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128 centene jobs in Sunrise, FL

Director, Provider Data & Analytics

Centene Corporation Sunrise, FL

Position Purpose: Oversee all of the reporting and data requirements for the health plan, including but not be limited to such activities as… Ivy Exec

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Director, Quality Improvement

Centene Corporation Sunrise, FL

Position Purpose: Lead and direct process improvement activities that provide more efficient and streamlined workflow.Responsible for leading and… Ivy Exec

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Case Manager I (Concurrent Review) Broward County – new

Centene 100+ Reviews Sunrise, FL

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity * Review admissions through on-site and… Beyond.com

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Member Advocate I – new

Centene 100+ Reviews Sunrise, FL

Position Purpose: Act as an advocate for the Member and a liaison between the Health Plan and Provider(s) to ensure availability and access to care… Beyond.com

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Customer Care Professional I

Centene 100+ Reviews Fort Lauderdale, FL

Position Purpose: Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to… Beyond.com

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Utilization Manager - Afterhours Program – new

Centene 100+ Reviews Sunrise, FL

Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient… Beyond.com

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Senior Director, Operations

Centene 100+ Reviews Sunrise, FL

Position Purpose: Oversee Member and Provider Services Call Center, Eligibility, and Community Relation Operations for the defined region, including… Beyond.com

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Credentialing Specialist I

Centene 100+ Reviews Sunrise, FL

Position Purpose: Assist the plan in credentialing and re credentialing providers. * Credential and re-credential various providers, including… Beyond.com

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Manager, Case Management Child Welfare (RN Required)

Centene 100+ Reviews Sunrise, FL

Position Purpose: Perform duties to conduct and manage the day to day operations of the case management functions * Review analyses of activities… Beyond.com

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Director, Operations

Centene 100+ Reviews Sunrise, FL

Position Purpose: Coordinate, negotiate and handle activities of the department and aid the chief administrative officer in formulating and… Beyond.com

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Project Manager III

Centene 100+ Reviews Sunrise, FL

Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet… Beyond.com

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Behavioral Health Service Manager

Centene 100+ Reviews Sunrise, FL

Position Purpose: Perform duties related to the day-to-day operations of the Service Management functions for Foster Care members to achieve the… Beyond.com

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RN Manager, Utilization Management - Florida

Centene 100+ Reviews Fort Lauderdale, FL

**Position Purpose:** Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff… Beyond.com

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Nursewise Bilingual Telehealth RN - $2,500 Signing Bonus Available and Potential to Telecommute

Centene 100+ Reviews Fort Lauderdale, FL

* Possess and maintain a thorough grasp of clinical knowledge (i.e. pertaining to various disease states, medications, treatments, etc). * Comply… Beyond.com

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Nursewise Customer Care Professional I (Pipeline)

Centene 100+ Reviews Fort Lauderdale, FL

* Answer incoming heatlhcare contact center calls and route appropriately to clinical staff. * Gather and verify demographic information and document… Beyond.com

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Clinical Provider Trainer

Centene 100+ Reviews Sunrise, FL

**Position Purpose:** Develop and implement trainings to educate network providers and their staff on the companys clinical philosophy and… Beyond.com

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Provider Relations Specialist II-Dental

Centene 100+ Reviews Sunrise, FL

Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims * Conduct on-site… Beyond.com

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Project Manager III – new

Centene Corporation Sunrise, FL

Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet… Percipio Media

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Provider Data Management Specialist II

Centene Corporation Sunrise, FL

, marketing and promotion, and facilitation of credentialing and certification Manage and resolve complex provider data issues, such as mass change… Percipio Media

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