Discouraged and impossible - Behavioral Health Utilization Review Centene Employee Review

1.0
May 22, 2025
Recommend
CEO approval
Business Outlook

Pros

Working from home, but given the info in the cons section even this is now becoming less of a pro. Coworkers who really want to also do a good job but are experiencing the issues listed in the cons. Supervisor who appears to understand what’s going on but can’t do anything about it.

Cons

As of recently you’ll be asked to do 14+ full reviews daily, no abbreviated template, which aren’t built correctly, don’t have clinicals which requires outreach by you, random urgent auths or out of TAT auths (not our fault) found (which you’ll get dinged for processing), while receiving calls from providers, training other staff without extra pay, attending pop up trainings, senior management town hall meetings, forwarded volunteer opportunities, offering to help with on-call for no extra pay outside of OT, staying up to date on the hundreds of policy changes occurring constantly, 1:1 meetings with supervisors that don’t at all reflect your actual work, being told you need to do more despite giving feedback that there’s no work life balance at all, being dinged on audits for the silliest things you were trained to do, rebutting audits, attending staffings and waiting to present because the MD’s are over worked. Working OT to try to hit the productivity expectations while there’s enough work, it’s the value placed on the auths that is the issue. Annual reviews being told you are more than what’s documented and add your own data to show you’re processing 20-30 authorizations per day but the numerical value they place on the auths puts you at under preforming (team wide, not an individual issue) and no one follows up on the discrepancy between their data and your own! Not trusting the data they pull, no one checks the accuracy of the data. Some data we no longer use still shows up on your monthly tracker and no one cares to find out why. If you take a 5-10 minute break, forget about even possibly hitting productivity. Scheduled 8-5, 1 hour lunch so 8 work hours, 2 full auths every hour is very unreasonable with everything else listed above that we need to do. You HAVE to accept doing other tasks which will just ding your productivity and how you appear to them, but the work has to get done. Moved several positions and have been exceeding expectations in other roles relatively easily, always up for an attainable challenge but this is just impossible. Management doesn’t ask for feedback. Highly unmotivating and disappointing for a company who has valued work life balance in the past.

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5.0
Jun 30, 2026
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Pros

Great culture here at centene

Cons

Not really much I can think of

3.0
Jun 12, 2017
Recommend
CEO approval
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Pros

I loved the work and for 6 years was happy with what I did. I knew I made a difference and did my job well. Not many has the same skill set I did and there was always work to do.

Cons

1. It's an old white boys club. I say that as a white individual. It sucks that's how MFN rolls. They say they value diversity but they don't. They will have a token diverse person in an exec role but they're there to be a face, not make any changes or impact. 2. They pay really well but that hurts when you leave. 3. They layoff the good people and keep the undereducated white males. Why? See #1 above. 4. They don't want you if you are female and over 40. Think I'm lying? See the number of females 40+ who got hit in the January "reorganization." 5. HR is a joke. Talent acquisition couldn't find their rear ends with both hands and a map. So many excuses on why they didn't do their jobs. 6. MFN said the HealthNet employees needed to learn the Centene way and the Centene way would prevail. He lied. 7. They never entertained the idea of working from home. At all. Even a 25% WFH option would cut costs and improve morale.

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Centene Response
7y
Thank you for taking time to leave a detailed review. Your commentary is already helping to make us better. We strive to prioritize the success of our employees and want them to feel supported. Centene Corporation is fully committed to an inclusive work space where all feel welcome and valued. Again, thank you for your comments.
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