<?xml version="1.0" encoding="utf-8" standalone="yes"?>
<source>
  <publisher>Centene Corporation</publisher>
  <publisherUrl>https://jobs.centene.com/</publisherUrl>
  <lastBuildDate>Fri, 15 May 2026 17:51:35 GMT</lastBuildDate>
  <job>
    <title><![CDATA[Manager, Payment Integrity - Platform Management]]></title>
    <date><![CDATA[Thu, 14 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637595]]></requisitionid>
    <referencenumber><![CDATA[1637595]]></referencenumber>
    <apijobid><![CDATA[1637595]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637595/manager-payment-integrity-platform-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>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> Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes<br><ul><li>Monitor business processes and systems to assure integrity and compliance in billing and claims payment</li><li>Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals</li><li>Develop customized fraud plans to meet contract and federal requirements</li><li>Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis</li><li>Respond to RFP request and implement new policies per contractual obligation</li><li>Attend state/federal meetings as required by specific contracts</li><li>Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes</li><li>Review post-payment cases with appropriate parties to obtain refund</li><li>Prepare and distribute monthly and quarterly saving reports</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred.<br><br><strong>License/Certification:</strong> Medical records or coding license 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[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 15 May 2026 17:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Payment Integrity - Platform Management]]></title>
    <date><![CDATA[Thu, 14 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637595]]></requisitionid>
    <referencenumber><![CDATA[1637595A]]></referencenumber>
    <apijobid><![CDATA[1637595]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637595/manager-payment-integrity-platform-management/]]></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><strong>Position Purpose:</strong> Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes<br><ul><li>Monitor business processes and systems to assure integrity and compliance in billing and claims payment</li><li>Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals</li><li>Develop customized fraud plans to meet contract and federal requirements</li><li>Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis</li><li>Respond to RFP request and implement new policies per contractual obligation</li><li>Attend state/federal meetings as required by specific contracts</li><li>Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes</li><li>Review post-payment cases with appropriate parties to obtain refund</li><li>Prepare and distribute monthly and quarterly saving reports</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred.<br><br><strong>License/Certification:</strong> Medical records or coding license 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[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 15 May 2026 17:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Payment Integrity - Platform Management]]></title>
    <date><![CDATA[Thu, 14 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637595]]></requisitionid>
    <referencenumber><![CDATA[1637595B]]></referencenumber>
    <apijobid><![CDATA[1637595]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637595/manager-payment-integrity-platform-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>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> Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes<br><ul><li>Monitor business processes and systems to assure integrity and compliance in billing and claims payment</li><li>Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals</li><li>Develop customized fraud plans to meet contract and federal requirements</li><li>Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis</li><li>Respond to RFP request and implement new policies per contractual obligation</li><li>Attend state/federal meetings as required by specific contracts</li><li>Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes</li><li>Review post-payment cases with appropriate parties to obtain refund</li><li>Prepare and distribute monthly and quarterly saving reports</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred.<br><br><strong>License/Certification:</strong> Medical records or coding license 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[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 15 May 2026 17:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Payment Integrity - Platform Management]]></title>
    <date><![CDATA[Thu, 14 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637595]]></requisitionid>
    <referencenumber><![CDATA[1637595C]]></referencenumber>
    <apijobid><![CDATA[1637595]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637595/manager-payment-integrity-platform-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>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> Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends/schemes<br><ul><li>Monitor business processes and systems to assure integrity and compliance in billing and claims payment</li><li>Lead teams of analysts to appropriately investigate all possible fraud, waste and abuse referrals</li><li>Develop customized fraud plans to meet contract and federal requirements</li><li>Develop educational materials to identify/validate waste activities as requested by the health plan and on an ad-hoc basis</li><li>Respond to RFP request and implement new policies per contractual obligation</li><li>Attend state/federal meetings as required by specific contracts</li><li>Prepare/present the FWA program to state/federal personnel upon request, specifically during readiness reviews, and immediately following the go live or upon state agency personnel changes</li><li>Review post-payment cases with appropriate parties to obtain refund</li><li>Prepare and distribute monthly and quarterly saving reports</li></ul><p><strong>Education/Experience:</strong> Bachelor’s degree in Business, Healthcare, Criminal Justice, related field, or equivalent experience. 4+ years of medical claim investigation, compliance or fraud and abuse experience. Thorough knowledge of medical terminology required. Previous experience in managed care environment and as a lead or supervisor of staff, including hiring, training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred.<br><br><strong>License/Certification:</strong> Medical records or coding license 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[Legal & Compliance]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 15 May 2026 17:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Duals Performance & Growth]]></title>
    <date><![CDATA[Wed, 13 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1632592]]></requisitionid>
    <referencenumber><![CDATA[1632592]]></referencenumber>
    <apijobid><![CDATA[1632592]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1632592/vice-president-duals-performance-growth/]]></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>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> Plan and direct all aspects of the operations for assigned products and its programs. Responsible for the short- and long-term profitability and growth of the product programs<ul><li>Oversee all aspects of the assigned products and its programs, including operational policies, objectives, and initiatives.</li> <li>Responsible for the financial performance and growth of the product programs, including profit & loss.</li> <li>Develop and implement short- and long-range strategic growth and development plans and budgets for the product programs.</li> <li>Identify opportunities for increased operational efficiencies, develop plans to address needs and ensure successful implementation.</li> <li>Develop policies and procedures for operational processes in order to ensure optimization and compliance with established standards and local, state and federal regulations.</li> <li>Represent the organization in its relationships with key stakeholders related to the product programs.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business Administration, Healthcare Administration or related field required.<br>Master's Degree preferred.<br>10+ years of operations, administration, and management experience in the health care or insurance industry required.<br>5+ years in a senior management role, including strategic planning and product or program development experience required.<br> </p>Pay Range: $227,700.00 - $431,400.00 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 14 May 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Duals Performance & Growth]]></title>
    <date><![CDATA[Wed, 13 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1632592]]></requisitionid>
    <referencenumber><![CDATA[1632592A]]></referencenumber>
    <apijobid><![CDATA[1632592]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1632592/vice-president-duals-performance-growth/]]></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>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> Plan and direct all aspects of the operations for assigned products and its programs. Responsible for the short- and long-term profitability and growth of the product programs<ul><li>Oversee all aspects of the assigned products and its programs, including operational policies, objectives, and initiatives.</li> <li>Responsible for the financial performance and growth of the product programs, including profit & loss.</li> <li>Develop and implement short- and long-range strategic growth and development plans and budgets for the product programs.</li> <li>Identify opportunities for increased operational efficiencies, develop plans to address needs and ensure successful implementation.</li> <li>Develop policies and procedures for operational processes in order to ensure optimization and compliance with established standards and local, state and federal regulations.</li> <li>Represent the organization in its relationships with key stakeholders related to the product programs.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business Administration, Healthcare Administration or related field required.<br>Master's Degree preferred.<br>10+ years of operations, administration, and management experience in the health care or insurance industry required.<br>5+ years in a senior management role, including strategic planning and product or program development experience required.<br> </p>Pay Range: $227,700.00 - $431,400.00 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 14 May 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Duals Performance & Growth]]></title>
    <date><![CDATA[Wed, 13 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1632592]]></requisitionid>
    <referencenumber><![CDATA[1632592B]]></referencenumber>
    <apijobid><![CDATA[1632592]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1632592/vice-president-duals-performance-growth/]]></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>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> Plan and direct all aspects of the operations for assigned products and its programs. Responsible for the short- and long-term profitability and growth of the product programs<ul><li>Oversee all aspects of the assigned products and its programs, including operational policies, objectives, and initiatives.</li> <li>Responsible for the financial performance and growth of the product programs, including profit & loss.</li> <li>Develop and implement short- and long-range strategic growth and development plans and budgets for the product programs.</li> <li>Identify opportunities for increased operational efficiencies, develop plans to address needs and ensure successful implementation.</li> <li>Develop policies and procedures for operational processes in order to ensure optimization and compliance with established standards and local, state and federal regulations.</li> <li>Represent the organization in its relationships with key stakeholders related to the product programs.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Business Administration, Healthcare Administration or related field required.<br>Master's Degree preferred.<br>10+ years of operations, administration, and management experience in the health care or insurance industry required.<br>5+ years in a senior management role, including strategic planning and product or program development experience required.<br> </p>Pay Range: $227,700.00 - $431,400.00 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Thu, 14 May 2026 14:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Compliance Officer, Mississippi]]></title>
    <date><![CDATA[Sun, 10 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639787]]></requisitionid>
    <referencenumber><![CDATA[1639787]]></referencenumber>
    <apijobid><![CDATA[1639787]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639787/compliance-officer-mississippi/]]></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>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 role must reside in the state of Mississippi and go into the office at least once a week. </strong></p><p><strong>Position Purpose:</strong></p><ul><li>Oversee all compliance functions for the Mississippi 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.</li><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>Performs other duties as assigned.</li><li>Comply with all policies and standards.</li></ul><p>Education/Experience: </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.</li></ul>Pay Range: $148,000.00 - $274,200.00 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[Mon, 11 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Manager, Healthcare Analytics]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1618222]]></requisitionid>
    <referencenumber><![CDATA[1618222]]></referencenumber>
    <apijobid><![CDATA[1618222]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1618222/manager-healthcare-analytics/]]></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><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> The Manager, Healthcare Analytics drives the execution of analytics strategy through the discovery, development, and implementation of leading-edge analytics that answer important business questions. The manager aligns talent and resources to support enterprise and health plan needs by leveraging data to achieve strategic objectives and improve business performance.</p><ul><li>Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions</li><li>Manage development efforts as a liaison with business and technical partners, including managing stakeholder expectations, requirements gathering, testing, deployment and user adoption</li><li>Prioritize team work, manage customer expectations and relationships, and maintain alignment of deliverables with business needs and strategic objectives</li><li>Support customer engagement and satisfaction by maintaining effective communication and transparency of work and deliverables with core stakeholders</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 levers and constraints</li><li>Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations</li><li>Facilitate cross-team project collaboration between state-based health plans and business units, including IT, Finance, Network Development, and Payment Integrity</li><li>Mentor, manage, and ensure the continuous development of team</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. Master's degree preferred. 4+ years of experience in healthcare analytics, large databases, data verification, data management, table creation and indexing, query optimization, utilization of stored procedures, developing complex queries using SQL or other coding languages, and lead or management experience. Project management experience preferred. Working knowledge of SQL/querying languages. Experience with table creation and indexing, query optimization, and utilization of stored procedures. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of basic statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Experience in change management processes and procedures preferred. Preferred knowledge of modern business intelligence and visualization tools including Microsoft PowerBI. Demonstrated ability mentoring and training of junior analysts in a supervisory or other informal leadership role preferred. 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><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: $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[Data & Business Analytics]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Claims Configuration Operations (Health Plan)]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1633671]]></requisitionid>
    <referencenumber><![CDATA[1633671]]></referencenumber>
    <apijobid><![CDATA[1633671]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1633671/vice-president-claims-configuration-operations-health-plan/]]></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>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> 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.<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></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree in Business Administration, Finance, Accountancy or a related field required.</li><li>Master's Degree preferred.</li><li>9+ years of operations, management, or administration in the Healthcare or Insurance industry experience required.</li><li>Experience in business development and/or Request for Proposal (RFP) preferred.</li><li>Extensive knowledge of state legislative and regulatory processes preferred.</li><li>For Acaria Health Specialty Pharmacy, substitution of a PharmD coupled with 9+ years of experience is acceptable.</li><li>Role will oversee pharmacy fulfillment operations and case management.</li><li>Establish and maintain operational strategic vision for our specialty operations.</li></ul>Pay Range: $171,900.00 - $326,900.00 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Plan President & CEO]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637123]]></requisitionid>
    <referencenumber><![CDATA[1637123]]></referencenumber>
    <apijobid><![CDATA[1637123]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637123/plan-president-ceo/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Covington]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[70433]]></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>Applicants for this role must live within driving distance of our Baton Rouge Office.</p><p><strong>Position Purpose:</strong> Plans and directs all aspects of Louisiana Healthcare Connections operational policies, objectives, and initiatives.</p><ul><li>Develop policies and procedures for operational processes in order to ensure optimization and compliance with established standards and regulations.</li><li>Represents the organization in its relationships with major customers, suppliers, competitors, commercial and investment bankers, government agencies, professional societies, and similar groups.</li><li>Develops a sound short-and long-range plan for the organization.</li><li>Ensures the adequacy and soundness of the organization’s financial structure and reviews projections of working capital requirements.</li><li>Negotiates and otherwise arranges for any outside financing that may be indicated.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree in Business, Health Care Administration, Public Administration or related field required. Master's Degree preferred.</li><li>5+ years of experience in a top management position in the government or healthcare industry required.</li><li>Extensive experience in contracting, contract acquisition, operations management, and strategic planning and development.</li><li>Previous experience managing staff, including hiring, training, managing workload and performance.</li></ul><p>Pay Range: $270,000.00 - $580,000.00 per year</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Plan President & CEO]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637123]]></requisitionid>
    <referencenumber><![CDATA[1637123A]]></referencenumber>
    <apijobid><![CDATA[1637123]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637123/plan-president-ceo/]]></url>
    <company><![CDATA[Centene]]></company>
    <city><![CDATA[Baton Rouge]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[70809]]></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>Applicants for this role must live within driving distance of our Baton Rouge Office.</p><p><strong>Position Purpose:</strong> Plans and directs all aspects of Louisiana Healthcare Connections operational policies, objectives, and initiatives.</p><ul><li>Develop policies and procedures for operational processes in order to ensure optimization and compliance with established standards and regulations.</li><li>Represents the organization in its relationships with major customers, suppliers, competitors, commercial and investment bankers, government agencies, professional societies, and similar groups.</li><li>Develops a sound short-and long-range plan for the organization.</li><li>Ensures the adequacy and soundness of the organization’s financial structure and reviews projections of working capital requirements.</li><li>Negotiates and otherwise arranges for any outside financing that may be indicated.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree in Business, Health Care Administration, Public Administration or related field required. Master's Degree preferred.</li><li>5+ years of experience in a top management position in the government or healthcare industry required.</li><li>Extensive experience in contracting, contract acquisition, operations management, and strategic planning and development.</li><li>Previous experience managing staff, including hiring, training, managing workload and performance.</li></ul><p>Pay Range: $270,000.00 - $580,000.00 per year</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Risk Adjustment Program Operations & Data Integrity]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1638546]]></requisitionid>
    <referencenumber><![CDATA[1638546]]></referencenumber>
    <apijobid><![CDATA[1638546]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1638546/vice-president-risk-adjustment-program-operations-data-integrity/]]></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>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>Position Purpose:</strong></p><p>Provide operational leadership for Centene's Corporate Risk Adjustment program operations and its subsidiaries. Oversee compliance with Risk Adjustment data integrity and validation audit process.</p><ul><li><p>Lead enterprise-wide Risk Adjustment operations for coding and external audits, ensuring consistent execution while addressing market, product, and regulatory variation.</p></li><li><p>Lead and develop high performing, multi-disciplinary teams through complex change, reinforcing accountability, engagement, and results.</p></li><li><p>Drive enterprise change management through standardized processes, tools, and controls that improve scalability, quality, and compliance.</p></li><li><p>Oversee encounter data submissions and reconciliation to ensure data completeness, accuracy, and regulatory alignment.</p></li><li><p>Effectively communicate risk, organizational impact and progress towards achieving goals.</p></li><li><p>Establish strong governance and oversight for Risk Adjustment compliance, including RADV and other regulatory and internal audits.</p></li><li><p>Work with local market teams as necessary to support Enterprise Risk Adjustment programs and education</p></li><li><p>Ensure disciplined oversight of vendor performance, holding partners accountable to quality, timeliness, and contractual expectations.</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></p><ul><li><p>Bachelor’s degree in health information management, Nursing, Healthcare Administration, Business, or related field required, advanced degree preferred.</p></li><li><p>10+ years of progressive leadership experience in Risk Adjustment, medical coding, healthcare compliance, or related regulated healthcare operations.</p></li><li><p>Demonstrated experience leading large teams of certified coders, auditors, and quality professionals across multiple programs or markets.</p></li><li><p>Deep knowledge of CMS Risk Adjustment requirements, ICD 10 CM coding standards, RADV audits, and encounter data submissions.</p></li><li><p>Proven record of establishing coding governance, quality assurance, and audit readiness programs in highly regulated environments.</p></li><li><p>Executive level people leadership experience, including workforce development, performance management, and leading teams through change.</p></li><li><p>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</p></li></ul>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[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Plan Chief Financial Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1633490]]></requisitionid>
    <referencenumber><![CDATA[1633490]]></referencenumber>
    <apijobid><![CDATA[1633490]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1633490/plan-chief-financial-officer/]]></url>
    <company><![CDATA[Meridian Illinois]]></company>
    <city><![CDATA[Burr Ridge]]></city>
    <state><![CDATA[Illinois]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[60527]]></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><em>This is a hybrid position that includes both in-office and remote work. Candidates must live within a reasonable commuting distance of our Burr Ridge, IL office. </em></p><p><strong>Position Purpose:</strong> Provide leadership and oversight of all aspects of finance for the health plan.</p><ul><li>Oversee all finance 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 and leadership of medical cost improvement initiatives.</li><li>Perform financial impact analysis for new contracts and support negotiations.</li><li>Review monthly performance and financial results of the business unit and provide recommendations to senior management.</li><li>Responsible for the business unit’s contribution to corporate.</li><li>Perform duties as Chief liaison between Corporate Finance and the Business Unit.</li><li>Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan.</li><li>Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement.</li><li>Direct health plan analytical needs and coordinate reporting strategy.</li><li>Act as a lead for internal and external audits.</li><li>Lead rate setting activity and coordinate corporate and state actuaries.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Finance, Accounting, Economics, Business Administration preferred. Master's Degree preferred.<br>10+ years in a high-level finance role in the healthcare or insurance industry required.</p><p>CPA Preferred<br>Must reside in Illinois.</p>Pay Range: $217,600.00 - $411,800.00 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[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Provider Engagement]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1636992]]></requisitionid>
    <referencenumber><![CDATA[1636992]]></referencenumber>
    <apijobid><![CDATA[1636992]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1636992/vice-president-provider-engagement/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Long Island City]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11101]]></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>Position Purpose:</strong> This leader advances payment models/programs that improve quality, affordability, provider performance, and member outcomes while ensuring alignment with Fidelis Care’s network strategy, line of business priorities, state specific needs, and regulatory requirements. This role is responsible for leading all aspects of provider services, including building and maintaining strong provider relations with key providers and working closely with various operational areas to support provider services, quality initiatives, network development, data quality initiatives, claim processing and expansion of the markets served by the company. The VP of Provider Engagement works closely with others to ensure that members have access to best-in-class service providers and that members receive quality care at reasonable costs.</p><ul><li>Strategic Leadership: Develops and implements market-level network value based program transformation initiatives. Develop and execute overarching strategies to optimize provider performance, operations and satisfaction across the market.</li><li>Provider Performance & Quality: Analyzes and communicates financial, utilization, and quality metrics to improve performance, specifically focusing on HEDIS and STARS measures.</li><li>Relationship Management: Manages relationships with complex provider partnerships to improve value based performance, provider satisfaction and retention.</li><li>Foster direct collaboration between providers and the health care plan to reduce rework, streamline administration and reduce costs for all constituents.</li><li>Collaborate with all functions within the company to develop services and processes that streamline claim adjudication, achieve a high level of compliance and customer satisfaction.</li><li>Lead the development of provider related corporate initiatives, business plans, strategies, and goals.</li><li>Manage efforts to partner with providers to achieve high quality results consistent with QARR and HEDIS measures.</li><li>Collaborate with operational areas and appropriate vendors on initiatives that support claim processing and financial efficiencies.</li><li>Monitor new trends in provider network, reimbursement and services.</li><li>Design and implement strategies to capitalize on new trends.</li><li>Enhance and leverage analytics, member demographics, and healthcare facility usage patterns to identify efficiency opportunities and target service providers for direct contracts.</li><li>Maintain local and state government relationships, including dealing with regulators as necessary to establish and continue effective working relationships.</li><li>Attract, recruit and retain the talent Provider Relations needs to achieve its objectives.</li><li>Provide mentoring and foster a success-oriented and accountable culture.</li><li>Coordinate and Communicate annual Provider Satisfaction Survey consistent with NCQA standards.</li><li>Provide oversight to internal provider credentialing process, ensuring adherence to credentialing policies and procedures.</li><li>Collaborate with others on data that impacts provider domain to ensure that provider data is being maintained consistent with internal data governance standards.</li></ul><strong>Education/Experience:</strong> Bachelor's Degree required.<br>Master's Degree preferred.<br>9+ years experience in senior leader roles in managed care environment at a Healthcare payer organization required.<br>Experience focused specifically on developing provider networks and building partnerships preferred.<br>Highly developed knowledge of healthcare industry, provider network, claim processing, UM guidelines and health plan operations.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[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Vice President, Network Development & Contracting]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1632579]]></requisitionid>
    <referencenumber><![CDATA[1632579]]></referencenumber>
    <apijobid><![CDATA[1632579]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1632579/vice-president-network-development-contracting/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Long Island City]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11101]]></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><div><em>This is a hybrid position that includes both in-office and remote work. Candidates must live within a reasonable commuting distance of our Long Island City office. </em></div><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.</p><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: $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[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Head of Provider Operations]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1633894]]></requisitionid>
    <referencenumber><![CDATA[1633894]]></referencenumber>
    <apijobid><![CDATA[1633894]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1633894/head-of-provider-operations/]]></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>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>Position Purpose:</strong></p><p>The Executive will be accountable for the strategic leadership and oversight of all provider network operations, including provider data management, credentialing, and market service excellence. This position is critical to driving operational efficiency, regulatory compliance, and provider engagement across Centene's Enterprise Business Operations Services (EBOS).</p><ul><li>Direct the accurate, timely, and compliant management of provider data, maintaining data integrity and ensuring alignment with Centene EBOS and regulatory standards.</li><li>Oversee and optimize the provider credentialing process, guaranteeing that all provider credentials are current and adhere to internal policies and all applicable regulatory requirements.</li><li>Champion initiatives to advance market service excellence by implementing process improvements and fostering a culture of continuous improvement, with a focus on both provider and member satisfaction.</li><li>Lead and coordinate across the enterprise, facilitating cross-functional collaboration and clear communication to support organizational objectives and drive performance outcomes.</li><li>Ensure unwavering compliance with all healthcare regulations, Centene policies, and standard operating procedures (SOPs), proactively identifying and mitigating potential risks.</li><li>Promote and drive the adoption of industry best practices, leveraging data and analytics to identify opportunities for standardization and operational excellence.</li><li>Establish, monitor, and report on key performance indicators (KPIs), using data-driven insights to lead performance improvement initiatives and ensure achievement of EBOS goals.</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 business administration, healthcare management, or related field or equivalent experience required.</li><li>Master's Degree in a related field preferred.</li><li>Minimum of 15 years’ experience in healthcare operations, with at least 5 years in a leadership capacity overseeing provider network functions.</li><li>Demonstrated expertise in provider data management, credentialing processes, and regulatory compliance within a large healthcare organization.</li><li>Exceptional leadership, communication, and organizational skills, with a proven ability to drive cross-functional collaboration and performance outcomes.</li><li>Proven ability to drive transformation at scale.</li><li>Strategic thinking and advanced problem-solving capabilities.</li><li>Strong analytical skills and meticulous attention to detail.</li><li>Proficiency in provider data operations functions (i.e. credentialling, roster management, issue intake and resolution, etc.).</li><li>Excellent interpersonal, negotiation, and stakeholder engagement skills.</li><li>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</li></ul><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Head of Provider Operations]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1633894]]></requisitionid>
    <referencenumber><![CDATA[1633894A]]></referencenumber>
    <apijobid><![CDATA[1633894]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1633894/head-of-provider-operations/]]></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>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>Position Purpose:</strong></p><p>The Executive will be accountable for the strategic leadership and oversight of all provider network operations, including provider data management, credentialing, and market service excellence. This position is critical to driving operational efficiency, regulatory compliance, and provider engagement across Centene's Enterprise Business Operations Services (EBOS).</p><ul><li>Direct the accurate, timely, and compliant management of provider data, maintaining data integrity and ensuring alignment with Centene EBOS and regulatory standards.</li><li>Oversee and optimize the provider credentialing process, guaranteeing that all provider credentials are current and adhere to internal policies and all applicable regulatory requirements.</li><li>Champion initiatives to advance market service excellence by implementing process improvements and fostering a culture of continuous improvement, with a focus on both provider and member satisfaction.</li><li>Lead and coordinate across the enterprise, facilitating cross-functional collaboration and clear communication to support organizational objectives and drive performance outcomes.</li><li>Ensure unwavering compliance with all healthcare regulations, Centene policies, and standard operating procedures (SOPs), proactively identifying and mitigating potential risks.</li><li>Promote and drive the adoption of industry best practices, leveraging data and analytics to identify opportunities for standardization and operational excellence.</li><li>Establish, monitor, and report on key performance indicators (KPIs), using data-driven insights to lead performance improvement initiatives and ensure achievement of EBOS goals.</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 business administration, healthcare management, or related field or equivalent experience required.</li><li>Master's Degree in a related field preferred.</li><li>Minimum of 15 years’ experience in healthcare operations, with at least 5 years in a leadership capacity overseeing provider network functions.</li><li>Demonstrated expertise in provider data management, credentialing processes, and regulatory compliance within a large healthcare organization.</li><li>Exceptional leadership, communication, and organizational skills, with a proven ability to drive cross-functional collaboration and performance outcomes.</li><li>Proven ability to drive transformation at scale.</li><li>Strategic thinking and advanced problem-solving capabilities.</li><li>Strong analytical skills and meticulous attention to detail.</li><li>Proficiency in provider data operations functions (i.e. credentialling, roster management, issue intake and resolution, etc.).</li><li>Excellent interpersonal, negotiation, and stakeholder engagement skills.</li><li>Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.</li></ul><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Chief Medical Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1635713]]></requisitionid>
    <referencenumber><![CDATA[1635713]]></referencenumber>
    <apijobid><![CDATA[1635713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1635713/chief-medical-officer/]]></url>
    <company><![CDATA[Fidelis Care]]></company>
    <city><![CDATA[Long Island City]]></city>
    <state><![CDATA[New York]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[11101]]></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>We are hiring a Chief Medical Officer for our New York Health Plan, Fidelis Care. Candidates should expect 2-3 days per week of in-office engagement.</p><p><strong>Qualifications for this role include: </strong></p><ul><li>MD or DO without restrictions</li><li>Board Certified Physician</li><li>New York license</li><li>Willingness for weekly in-office engagement in our Long Island City location</li></ul><p><strong>Position Purpose:</strong> Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.</p><ul><li>Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.</li><li>Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.</li><li>Provide oversight and direction for staff and provider training and education.</li><li>Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.</li><li>Review case management data, identifies trends and gaps in care and recommends corrective actions.</li><li>Review all quality of care issues and oversees the development and implementation of processes for improvement.</li><li>Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.</li><li>Monitor member and provider satisfaction and recommends and implements changes to improve satisfaction levels.</li><li>Work collaboratively to develop corporate clinical care standards and medical practice policies.</li><li>Provide medical guidance to the Medical Management department.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor (MD) or Doctor of Osteopathy required.</li><li>7+ years clinical experience in the practice of medicine required.</li><li>Management experience preferred.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine and provides leadership in the local medical community preferred.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists required.</li><li>Certification in a primary care specialty preferred.</li><li>New York state license as a MD or DO without restrictions, limitations or sanctions from government programs required.</li></ul>Pay Range: $276,400.00 - $525,800.00 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[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Chief Medical Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1635713]]></requisitionid>
    <referencenumber><![CDATA[1635713A]]></referencenumber>
    <apijobid><![CDATA[1635713]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1635713/chief-medical-officer/]]></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>We are hiring a Chief Medical Officer for our New York Health Plan, Fidelis Care. Candidates should expect 2-3 days per week of in-office engagement.</p><p><strong>Qualifications for this role include: </strong></p><ul><li>MD or DO without restrictions</li><li>Board Certified Physician</li><li>New York license</li><li>Willingness for weekly in-office engagement in our Long Island City location</li></ul><p><strong>Position Purpose:</strong> Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.</p><ul><li>Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.</li><li>Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.</li><li>Provide oversight and direction for staff and provider training and education.</li><li>Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.</li><li>Review case management data, identifies trends and gaps in care and recommends corrective actions.</li><li>Review all quality of care issues and oversees the development and implementation of processes for improvement.</li><li>Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.</li><li>Monitor member and provider satisfaction and recommends and implements changes to improve satisfaction levels.</li><li>Work collaboratively to develop corporate clinical care standards and medical practice policies.</li><li>Provide medical guidance to the Medical Management department.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor (MD) or Doctor of Osteopathy required.</li><li>7+ years clinical experience in the practice of medicine required.</li><li>Management experience preferred.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine and provides leadership in the local medical community preferred.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li><li>Board certification in a medical specialty recognized by the American Board of Medical Specialists required.</li><li>Certification in a primary care specialty preferred.</li><li>New York state license as a MD or DO without restrictions, limitations or sanctions from government programs required.</li></ul>Pay Range: $276,400.00 - $525,800.00 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[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Chief Medical Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637124]]></requisitionid>
    <referencenumber><![CDATA[1637124]]></referencenumber>
    <apijobid><![CDATA[1637124]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637124/chief-medical-officer/]]></url>
    <company><![CDATA[Louisiana Healthcare Connections]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></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>We are hiring a Chief Medical Officer for Louisiana Healthcare Connections, a subsidiary of Centene Corproration. This is a hybrid role with a mix of remote, in-office engagement (Baton Rouge) and minor travel within the state.</p><p><strong>Qualifications for this role include: </strong></p><ul><li>MD or DO without restrictions</li><li>Board Certified Physician</li><li>Louisiana license</li><li>Louisiana resident</li><li>Medicaid experience highly preferred</li></ul><p><strong>Position Purpose:</strong> Provide medical oversight, expertise and leadership to ensure the delivery of cost effective, quality healthcare services to health plan members.</p><ul><li>Serves as clinical advisor to and educator of medical management staff making sure correct clinical judgment is applied to all medical management determinations.</li><li>Provide leadership and expertise in the development, implementation and interpretation of medical review and quality related policies and guidelines.</li><li>Provide oversight and direction for staff and provider training and education.</li><li>Promote positive relations with the local medical community, including periodic consultation with providers or prescribers.</li><li>Review case management data, identifies trends and gaps in care and recommends corrective actions.</li><li>Review all quality of care issues and oversees the development and implementation of processes for improvement.</li><li>Monitor performance indicators to ensure the delivery of cost-effective care within quality standards.</li><li>Monitor member and provider satisfaction and recommends and implements changes to improve satisfaction levels.</li><li>Work collaboratively to develop corporate clinical care standards and medical practice policies.</li><li>Provide medical guidance to the Medical Management department.</li></ul><p><strong>Education/Experience:</strong></p><ul><li>Medical Doctor (MD) or Doctor of Osteopathy required.</li><li>7+ years clinical experience in the practice of medicine required.</li><li>Management experience preferred.</li><li>Utilization Management experience and knowledge of quality accreditation standards preferred.</li><li>Actively practices medicine and provides leadership in the local medical community preferred.</li><li>Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management preferred.</li><li>Experience treating or managing care for a culturally diverse population preferred.</li></ul>Pay Range: $264,300.00 - $502,000.00 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[Executive Leadership]]></category>
    <sourcename><![CDATA[Centene Corporation]]></sourcename>
    <remotetype><![CDATA[Fully remote]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639268]]></requisitionid>
    <referencenumber><![CDATA[1639268]]></referencenumber>
    <apijobid><![CDATA[1639268]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639268/payment-integrity-specialist-governance/]]></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>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><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><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><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI required<br>Process quality certification 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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639268]]></requisitionid>
    <referencenumber><![CDATA[1639268A]]></referencenumber>
    <apijobid><![CDATA[1639268]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639268/payment-integrity-specialist-governance/]]></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. 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>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><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><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><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI required<br>Process quality certification 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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639268]]></requisitionid>
    <referencenumber><![CDATA[1639268B]]></referencenumber>
    <apijobid><![CDATA[1639268]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639268/payment-integrity-specialist-governance/]]></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>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>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><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><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><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI required<br>Process quality certification 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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639268]]></requisitionid>
    <referencenumber><![CDATA[1639268C]]></referencenumber>
    <apijobid><![CDATA[1639268]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639268/payment-integrity-specialist-governance/]]></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. 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>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><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><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><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI required<br>Process quality certification 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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639269]]></requisitionid>
    <referencenumber><![CDATA[1639269]]></referencenumber>
    <apijobid><![CDATA[1639269]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639269/sr-payment-integrity-specialist-governance/]]></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>Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics.</p><ul><li>Mentors junior team members on duties and responsibilities with supervision from leadership. 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>Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity.</li><li>Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.</li><li>Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan.</li><li>Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.</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, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.</li><li>Assists functional and project leaders in 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><br><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>7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required<br><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI preferred<br>Process quality certification preferred</p>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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639269]]></requisitionid>
    <referencenumber><![CDATA[1639269A]]></referencenumber>
    <apijobid><![CDATA[1639269]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639269/sr-payment-integrity-specialist-governance/]]></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>Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics.</p><ul><li>Mentors junior team members on duties and responsibilities with supervision from leadership. 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>Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity.</li><li>Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.</li><li>Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan.</li><li>Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.</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, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.</li><li>Assists functional and project leaders in 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><br><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>7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required<br><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI preferred<br>Process quality certification preferred</p>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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639269]]></requisitionid>
    <referencenumber><![CDATA[1639269B]]></referencenumber>
    <apijobid><![CDATA[1639269]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639269/sr-payment-integrity-specialist-governance/]]></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. 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>Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics.</p><ul><li>Mentors junior team members on duties and responsibilities with supervision from leadership. 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>Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity.</li><li>Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.</li><li>Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan.</li><li>Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.</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, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.</li><li>Assists functional and project leaders in 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><br><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>7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required<br><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI preferred<br>Process quality certification preferred</p>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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639269]]></requisitionid>
    <referencenumber><![CDATA[1639269C]]></referencenumber>
    <apijobid><![CDATA[1639269]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639269/sr-payment-integrity-specialist-governance/]]></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. 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>Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics.</p><ul><li>Mentors junior team members on duties and responsibilities with supervision from leadership. 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>Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity.</li><li>Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.</li><li>Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan.</li><li>Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.</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, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.</li><li>Assists functional and project leaders in 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><br><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>7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required<br><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI preferred<br>Process quality certification preferred</p>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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Sr. Payment Integrity Specialist - Governance]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639269]]></requisitionid>
    <referencenumber><![CDATA[1639269D]]></referencenumber>
    <apijobid><![CDATA[1639269]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639269/sr-payment-integrity-specialist-governance/]]></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. 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>Lead Business Process Consultant provides management support and strategic guidance and expertise to business case development for enterprise level initiatives across many functional areas and leads larger scale, complex, cross-functional initiatives. Drives strategic recommendations for portfolio planning with an emphasis on proactive solutions. Involved in team level development activities, such as training, mentoring, and tracking department metrics.</p><ul><li>Mentors junior team members on duties and responsibilities with supervision from leadership. 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>Oversee the pipeline of business cases and prioritize them based on strategic value, interdependencies, risk appetite, and available capacity.</li><li>Ensure consistent methodology and rigor in business case development across all teams, providing quality assurance and coaching to Senior Business Process Consultants. Ensures that all approved business cases are transitioned to initiatives (both documentation and clear responsibilities for each initiative) and tracks ROI for launched projects and initiatives.</li><li>Leads engagement and communications with senior and executive stakeholders, translating business pain points into strategic recommendations and ensures successful execution towards plan.</li><li>Coordinates proactive collaboration across cross-functional teams to identify and proactively respond to stakeholder business problems.</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, consistent work team engagement and productivity, meeting facilitation, consensus building, recommendation documentation and implementation oversight.</li><li>Assists functional and project leaders in 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><br><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>7+ years experience managing, leading projects within a consulting, healthcare, and or related sectors required<br><br><strong>Licenses/Certifications:</strong><br>Certified Project Management Professional (PMP)-PMI preferred<br>Process quality certification preferred</p>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[Fri, 08 May 2026 15:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Plan Chief Financial Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623300]]></requisitionid>
    <referencenumber><![CDATA[1623300]]></referencenumber>
    <apijobid><![CDATA[1623300]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623300/plan-chief-financial-officer/]]></url>
    <company><![CDATA[Louisiana Healthcare Connections]]></company>
    <city><![CDATA[Baton Rouge]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[70809]]></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> Provide leadership and oversight of all aspects of finance for the Business Unit<ul><li>Oversee all finance 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 and leadership of medical cost improvement initiatives.</li> <li>Perform financial impact analysis for new contracts and support negotiations.</li> <li>Review monthly performance and financial results of the business unit and provide recommendations to senior management.</li> <li>Responsible for the business unit’s contribution to corporate.</li> <li>Perform duties as Chief liaison between Corporate Finance and the Business Unit.</li> <li>Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan.</li> <li>Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement.</li> <li>Direct health plan analytical needs and coordinate reporting strategy.</li> <li>Act as a lead for internal and external audits.</li> <li>Lead rate setting activity and coordinate corporate and state actuaries.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Finance, Accounting, Economics, Business Administration required. Master's Degree preferred. 10+ years in a high level finance role in the healthcare or insurance industry required.<br> </p><p>Must reside in and/or relocate to Baton Rouge/Covington LA area.</p><p><br>CPA preferred.</p>Pay Range: $217,600.00 - $411,800.00 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[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Plan Chief Financial Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623300]]></requisitionid>
    <referencenumber><![CDATA[1623300A]]></referencenumber>
    <apijobid><![CDATA[1623300]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623300/plan-chief-financial-officer/]]></url>
    <company><![CDATA[Louisiana Healthcare Connections]]></company>
    <city><![CDATA[Covington]]></city>
    <state><![CDATA[Louisiana]]></state>
    <country><![CDATA[United States of America]]></country>
    <postalcode><![CDATA[70433]]></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> Provide leadership and oversight of all aspects of finance for the Business Unit<ul><li>Oversee all finance 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 and leadership of medical cost improvement initiatives.</li> <li>Perform financial impact analysis for new contracts and support negotiations.</li> <li>Review monthly performance and financial results of the business unit and provide recommendations to senior management.</li> <li>Responsible for the business unit’s contribution to corporate.</li> <li>Perform duties as Chief liaison between Corporate Finance and the Business Unit.</li> <li>Establish financial strategic vision, objectives, policies and procedures in support of the overall strategic plan.</li> <li>Oversee and validate pricing models and lead initiatives to identify inefficiencies and areas of development and improvement.</li> <li>Direct health plan analytical needs and coordinate reporting strategy.</li> <li>Act as a lead for internal and external audits.</li> <li>Lead rate setting activity and coordinate corporate and state actuaries.</li></ul><p><strong>Education/Experience:</strong> Bachelor's Degree in Finance, Accounting, Economics, Business Administration required. Master's Degree preferred. 10+ years in a high level finance role in the healthcare or insurance industry required.<br> </p><p>Must reside in and/or relocate to Baton Rouge/Covington LA area.</p><p><br>CPA preferred.</p>Pay Range: $217,600.00 - $411,800.00 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[]]></remotetype>
    <lastactivitydate><![CDATA[Fri, 08 May 2026 17:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Director, Risk & Compliance Processes & Initiatives]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637638]]></requisitionid>
    <referencenumber><![CDATA[1637638]]></referencenumber>
    <apijobid><![CDATA[1637638]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637638/director-risk-compliance-processes-initiatives/]]></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><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>Develops and implements strategies to ensure successful maintenance and implementation of compliance and risk programs that meet regulatory requirements for assigned products across the enterprise, leveraging strong collaboration, and project management skills to build and continuously improve governance, risk, and compliance (GRC) processes, controls, and tool capabilities, informed by a background in compliance and/or auditing and a person-centered approach to accomplishing goals.</p><ul><li>Champions cross-functional collaboration by working closely with Risk & Compliance teams, business units, legal, IT, and operational leaders to develop, refine, and implement comprehensive compliance and risk management processes and controls, and training.</li><li>Leads the documentation of processes and controls, ensuring that methodologies, procedures, and control frameworks are clearly articulated, standardized, and accessible. Oversee the review and periodic update of compliance process documentation to reflect evolving regulatory requirements and organizational priorities.</li><li>Coordinates with the GRC Administration team, Compliance Systems & Reporting to translate business needs into actionable technology requirements to support compliance and risk activities. Serve as the principal liaison between business/process stakeholders, GRC Administration team, and technology teams to identify, specify, and prioritize requirements for integrating processes and controls within the Governance, Risk & Compliance platform (Archer Evolv).</li><li>Architects and implements governance structures for the GRC application, establishing roles, responsibilities, oversight mechanisms, and escalation protocols. Ensure governance frameworks align with industry best practices and regulatory expectations, promoting effective utilization and continuous improvement of the GRC tool.</li><li>Designs and maintains robust standards and criteria for business cases submitted to the governance committee. Develop objective evaluation rubrics, ensuring proposals for compliance and risk initiatives are rigorously assessed for business value, regulatory impact, resource allocation, and strategic alignment prior to approval.</li><li>Leads efforts to ensure the accuracy and currency of field values within the GRC application. Establish and direct regular evaluation procedures with business/process stakeholders to verify that all data fields are up to date, reliable, and aligned with current business and regulatory standards.</li><li>Develops a framework to evaluate and interpret data outputs and reporting generated from activities recorded in the GRC tool to ensure data-driven insights can be derived to guide decision-making and support regulatory, audit, and operational requirements.</li><li>Champions other strategic initiatives as assigned supporting Risk & Compliance 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 Business Administration or related field; or equivalent experience required</li><li>7+ years Compliance program management and contract experience with state Medicaid, Medicare or commercial programs, including internal and state audits required</li><li>Working with healthcare regulatory agencies to develop compliance and fraud prevention programs preferred</li><li>Overseeing the implementation of federal and state insurance or program requirement preferred</li><li>Utilization of various Governance, Risk, and Compliance applications preferred<br> </li></ul><p>Pay Range: $107,700.00 - $199,300.00 per year</p><p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including 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[Fri, 08 May 2026 11:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752A]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752B]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/remote-medical-director-appeals/]]></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 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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752C]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/remote-medical-director-appeals/]]></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 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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752D]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752E]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/remote-medical-director-appeals/]]></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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752F]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/remote-medical-director-appeals/]]></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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752G]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752H]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/remote-medical-director-appeals/]]></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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Remote Medical Director, Appeals]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1623752]]></requisitionid>
    <referencenumber><![CDATA[1623752I]]></referencenumber>
    <apijobid><![CDATA[1623752]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1623752/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>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.</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>Active 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 and / or Family Medicine specialty, preferred.</li><li>Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.<br> </li></ul>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[Fri, 08 May 2026 10:00:09 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Compliance Officer]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1639119]]></requisitionid>
    <referencenumber><![CDATA[1639119]]></referencenumber>
    <apijobid><![CDATA[1639119]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1639119/compliance-officer/]]></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>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><div><div><strong>Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States, however it is highly preferred that the selected candidate resides in New Jersey. </strong></div></div><p><strong>Position Purpose: </strong><br>Provide strategic leadership and oversight for the health plan compliance program, including compliance governance, regulatory strategy, policy development, and cross-functional implementation. Ensure accurate and timely execution and regulatory deliverables across business and operational areas.</p><ul><li>Lead the design, execution, and ongoing effectiveness of the market compliance program in alignment with enterprise standards and regulatory expectations.</li><li>Oversee compliance with CMS Medicare requirements including SNP related obligations, and ensure timely submission of all applicable regulatory filings and deliverables.</li><li>Serve as senior compliance leader and single point of contact for state interactions, compliance meetings and market level escalations.</li><li>Serve as senior leadership in all Department of Insurance, Medicaid agency, and other regulatory audit activities applicable to New Jersey market.</li><li>Collaborate with Corporate Enterprise Risk Management and market leaders to identify, assess, document, and reduce compliance and business risks. </li><li>Internal compliance auditing and monitoring activities, direct corrective action planning, and hold business owners accountable for timely remediation and sustained compliance.</li><li>Provide oversight of delegated entities, vendors, and material subcontractors, including annual oversight performance monitoring and corrective action follow up.</li><li>Chair or support market compliance committees and provide regular reporting to market and enterprise leadership regarding risks, trends and remediation activities.</li><li>Lead, coach, and develop compliance team members, and establish clear priorities, accountabilities and performance expectations.</li><li><strong>For New Jersey plan only additional responsibilities:</strong></li><li>Maintain and track contract documentation, Medicaid contract amendments, and various regulatory measures.</li><li>Work with Operational Departments to ensure that policies, procedures, and processes are developed and modified to comply with state regulatory standards. Provide guidance to various departments with respect to regulatory and contract language.</li><li>Develop strategic relationships with agencies within the New Jersey Department of Human Services and other state regulatory policymakers with oversight responsibility for Managed Care organizations, Medicare and Medicaid initiatives. Identify, evaluate and analyze the impact of state regulatory changes and advise management concerning impact.</li><li>Represent senior management at various state committees, meetings, and industry forums and other engagements relevant to compliance and regulatory strategy. </li><li>Maintain deep knowledge of New Jersey Medicaid and applicable state regulatory requirements. .</li><li>Complies with all policies and standards.</li></ul><div></div><p><strong>Education/Experience:</strong></p><ul><li>Bachelor's Degree in related field, or equivalent experience required</li><li>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</li></ul><p><br> </p>Pay Range: $148,000.00 - $274,200.00 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[Fri, 08 May 2026 13:00:10 GMT]]></lastactivitydate>
  </job>
  <job>
    <title><![CDATA[Medical Director]]></title>
    <date><![CDATA[Thu, 07 May 2026 19:00:00 GMT]]></date>
    <requisitionid><![CDATA[1637084]]></requisitionid>
    <referencenumber><![CDATA[1637084]]></referencenumber>
    <apijobid><![CDATA[1637084]]></apijobid>
    <url><![CDATA[https://jobs.centene.com/us/en/jobs/1637084/medical-director/]]></url>
    <company><![CDATA[Louisiana Healthcare Connections]]></company>
    <city><![CDATA[Remote-LA]]></city>
    <state><![CDATA[Louisiana]]></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>MD or DO without restrictions</li><li>Must be licensed in Louisiana</li><li>Board Certified Physician</li></ul><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><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 Officer 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 Officer 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 Louisiana 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<p>Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.</p><p><br>Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p>]]></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, 08 May 2026 12:00:07 GMT]]></lastactivitydate>
  </job>
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