Eating Recovery Center Remote jobs - 199 jobs

The Patient Service Coordinator is responsible for all aspects of physician and patient scheduling tasks including, but not limited to: scheduling all office visit appointments, confirming office visit appointments, directing new patients to the practice location, and informing the patients of documents and payment arrangements required at the time of visit. The individual must possess the ability to verify insurance eligibility, reschedule appointments, and obtain the correct corresponding authorizations. ESSENTIAL DUTIES & RESPONSIBILITIES: Uses telephone headset and computerized appointment scheduling program to schedule patient appointments for specified physicians according to physician-specified protocol. Enters key demographic and insurance information into a permanent account; checks for IPA authorizations. Follows appointment scheduling protocol for each physician. Follows guidelines for patient access. Verifies insurance eligibility daily to ensure patients are covered for the current month. Ensures patients understand they are to arrive to their appointment with their referral form and x-rays. Informs patients the appointment may be cancelled if the referral and x-rays are not available. Informs patients of practice's policy on collecting payment at the time of service. Informs new patients about the practice's website; encourages them to visit and complete paperwork and print a map with directions to the practice. Checks e-mail regularly and responds to established patients who have requested an appointment through the website. Any urgent calls to a physician should be e-mailed to the Triage department or reach the appropriate specialty area using the backline to assure the call is handled expediently. Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice. Meets all Productivity Standards/Goals. Other duties as assigned. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this position. Duties, responsibilities, and activities may change at any time with or without notice. QUALIFICATIONS: High school diploma required. Minimum two years' experience working in a physician practice scheduling appointments. Comfortable using e-mail and interacting with Internet applications. Computer literate - with keyboard skills and knowledge of practice management and word processing software. Strong written and verbal communication skills. Strong customer service skills. REQUIREMENTS: The individual MUST reside in Southern California This position requires onsite training at our office for the first few weeks. Upon successful completion of the training period, the role will transition to a fully remote work arrangement. Expected to meet KPI's Within 30 Days Average Call Handling Time: 4-6 minutes Call Abandonment rate: less than 5% Average Speed to Answer: less than 30 seconds Agent absenteeism: Less than 5% Hourly Call Volume: 10 calls per hour Average appointments per day: 70 appointments per day TYPICAL PHYSICAL DEMANDS & WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Position requires prolonged sitting, some bending, stooping, and stretching. Good eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment is also required. Employee must have normal range of hearing and eyesight to record, prepare, and communicate appropriate reports and may need to lift up to 15 pounds. PAY RANGE: $21-23 per hour

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Account Principal serves as the primary client support/liaison to Crossover's self-insured clients. This role is responsible for developing the strategy and service road map for growth with assigned clients in partnership with Crossover's Practice Lead and Physician Lead. These three functions work together as a Triad to provide clinic leadership focused on achieving Crossover's “quadruple aim” -- 1) decreased healthcare spend, 2) increased quality, 3) improved patient/member engagement, and 4) strong employee/provider engagement. Job Responsibilities Develops annual clinic budget and goals, coordinating with the Triad to ensure client goals and contract metrics are integrated and achieved. Develops client budget and financial reporting for clients, partnering with Finance, the Dyad, and clinical operations, as appropriate. Oversees unbilled expenses, performance guarantees, and seeks client approval of additional spending or investments. Ensures a smooth hand-off from sales on new client implementations. Develops and delivers a 2-year service/revenue growth plan for the client. Identifies programs that result in growing and expanding services/revenue (both horizontal and vertical growth) in concert with the client. Implements strong program management, coordinating with partners and stakeholders to ensure contract milestones are achieved. Design, develops, measures and reports against practice plan goals, with a structured problem solving approach. Builds strong relationships with clients and key decision makers, identifying account strengths and development needs and working with stakeholders to improve effectiveness and efficiencies. Drives renewal strategies for existing clients, provides support for client negotiations. Works with the client to resolve contract questions, including billing/payment issues. Hires, coaches, and develops staff. Assists in onboarding and training new team members. Encourages continuing professional education and development to enhance learning and meet licensing expectations. Supports other cross functional leaders in the development of standards and on process improvement in order to scale and drive revenue. Performs other duties as assigned. Required Qualifications Bachelor's Degree Account management or sales experience, 7 years minimum Experience managing client relationships, 7 years minimum Successful track record of retaining and growing client revenue, 7 years minimum Experience leading and growing a team, 3-5 years Preferred Qualifications Healthcare experience Excellent communication, interpersonal, and organizational skills to serve as a trusted advisor to the client and leader to team members. Excellent computer skills with knowledge of Apple and Google-based technology or client technologies such as Microsoft or HP Leadership skills and experience working in a collaborative team environment Creative, flexible and easily adapts to changing priorities Energetic, takes initiative and able to work in a team environment as well as autonomously when needed Embraces innovative healthcare delivery Physical Job Requirements Requires travel to client/practice locations and management meetings 15-25% Requires standing, walking and sitting for extended periods of time Requires corrected vision, hearing and speech within normal ranges Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions The base pay range for this position is $140,003.00 to $196,005 per year. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position may be eligible for an annual bonus opportunity and comprehensive benefits package that includes Medical Insurance, Dental Insurance, Vision Insurance, Short- and Long-Term Disability, Life Insurance, Paid Time Off and 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************. To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Remote

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Registered Dietitian assists our members with a variety of health concerns including, but not limited to, weight management, stress management, tobacco cessation, nutrition, physical activity and other healthy lifestyle changes. Using a collaborative process that includes assessment, planning, implementation and evaluation, the Registered Dietitian will provide quality coaching programs that are part of an integrated and comprehensive primary care model. Job Responsibilities Delivers, measures, and improves high quality coaching programs for our members Collaborates with members and care teams to assess, develop, implement, and evaluate action plans related to achieving and maintaining an optimal health status Engages individual members and groups in healthy lifestyle changes using evidence-based coaching techniques that align behaviors to personal values while fostering an environment of individual responsibility and accountability Conducts coaching assessments, follow-up sessions, and delivers onsite wellness classes Provides recommendations for healthy behavior changes based on established protocols Serves as a consultant and educational resource to providers and members Performs other duties as assigned Required Qualifications Bachelor's degree in a relevant health field (i.e. Health Education, Nutrition, Nursing, Public Health, Exercise Physiology, Psychology) Current Registered Dietitian license Minimum 3 years experience as a Registered Dietitian in an out-patient primary care setting Current BLS (Basic Life Support) certification Preferred Qualifications Master's degree and/or prior clinical experience Health Coaching certificate from an approved ICHWC organization or completion within 1-year Prior work-site health experience Demonstrated ability to communicate, problem solve, and work effectively with people while using good judgment in new and challenging situations Knowledge and proficiency in current, evidence-based methods of health coaching including motivational interviewing and cognitive behavioral therapy with an emphasis on health promotion and risk reduction Experience utilizing electronic health record systems Physical Job Requirements May require standing, walking and sitting for extended amounts of time. Occasionally lift and carry items weighing up to 50 lbs. Manual and finger dexterity and hand-eye coordination Includes full range of body motion including potential of handling and lifting patients. Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members. The base pay range for this position is $45.28 to $59 per hour. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position may be eligible for an annual bonus opportunity and comprehensive benefits package that includes Medical Insurance, Dental Insurance, Vision Insurance, Short- and Long-Term Disability, Life Insurance, Paid Time Off and 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************. To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Remote

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary This role will be responsible for building and operating Crossover's detection and response capabilities. As part of a small, high-impact team, the Security Engineer (Detection and Response) will design, implement, and automate security monitoring, detection, and response workflows that protect our people, data, and systems. The ideal candidate will be a hands-on engineer who is passionate about solving complex security challenges through automation and continuous improvement. Job Responsibilities Incident Response: Detect, analyze, and respond to security incidents, ensuring timely remediation, documentation, and lessons learned. Detection Engineering: Develop, tune, and maintain detection logic across SIEM, EDR, IDS, and related platforms to improve visibility and reduce false positives. SOAR & Automation: Build and maintain SOAR playbooks and scripts to automate alert triage, response actions, and routine operational tasks. Threat Intelligence & Analysis: Correlate threat intelligence with internal telemetry to identify emerging risks and inform new detection capabilities. Security Monitoring: Operate and enhance monitoring systems to identify potential threats across cloud, endpoint, and network environments. Security Awareness & Reporting: Support awareness and phishing programs, and deliver clear, actionable reporting and communications on security posture and incidents to leadership. Data Loss Prevention: Develop DLP rules and processes to detect and prevent data loss or misuse across cloud, endpoint, and email systems. Requirements 6+ years of experience in security operations, incident response, or threat detection, with demonstrated technical leadership. Strong hands-on expertise with SIEM, EDR, IDS/IPS, and SOAR platforms Deep understanding of security event analysis, threat intelligence, and response automation. Experience developing and maintaining incident response playbooks, runbooks, and operational processes. Solid knowledge of network, endpoint, and cloud security fundamentals. Excellent communication and collaboration skills, with the ability to lead cross-functional response efforts and convey complex security topics clearly. Strong organizational and problem solving skills Preferred Qualifications Security related certifications, such as CISSP, GCIH, GSOC and/or other professional certifications Experience implementing and/or managing Jira workflows and configurations Development experience or working knowledge of common coding languages Prior experience with HIPAA regulations and clinical environments The base pay range for this position is $110,817.00 to $149,603 per year. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position may be eligible for an annual bonus opportunity and comprehensive benefits package that includes Medical Insurance, Dental Insurance, Vision Insurance, Short- and Long-Term Disability, Life Insurance, Paid Time Off and 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************. To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Remote

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. ****NOTE: This is a hybrid remote role that meets directly with provider groups based in the Chicago area to discuss HEDIS performance and strategize ways to improve performance, up to 75% travel. Typical daily tasks will include creating/using PowerPoint presentations, creating/exporting reports, and data analysis. Additional Details: - Department: Quality Improvement - Business Unit: Illinois Health Plan - Schedule: Mon - Fri, 8am - 4:30 pm CT - Territory: Cook, DuPage, Will, Lake County, Illinois. Work-from-home but requires travel to conduct in-person provider visits, including quarterly in-person team meetings in Burr Ridge, IL office. Must reside in IL and in the above counties.**** **Position Purpose:** Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers. + Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements. + Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure. + Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters). + Identifies specific practice needs where Centene can provide support. + Develops, enhances and maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS Abstraction accuracy rates as per corporate standards. + Ability to travel up to 75% of time to provider offices. + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** Bachelor's Degree or equivalent required 3+ years in HEDIS record collection and risk adjustment (coding) required **Licenses/Certifications:** One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A or CBCS **For IL Health Plan only:** Must reside in IL or within a reasonable driving distance to assigned providers. Pay Range: $26.50 - $47.59 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. 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. Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits. Obtain and verify insurance eligibility for services provided and document complete information in system Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies Collect any clinical information such as lab values, diagnosis codes, etc. Determine patient's financial responsibilities as stated by insurance Configure coordination of benefits information on every referral Ensure assignment of benefits are obtained and on file for Medicare claims Bill insurance companies for therapies provided Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs Handle inbound calls from patients, physician offices, and/or insurance companies Resolve claim rejections for eligibility, coverage, and other issues Performs other duties as assigned Complies with all policies and standards Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor's degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Pay Range: $15.87 - $27.25 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. This is a remote position that requires being in the field roughly 25%. The individual must reside in the greater NYC area. **Position Purpose:** This position will oversee approximately 10 individual contributors (Provider Engagement Account Managers - PEAM). This role has overall responsibility of a team of NYC Provider Relations staff and will ensure staff is following organizational policies and procedures, managing provider relationships to maintain/improve provider satisfaction, provide assistance in escalating claim issues, participate in provider meetings/JOCs, delegate work, hire / interview staff, train and provide development opportunities for staff, and manage projects and ad hoc requests accordingly. This role will support the Provider Engagement Operating Model (PEOM), an enterprise strategic priority focused on driving provider cost and quality performance and engagement. + Manage the staff in provider relations area including work flow, training and communication standards + Manage day-to-day provider relations activities and provider relations department + Develop, implement and maintain production and quality standards for the provider relations staff + Monitor and analyze costs and prepare departmental budget + Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc. **Education/Experience:** Bachelor's degree in related field or equivalent experience. 4+ years of managed care, health delivery system and/or project and staff management experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and negotiation skills. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.Pay Range: $86,000.00 - $154,700.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. **Position Purpose:** Assist with the contract submission process and the auditing of provider information systems (AMISYS) for consistency and best practices in Provider set up. + Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports. + Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis. + Support the contract submission process to ensure confirmation with Corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts. + Maintain and update on a routine basis the contract organization's databases. + Produce reports, as requested. + Coordinate the Corporate-wide data verification process for contracted providers. Update contract organization's databases, as necessary. + Interface with the credentialing staff to ensure all Health Plan data systems are congruent. **Education/Experience:** High school diploma or equivalent. 2+ years of experience managing large databases and provider information systems. Healthcare industry experience preferred. Auditing experience preferred. This position is 100% remote within the United States. Pay Range: $23.23 - $39.61 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Mental Health Therapist works at one or more assigned sites within our health and wellness centers. This position serves as a member of our interdisciplinary health care team for the purpose of optimizing whole-person health and wellness. The Mental Health Therapist counsels individuals, couples, families, and groups and provides mental health consultation within the health center and to the assigned Crossover client organization. Job Responsibilities Applies training and experience in collaborating with allied health professionals to facilitate and support positive mental health change. Applies experience and training in employer settings, including presenting psycho-educational programs, promoting services, consulting to the organization, and leading critical incident debriefing sessions. Uses a variety of assessment and intervention techniques to address mental health problems. Understands HIPAA requirements for mental health records and substance abuse records and maintains appropriate documentation in compliance with legal and ethical standards. Reviews clinical data and makes recommendations for programmatic changes, acquisition of clinical tools, and opportunities for collaboration and innovation to maximize favorable clinical outcomes while minimizing medical costs. Performs case management when service needs (such as higher level of care) exceed the scope of the practice. Follows code of ethics associated with the licensing body of their respective certification. Performs other duties as assigned Required Qualifications Licensed Clinical Social Worker (LCSW) Maintains LCSW license in good standing during employment. Minimum 5 years related clinical experience serving patients across the mental health, family relationships, addiction and recovery, and work related spectrum. Proficient in evidence-based treatments (i.e. CBT, ACT and DBT) Must have attended an APA accredited program Current BLS (Basic Life Support) certification Preferred Qualifications Ability to inspire respect, trust, and confidence. Excellent communication skills both verbal and written; including expertise with presentation skills. Ability to establish therapeutic alliances and rapport required to work with a diverse patient population Ability to make independent decisions in accordance with established policies and procedures while still working within the collaborative team framework. Proficient computer and technology skills Physical Job Requirements May require standing, walking and sitting for extended amounts of time. Occasionally lift and carry items weighing up to 50 lbs. Manual and finger dexterity and hand-eye coordination Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members. The base pay range for this position is $59.88 to $78 per hour. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position may be eligible for an annual bonus opportunity and comprehensive benefits package that includes Medical Insurance, Dental Insurance, Vision Insurance, Short- and Long-Term Disability, Life Insurance, Paid Time Off and 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************. To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Onsite

About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare-Primary Health-built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover's Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound-in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Nurse Practitioner is responsible for meeting all clinical, administrative, and financial performance metrics. This position is responsible for implementing, delivering, and ensuring that the highest quality of patient-centered care is delivered. Job Responsibilities Provides patient centered, comprehensive primary care services Participate in the selection of suitable treatment plans for all patients Supervise staff to ensure the care team is providing appropriate care in accordance with their duties and obligations Assist other care providers and extended care teams Provide continuous availability for medical and technical questions to the employees, patient care staff, and ancillary care providers including after hours coverage Actively participate in quality improvement programs, as well as participate in multidisciplinary quality assurance programs Collaborate with the management team as needed to ensure improvement of patient care Cooperate with clinical outcome reviews and measurements Comply with all policies, procedures, and protocols Provide general medical care and treatment to patients in the health center under the direction of a physician (depending on state) Submits health care plan and goals of individual patients for periodic review and evaluation by physician. Prescribes or recommends drugs or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures May refer patients to physician for consultation or to specialized health resources for treatment. Performs other duties as assigned. Required Qualifications Minimum of 5 years of clinical experience in Family Practice Must be Board Certified Must be licensed to practice in appropriate states- must have at least 10 active state licenses BLS (Basic Life Support) certification required Preferred Qualifications Proficient in promoting the clinic Strong Communication skills Patient communication skills Physical Job Requirements May require standing, walking and sitting for extended amounts of time. Occasionally lift and carry items weighing up to 50 lbs. Manual and finger dexterity and hand-eye coordination Includes full range of body motion including potential of handling and lifting patients. Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members. The base pay range for this position is $67.18 to $87 per hour. Pay range may vary depending on work location, applicable knowledge, skills, and experience. This position may be eligible for an annual bonus opportunity and comprehensive benefits package that includes Medical Insurance, Dental Insurance, Vision Insurance, Short- and Long-Term Disability, Life Insurance, Paid Time Off and 401K. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at ***************************. To all recruitment agencies: We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Remote

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Implements and executes all forms of performance testing services using automated testing tools to identify system bottlenecks and to ensure system reliability, capacity and scalability. Designs, develops, and writes performance test scripts and applies performance engineering best practices to drive innovation of performance engineering services. Optimizes the overall test process to attain efficiency for the enterprise. Designs, builds, tests and deploys effective testing solutions which measure the performance of internally developed products and alerts of any discrepancies or defects Applies automated tools in testing applications across all phases of the Software Development Life Cycle (SDLC) Creates charts of performance test results for further investigation and showcase impact on performance to stakeholders Translates performance specifications/requirements/criteria into effective test designs and test cases Abilities to conduct performance testing within Agile process Supports the test team by recommending tools and processes to improve performance of internally developed products Designs, builds and executes performance tests to validate application quality using industry standard performance testing tools (Junit/TestNG/Python, etc) based frameworks such as Selenium and Robot Identifies regression testing needs by creating and maintaining an Automated Performance Test Suite Provides timely project related data as required in applicable systems. Ensure timely reporting and responses to stakeholders Provides leadership, mentoring and technical oversight within team Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Knowledge of Software Development; Software Development Life Cycle Knowledge of Other: Java 1.8, TestNG/Junit, JMeter/LoadNinja/JProfiler or other industry standard Performance testing tools Experience with Programming Concepts; Programming Tools Knowledge of Other: CI/CD tools Experience with Other: developing performance test automation suite for microservice based applications that use cloud technologies such as Containers, Kubernetes, Kafka, Object store, etc. Knowledge of Other: UI automation tools such as Selenium (Java) Experience with Other: evelopment of application changes, testing the changes and driving continuous delivery transformation within Scrum teams Knowledge of Other: AWS Soft Skills: Seeks to acquire knowledge in area of specialty Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Ability to work independently Demonstrated analytical skills Demonstrated project management skills Demonstrates a high level of accuracy, even under pressure Demonstrates excellent judgment and decision making skills Pay Range: $87,000.00 - $161,300.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. Schedule: Mon-Fri, 8:00 a.m.-5:00 p.m., flexible for provider visits and cross-functional meetings. No weekends/evenings/holidays. Travel: 30% within Nevada. Active Nevada clinical license (LCSW, LMFT, LPC, PsyD, or equivalent). 3+ years BH and/or managed care; experience in provider training, performance improvement, and/or UM. Strong claims/utilization analytics + clear facilitation/communication. Self-directed and comfortable in a field-based hybrid role. Position Purpose: Strategic development and maintenance of clinical oriented partnerships with BH providers, hospital systems, and community-based organizations to improve behavioral health outcomes. Design and implement practice level performance improvement projects including providing education to providers and office staff on proper clinical documentation, coding and billing practices that relate to clinical utilization metrics. Serve as subject matter expert for behavioral health topics, including: Behavioral health readmission and care transition, follow up after hospitalization for mental illness (FUH) and Follow up after emergency room visit (FUM/FUA) performance, utilization trends across levels of care, health equity and social drivers and integrated behavioral health and primary care coordination Participate, coordinate, and or represent the health plan at community-based organization events, and committees focused on improving member outcomes, education, quality improvement and other programs. Develop and design educational content and resource materials focused on improving behavioral health care, better member outcomes, and other related topics. Ability to travel to physicians' offices locally 75% of the time. Able to travel to Northern and rural Nevada to meet with BH and other community-based organizations. Provide expert direction and guidance on provider-focused clinical utilization and quality improvement programs. Identifies and creates improvement strategies for population-based barriers to access to timely and appropriate care, continuity of care and transitions between care settings, preventive and early intervention services and disparities in behavioral health outcomes across populations. Supports continuum of member care by identifying members in need of health education and/or services (case management, social services, etc.) and refers members to the appropriate internal department. Works with BH Providers on standards of care and advises providers on established clinical practice guidelines, and appropriate documentation. Performs other duties as assigned. Complies with all policies and standards. Responsible for strategically developing clinical oriented provider and community partnerships in order to improve behavioral health outcomes. The Behavioral Health Clinical Practice Advisor (BHCPA) will collaborate cross-functionally with utilization management, provider relations, marketing, claims, and quality teams to deliver aligned and effective interventions that strengthen provider partnerships and system performance. This role supports provider performance improvement through data analysis, education, and on-site consultation, with a focus on improving adherence to evidence-based care. Job duties include but are not limited to: the ongoing management of BH provider office relationships, development and implementation of clinical initiatives, participation in external and internal behavioral health related committees. This position reports to the Population Health Leadership. Education/Experience: Master's Degree in Social work or related field required 3+ years Clinical experience in behavioral health care delivery required Knowledge of one or more of: Clinical standards of care, preventive health standards, HEDIS, NCQA, governing and regulatory agency requirements, and the managed care industry preferred Licenses/Certifications: Current/unrestricted clinical license in the state of Nevada required LCSW- License Clinical Social Worker Upon Hire preferred Licensed Marital and Family Therapist (LMFT) Upon Hire LPC-Licensed Professional Counselor Upon Hire PSY - Psychologist Upon Hire Pay Range: $70,100.00 - $126,200.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. Position Purpose: Ensures the organization's responsible and compliant use of artificial intelligence (AI). Collaborates with various departments and stakeholders to promote a culture of AI compliance and ensures that all AI initiatives adhere to relevant laws, regulations, and ethical standards. Ensures fairness, transparency, and accountability in AI systems across the organization. Mitigate potential biases and discriminatory outcomes, fostering trust with members and the public Establishes and maintains a comprehensive AI compliance program that aligns with organizational goals, legal requirements, and ethical standards Develops and implements AI-specific policies and procedures, addressing data governance, bias mitigation, transparency, accountability, and risk management Conducts AI risk assessments to identify potential compliance risks associated with AI applications Develops and maintains a centralized inventory of all AI models and solutions used across the organization, documenting purpose, data sources, and any ethical or legal considerations associated with each model Oversees the selection and management of third-party vendors providing AI solutions, ensuring compliance with organizational policies and regulatory requirements Maintains current knowledge of applicable AI-related regulations and government policies, ensuring organizational compliance Monitors and audits compliance with AI governance policies and procedures. Collaborates with legal counsel on AI-related matters. Take appropriate corrective actions in case of non-compliance, including conducting investigations and implementing remediation plans Develops and delivers AI compliance training and awareness programs for employees and stakeholders. Promotes AI literacy across the organization, fostering a shared understanding of AI's impact and facilitating smooth adoption Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's Degree in Computer Science, Data Science, Law, Healthcare Management or related field required : 7+ years leadership experience in related field required In depth experience with AI compliance frameworks, principles and best practices required Strong knowledge of the healthcare industry, including relevant regulations (e.g., HIPAA) and ethical considerations required Proven ability to identify, assess, and mitigate risks associated with AI technologies required Experience developing and implementing AI compliance programs preferred Experience with AI model development and deployment preferred Knowledge of data governance frameworks and best practices preferred Pay Range: $148,000.00 - $274,200.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members as an Intern at Centene. During this 12-week program, you'll learn more about Centene and how we're transforming the health of the community, one person at a time. The internship will give you the opportunity to work with the Technology Together team and partner with subject matter experts to design, build, test and enhance our processes. This intern will help establish a centralized repository to house all archived and future data generated by our Technology Community of Practice initiatives. Duties include: Transfer legacy data into a newly designed template Develop a comprehensive communication plan to facilitate the repository's launch Implement analytics to measure and monitor usage effectively Work collaboratively with key business stakeholders to identify areas of value, develop solutions Skills: Experience with Microsoft PowerBI or similar visualization tools is a plus Experience with SQL and/or Python is a plus Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Demonstrates a high level of accuracy under pressure and fast-paced environment Education/Experience: High school diploma or equivalent. Must be enrolled in an undergraduate program at an accredited university or college, preferably in a field related to the hiring department through the internship period. Pay Range: $18-26/hour 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. Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. This is a field-based role covering Pulaski County, AR, with additional coverage in Lonoke and White County. Position Purpose: Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities. Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service May support performing service assessments/screenings for members and documenting the member's care needs Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager Provide education on benefits and resources available Performs other duties as assigned. Complies with all policies and standards. Education/Experience: Requires a High School diploma or GED. Requires 1 - 2 years of related experience License/Certification: For Arkansas Total Care plan - Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required This is a field-based role covering Pulaski County, AR, with additional coverage in Lonoke and White County. Pay Range: $17.84 - $28.02 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. **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** **_This is a fully remote position open to candidates residing anywhere within the United States._** **Position Purpose:** The Provider Network Manager manages provider networks for adequacy and access. Conducts high level negotiations and renegotiations of provider contracts. Monitors network adequacy and resolves hospital provider claim issues. Provides regional input and maintenance of provider directory listings. Participates in monthly internal/external meetings involving network activity. Monitors areas credentialing process. Develops provider contracting strategy. + Oversees network development and retention strategizing. + Oversees network problem resolution (Claims, UM, Etc.). + Oversees network analysis for adequacy and recruitment targets. + Oversees provider contract negotiations - hospitals, ancillaries, and groups. + Provides financial analysis for network development targets. + Performs other duties as assigned + Complies with all policies and standards **Education/Experience:** Bachelor's Degree required; Master's degree preferred (MBA, MHA). Five to seven years in administration and/or negotiation of managed care contracts Pay Range: $87,700.00 - $157,800.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

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. Position Purpose: Assist in maintaining Centene Corporation's Compliance Program; guide special projects; provide regulatory interpretation; perform compliance reporting; and develop and implement compliance auditing and monitoring strategies. Respond to external requests for information required by the organization for its regulatory filings. Respond to inquiries from state and federal regulatory agencies. Monitor pending legislation and regulations affecting Centene Corporation services. Maintain database and other reference materials related to legislative and regulatory issues and compliance. Communicate state and federal requirements to internal and external clients. Provide development guidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions. Assist in the identification, analysis, and resolution of compliance issues. Maintain and reviews regulatory documentation necessary to maintain corporate standards. Assist in developing, producing and conducting compliance training programs. Perform periodic compliance audits, risk assessments and conducts related ongoing compliance monitoring activities. Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members. Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed. Serve as a company wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives. Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in related field or equivalent experience. Master's or Juris Doctorate degree preferred and may be considered in lieu of experience. 1+ years of related experience in compliance, privacy and/or regulatory affairs. Working knowledge of laws and/or regulations in area of compliance; in particular HIPAA, and state regulations.Pay Range: $56,200.00 - $101,000.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members as an Intern at Centene. During this 12-week program, you'll learn more about Centene and how we're transforming the health of the community, one person at a time. Observe preceptors and participate in various projects to learn and develop skills related to the Managed Care industry. Develop clinical knowledge and skills by learning about various processes and functions within the Managed Care industry Observe processes and shadow preceptors to gain hands on experience and become familiar with various clinical services Follow instructions and procedures provided by preceptor or manager in accordance with company guidelines Education/Experience: Current enrollment in an accredited clinical program. Candidates must be receiving course credit for participating in the Externship program. Unpaid Centene offers a comprehensive benefits package including competitive pay, health insurance, 401(k) 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Integrates, conforms, profiles and maps complex data, and provides quality assurance oversight (data error detection and correction) on business processes where data is collected, stored, transformed, or used. Examines more complex data to optimize the efficiency and quality of the data being collected, resolves complex data quality problems, and collaborates with the business and ETL database developers to improve systems and database designs. Interprets and analyzes complex data from multiple sources including claims, provider, member, and encounters data. Proactively identifies and assesses the business impact of trends Develops, executes, maintains, and troubleshoots complex scripts and reports developed using SQL, Microsoft Excel, or other analytics tools Identifies and performs root-cause analysis of data irregularities and presents findings and proposed solutions to leadership and/or customers Manages multiple complex and variable tasks and data review processes with no supervision within targeted timelines and succeeds in a demanding, quickly changing environment Delivers business solution architecture and implementation validation Engages in data profiling and source to target mapping. Works on complex data integration from disparate sources. Applies senior level expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understands how customers interact with analytic products Supports multiple functions and levels of the organization and effectively, both verbally and visually, communicates findings and insights to non-technical business partners Engages with customers and business partners to gather requirements and validate results Presents data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required Performs other duties as assigned Complies with all policies and standards Education/Experience: A Bachelor's degree in a quantitative or business field (e.g., statistics, mathematics, engineering, computer science) and Requires 4 - 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. Experience with Big Data; Data Processing Experience with Data Manipulation; Data Mining Experience with one or more of the following Programming Concepts; Programming Tools; Python (Programming Language); SQL (Programming Language) Experience with Agile Software Development Soft Skills: Intermediate - Seeks to acquire knowledge in area of specialty Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions Intermediate - Ability to work independently Intermediate - Demonstrated analytical skills Intermediate - Demonstrated project management skills Intermediate - Demonstrates a high level of accuracy, even under pressure Intermediate - Demonstrates excellent judgment and decision making skills Pay Range: $73,800.00 - $132,700.00 per year 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. 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. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act