Centene Jobs

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.

• Must reside in Buffalo, Rochester, Albany, NYC, and/or Syracuse NY

• Assign new participants to the Service Coordination team following Centene policies and procedures

• Maintain appropriate records, files, and documentation. Distribute emails and faxes to providers

• Enter new and modifications to authorizations into systems

• Perform tasks necessary to promote participant compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census.

• Screen for eligibility and benefits. Screen members by priority for assessment and refer to appropriate team following established workflows

• Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produce and mail routine letters and program educational materials

• Provide support through inbound and outbound calls. Triage, adjust, or escalate requests to management

Must reside in Buffalo, Rochester, Albany, NYC, and/or Syracuse NY

Education/Experience: High school diploma or equivalent. Bachelor’s degree preferred. 0-2 years of healthcare experience. General computer knowledge including MS Office Excel, Word, and Outlook. Familiarity with medical terminology preferred.

Pay Range: $15.29 - $26.20 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.

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