Centene jobs - Mississippi
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| Oct 26 | Manager, Member and Provider Services | Centene | Jackson, MS |
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Position Purpose: Manage all Member and Provider related activities including customer outreach, retention, communications and programs. Key Manager for all new business... more |
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| Sep 20 | Member Connections Representative | Centene | Jackson, MS |
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Position Purpose: Assist the health plan in establishing a presence in the community; educate the members about the managed care services provided via the health plan and how to... more |
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| Sep 16 | Director, Quality Improvement | Centene | Jackson, MS |
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POSITION PURPOSE: Perform duties to manage the day-to-day functions of the Quality Improvement & Credentialing Coordinators, providing support to staff and communicating with... more |
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| Sep 16 | Eligibility Specialist | Centene | Jackson, MS |
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Position Purpose: Maintain internal computer systems Medicaid managed care membership records related to the qualifications a person or dependent must meet for coverage under the... more |
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| Sep 16 | Manager, Case Management | Centene | Jackson, MS |
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Position Purpose: Perform duties to conduct and manage the day-to-day operations of the case management functions communicating with departmental and plan administrative staff to... more |
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| Sep 16 | Manager, Provider Relations | Centene | Jackson, MS |
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POSITION PURPOSE: Responsible for maintaining existing, and developing new provider relations, and assisting with contracting activities. POSITION QUALIFICATION REQUIREMENTS:... more |
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| Sep 16 | Member Services Representative | Centene | Jackson, MS |
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POSITION PURPOSE: Coordinate the day-to-day work function of the member services area, provide support to staff and investigate and resolve complex member or provider issues. more |
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| Sep 16 | Claims Liaison | Centene | Jackson, MS |
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POSITION PURPOSE: Perform duties to act as a knowledgeable resource on provider contracts and established state guidelines to assist in determining the appropriate set up of the... more |
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| Aug 17 | Case Manager I (Concurrent Review) | Centene | Jackson, MS |
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Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity. Knowledge/Experience: At least two years clinical nursing experience. more |
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| Aug 17 | Manager Contracts | Centene | Jackson, MS |
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Position Purpose: Manage the contracting department. Coordinate and negotiate hospital, physician, school and ancillary service agreements that are in accordance with Corporate,... more |
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| Aug 17 | Provider Relations Specialist I | Centene | Jackson, MS |
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Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform... more |
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| Aug 17 | Case Manager I (Pre-certification Nurse) | Centene | Jackson, MS |
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Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity. Knowledge/Experience: At least two years clinical nursing experience. more |
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| Aug 17 | Case Manager I (Prior-Authorization Nurse) | Centene | Jackson, MS |
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Position Purpose: Review requests for prior authorization for radiology services (MRIs, CAT Scans, etc.). Knowledge/Experience: At least two years clinical nursing experience. more |
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