementation of the medical management programs.</li></ul><ul><li>As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.</li></ul><ul><li>Represents the business unit at appropriate state committees and other ad hoc committees.</li></ul><ul><li>May be required to work weekends and holidays in support of business operations, as needed.</li></ul><p><br><strong>Education/Experience:</strong></p><ul><li>Medical Doctor or Doctor of Osteopathy. Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul><p><br><strong>License/Certifications:</strong></p><ul><li>Board certification by the American Board of Psychiatry and Neurology.</li><li>Certification in Child Psychiatry, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.</li></ul><p><br> </p>Pay Range: $236,500.00 - $449,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Principal Incident Response Analyst]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643529]]></requisitionid>
    <referencenumber><![CDATA[1643529]]></referencenumber>
    <apijobid><![CDATA[1643529]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643529/principal-incident-response-analyst/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-IL]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility.<br> </p><p><strong>Position Purpose:</strong> Executes enterprise-wide Incident Response Plan and recommends enhancements to improve security. Partners with business units to accomplish enterprise-wide remediation and develops and delivers presentations to senior leadership team.</p><ul><li><p>Keeps abreast of security breaches and ensure incident and response management processes are initiated</p></li><li><p>Implements security service audit schedules, review access authorization, and perform the required access controls testing to identify security shortfalls</p></li><li><p>Automated scripts, contingency plans, and other programmed responses which are launched when an attack against Centene’s systems has been detected</p></li><li><p>Collaborates with Information Security Architects, Information Security Engineers, and software or hardware stakeholders at Centene</p></li><li><p>Ties third party attack monitoring services and threat reporting services, into internal CIRT (Cyber Incident Response Team) communications systems</p></li><li><p>Performs other duties as assigned</p></li><li><p>Complies with all policies and standards</p></li></ul><p><strong>Education/Experience:</strong> A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and requires deep functional and Centene specific knowledge with 6 – 8 years of related experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br><strong>Technical Skills:</strong></p><ul><li><p>One or more of the following skills are desired.</p></li><li><p>Knowledge of Other: Tools, techniques and processes (TTP) used by threat actors</p></li><li><p>Knowledge of Other: Indicators of compromise (IOC)</p></li><li><p>Experience with Other: Endpoint protection and enterprise detection & response software (such as CrowdStrike or Carbon Black)</p></li><li><p>Knowledge of Other: Network and infrastructure technologies including routers, switches, firewalls, etc.</p></li></ul><p><br><strong>Soft Skills:</strong></p><ul><li><p>Advanced - Seeks to acquire knowledge in area of specialty</p></li><li><p>Advanced - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions</p></li><li><p>Advanced - Ability to work independently</p></li><li><p>Advanced - Demonstrated analytical skills</p></li><li><p>Advanced - Demonstrated project management skills</p></li><li><p>Advanced - Demonstrates a high level of accuracy, even under pressure</p></li><li><p>Advanced - Demonstrates excellent judgment and decision making skills</p></li><li><p>Advanced - Ability to communicate and make recommendations to upper management</p></li><li><p>Advanced - Ability to drive multiple projects to successful completion</p></li><li><p>Advanced - Possesses technical aptitude</p></li></ul>Pay Range: $121,500.00 - $224,900.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Technology]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Senior Business Solutions Architect]]></title>
    <date><![CDATA[Mon, 13 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643522]]></requisitionid>
    <referencenumber><![CDATA[1643522]]></referencenumber>
    <apijobid><![CDATA[1643522]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643522/senior-business-solutions-architect/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong> Supports the goals and outcomes of the organization by leading the transformation of our business strategy. Ensures deliverables are met, by assisting with design, execution, and value estimation and realization for initiatives.</p><ul><li><p>Partner with business leaders to identify opportunities for improvement</p></li></ul><ul><li><p>Evaluate, assess, and design solutions</p></li></ul><ul><li><p>Assist in value estimation, cost-benefit analysis, and business case creation</p></li></ul><ul><li><p>Establish and maintain business architecture governance</p></li></ul><ul><li><p>Coordinate across business and delivery groups to ensure timely completion of key deliverables</p></li></ul><ul><li><p>Create and maintain core business architecture models, such as value streams, business capabilities, information maps, and strategy trees</p></li></ul><ul><li><p>Lead workshops the gather ideas, evaluate processes, and gather intelligence</p></li></ul><ul><li><p>Track and trend predicted business value versus actual value and business outcomes</p></li></ul><ul><li><p>Advise senior leadership on business strategies</p></li><li><p>Performs other duties as assigned</p></li></ul><ul><li><p>Complies with all policies and standards</p></li></ul><strong>Education/Experience:</strong> <br><strong>Bachelor's Degree Business Administration, Management, Information Technology, or a related field required:</strong> <br><strong>5+ years Business Architecture, Business Analysis, Business Design required:</strong> <br><strong>Experience with Business Architecture Frameworks preferred:</strong> <br><strong>Workshop Facilitation preferred:</strong> <br><strong>Business Architecture Certification Upon Hire preferred:</strong>Pay Range: $107,700.00 - $199,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Administrative & Claims Operations]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, LTSS Clinical Care Management]]></title>
    <date><![CDATA[Sun, 12 Jul 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1643596]]></requisitionid>
    <referencenumber><![CDATA[1643596]]></referencenumber>
    <apijobid><![CDATA[1643596]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1643596/director-ltss-clinical-care-management/]]></url>
    <company><![CDATA[Managed Health Services Indiana]]></company>
    <city><![CDATA[Remote-IN]]></city>
    <state><![CDATA[Indiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><h3><strong>Candidate must reside in Indiana or be willing to relocate to Indiana. </strong></h3><div></div><div><h3><strong>Serves as the LTSS subject matter expert, leading RFP development and submissions while supporting the design, implementation, and growth of LTSS programs.</strong></h3></div><p><strong>Position Purpose:</strong> Directs the long-term care of members with physical/medical health needs and/or behavioral/mental health needs to develop and assess high quality, cost-effective healthcare outcomes. Develops strategies and objectives within long-term care management to improve member and/or provider experience.</p><ul><li>Provides leadership to the development, implementation, monitoring, and ongoing improvement of the long-term care management process</li><li>Sets goals and objectives for long-term care management team and oversees care management data and reporting metrics to achieve quality and cost-effective healthcare results and working with senior leadership, as required</li><li>Leads long-term care management policies and procedures within the care management team to ensure compliance with corporate, state, and National Committee for Quality Assurance (NCQA) standards</li><li>Oversees and monitors work assignments and caseloads of long-term care management staff based on state requirements, care management staff experience, and member needs</li><li>Monitors, reviews, and signs off on contract required reporting as required</li><li>Vendor oversight as required and applicable to the role</li><li>Attends conferences and stays up to date on latest trends and best practices in Payer Care Management and related fields, as applicable</li><li>Leads and presents process improvements for the long-term care management team to achieve cost-effective healthcare results</li><li>Leads and coordinates large or special project work with other departmental functions</li><li>Directs and evaluates departmental operations, including the long-term care management model, staffing, use of information technologies, onboarding, and staff competencies to achieve performance and quality objectives</li><li>Reviews and monitors long-term care member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations, and participates with internal and external audits as required</li><li>Contributes to the development and improvement of clinical care pathways that enhance cost effectiveness while providing quality care</li><li>Develops long-term care management strategies and influences decisions by providing recommendations that align to organizational objectives</li><li>Provides coaching and guidance to long-term care management team to improve member and provider experience and facilitate delivery of high-quality care</li><li>Develops department budget while collaborating inter-departmentally and with senior leadership</li><li>Develops the overall strategy for onboarding, hiring, and training new long-term care management team members to ensure adequate training and high-quality care to improve member and/or provider experience and ensure compliance</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong> Positions overseeing RN team members: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 7+ years of related experience, including prior management experience. Or,<br>Positions overseeing BH team members: Requires a Master's degree or Graduate from an Accredited School of Nursing and 7+ years of related experience, including prior management experience.<br><br>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<br><br>4+ years management experience preferred.<br>Expert knowledge of industry regulations, policies, and standards preferred.<br>Highly advanced clinical knowledge and ability to assess member needs in context of relevant diagnoses, treatment plans and goals, and identify potential gaps in care or risks for readmission or complications preferred.<br>Strong knowledge of healthcare managed care principles preferred.<br>Experience working with providers and healthcare teams to develop appropriate long-term service plans/care plans preferred.<br>Strong knowledge of medication indications and side effects preferred.<br><br><strong>License/Certification:</strong></p><ul><li>Positions overseeing RN team members: Current state’s Registered Nurse (RN) license required or</li><li>Positions overseeing BH team members: Licensed Clinical Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LMSW, LMFT, LMHC, and RN with BH experience required</li></ul>Pay Range: $127,300.00 - $236,100.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Clinical & Care Management]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 23 Jun 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642614]]></requisitionid>
    <referencenumber><![CDATA[1642614]]></referencenumber>
    <apijobid><![CDATA[1642614]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642614/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-MO]]></city>
    <state><![CDATA[Missouri]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 23 Jun 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642614]]></requisitionid>
    <referencenumber><![CDATA[1642614A]]></referencenumber>
    <apijobid><![CDATA[1642614]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642614/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CA]]></city>
    <state><![CDATA[California]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 23 Jun 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642614]]></requisitionid>
    <referencenumber><![CDATA[1642614B]]></referencenumber>
    <apijobid><![CDATA[1642614]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642614/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-CO]]></city>
    <state><![CDATA[Colorado]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Privacy & Security Enterprise Engagement  Officer]]></title>
    <date><![CDATA[Tue, 23 Jun 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642614]]></requisitionid>
    <referencenumber><![CDATA[1642614C]]></referencenumber>
    <apijobid><![CDATA[1642614]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642614/privacy-security-enterprise-engagement-officer/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Position Purpose:</strong><br>Partners with either Health Plans or Shared Services to translate privacy, security, artificial intelligence (AI), business continuity, and related requirements from client contracts, laws, and regulations into actionable enterprise controls. Builds trusted relationships with Health Plan leadership and key stakeholders to ensure contract assurance, readiness reviews, Request for proposal (RFP) support, timely deliverable fulfillment, compliance reporting, and continuous improvement. Drives early engagement with Enterprise Privacy, Security and Risk Management (EPSRM) visibility and influence across the organization.</p><ul><li>Lead EPSRM engagement with Health Plans or Shared Services to ensure privacy, security, AI, and business continuity requirements are clearly understood, implemented, and monitored.</li><li>Interpret and translate regulatory, contractual, and legal requirements into operational controls and guide stakeholders on compliance expectations.</li><li>Validate and manage compliance evidence, deliverables, and audit readiness, including responses to regulators, clients, and internal/external auditors.</li><li>Build and maintain strong relationships with leadership, operational teams, and regulators to remove obstacles, resolve issues, and support consistent compliance practices.</li><li>Track regulatory, legislative and contract changes, assess organizational impact, and communicate required actions while supporting scalable control updates.</li><li>Oversee the accuracy and completeness of privacy, security, AI, and business continuity documentation, including plans, attestations, questionnaires, and related submissions.</li><li>Enhance enterprise engagement processes by driving standardized procedures, governance practices, templates, and continuous improvement efforts.</li><li>Support new market entries, RFP responses, contract renewals, and business expansion by providing specialized EPSRM subject‑matter expertise.</li><li>Identify risks and control gaps, recommend mitigation strategies, and contribute to improved compliance maturity across the enterprise.</li><li>Performs other duties as assigned.</li><li>Complies with all policies and standards.</li></ul><p><strong>Education/Experience:</strong><br>Bachelor's Degree in Information Security, Information Systems, Risk/Compliance, Business, Law, or Compliance related capabilities or equivalent experience as a paralegal required.<br><br>Master's Degree in a related field preferred.<br><br>Juris Doctor (JD) preferred.<br> </p><ul><li>7+ years privacy/security, risk, or compliance within the managed care, payer/health plan industry required.</li><li>5+ years identifying, analyzing, and communicating security or privacy control requirements within the context of health plan operations, processes, and systems required.</li><li>Experience in assessing and interpreting contract and regulatory requirements, translating them into control-based operational capabilities, and ensuring delivery across multiple stakeholders required.</li><li>Experience interpreting, implementing and ensuring compliance with State & Federal Privacy, Cybersecurity & AI laws & regulations applicable to healthcare payors and related business entities (i.e., HIPAA/HITECH, CCPA/CPRA, CPA, CTDPA, CAIA, VPA, COPPA, TCPA, etc.) required.</li></ul><p><br><strong>Licenses/Certifications:</strong></p><ul><li>CISSP / CISM Certified Information Systems Security Professional (CISSP) or Certified Information Security Manager (CISM) Upon Hire required.</li><li>Certified Information Privacy Professional (CIP), Artificial Intelligence Governance Professional (AIGP), Certified Risk and Information Systems Control (CRISC) or Certified Information Security Analyst (CISA)) or equivalent preferred.</li></ul>Pay Range: $107,700.00 - $199,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[SIU Investigator]]></title>
    <date><![CDATA[Mon, 15 Jun 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1642182]]></requisitionid>
    <referencenumber><![CDATA[1642182]]></referencenumber>
    <apijobid><![CDATA[1642182]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1642182/siu-investigator/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Remote-FL]]></city>
    <state><![CDATA[Florida]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>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.<br> </p><p><strong>Please note: candidates who reside in Florida are highly preferred.</strong></p><p><strong>Position Purpose: </strong>Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.</p><ul><li>Conduct investigations of potential waste, abuse, and fraud</li><li>Document activity on each case and refer issues to the appropriate party</li><li>Perform data mining and analysis to detect aberrancies and outliers in claims</li><li>Develop new queries and reports to detect potential waste, abuse, and fraud</li><li>Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions</li><li>Assist with complex allegations of healthcare fraud</li><li>Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies</li><li>Complete various special projects and audits</li><li>Performs other duties as assigned</li><li>Complies with all policies and standards</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required</li><li>1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation required</li></ul>Pay Range: $56,200.00 - $101,000.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Network Development & Contracting]]></title>
    <date><![CDATA[Sun, 17 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1636240]]></requisitionid>
    <referencenumber><![CDATA[1636240]]></referencenumber>
    <apijobid><![CDATA[1636240]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1636240/vice-president-network-development-contracting/]]></url>
    <company><![CDATA[Meridian Michigan]]></company>
    <city><![CDATA[Remote-MI]]></city>
    <state><![CDATA[Michigan]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[]]></postalcode>
    <description><![CDATA[<p>Centene is transforming the health of our communities one person at a time. As an Executive on our team, you could be the one who changes everything for our 28 million members.<br> </p><strong>Position Purpose:</strong> Direct the provider network and contracting activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiation for the contracting department.<ul><li>Establish the department’s strategic vision, objectives, and policies and procedures.</li> <li>Develop, implement and maintain production and quality standards for the Contracting department.</li> <li>Oversee network development staff and external consultants in the development of provider networks across expansion markets.</li> <li>Perform periodic analyses of the provider network from a cost, coverage, and growth perspective.</li> <li>Provide leadership in evaluating opportunities to expand or change the network to meet Company goals.</li> <li>Manage budgeting and forecasting initiatives for product lines to networks costs and provider contracts.</li> <li>Oversee analysis of claim trend data and/or market information to derive conclusions to support contract negotiations.</li> <li>Conduct periodic review of provider contracting rates to ensure strategic focus is on target with overall Company strategy.</li> <li>Support market expansion and M&A activities by leading provider contract analysis related to due diligence.</li> <li>Assist health plan CEO and/or COO vendors in key provider relations and strategy.</li> <li>Ability to travel.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree or equivalent experience in Business Administration, Healthcare Administration or related field required.<br>MBA or MHA degree preferred.<br>10+ years of experience in managed care network development and provider relations/contracting management in a health care and/or managed care environment required.<br>Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.</p>Pay Range: $180,400.00 - $343,300.00 per year<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>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.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></description>
    <jobtype><![CDATA[Full time]]></jobtype>
    <category><![CDATA[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Wed, 02 Sep 2026 08:17:21 GMT]]></lastactivitydate>
  </job>
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