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Centene Remote Jobs in Missouri (NOW HIRING)

Centene

Senior Manager, Medical Loss Ratio

Columbia, MO · On-site +1

Centene is transforming the health of our communities, one person at a time. As a diversified ... Applicants for this job have the flexibility to work remote from home anywhere in the Continental ...

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Centene Remote information

What is the difference between Centene Remote vs Centene Customer Service Representative?

AspectCentene RemoteCentene Customer Service Representative
Work EnvironmentRemote, home-basedRemote, home-based or call center
Required CredentialsHigh school diploma or equivalent; healthcare knowledge beneficialHigh school diploma or equivalent; customer service experience preferred
Industry UsageHealthcare insurance, managed careHealthcare insurance, managed care
Common Search IntentRemote healthcare jobs, work from home healthcareCustomer service jobs, healthcare support roles

Both roles are within the healthcare insurance industry and often require similar credentials. The main difference is that Centene Remote refers broadly to remote positions at Centene, while Centene Customer Service Representative specifically focuses on customer support roles. Both are typically remote, but the Customer Service role emphasizes direct interaction with members, often in a call center setting.

Infographic showing various Centene Remote job openings in Missouri as of August 2026, with employment types broken down into 89% Full Time, 10% Part Time, and 1% Contract. Highlights an 24% Physical, 8% Hybrid, and 68% Remote job distribution.

Supervisor, Utilization Management (RN)

Florissant, MO • On-site, Remote

Centene
Health Care and Social Assistance • 10K+ employees

8.4

Company rating: 8.4 out of 10

Based on 405 frontline employees who took The Breakroom Quiz

14th of 893 rated healthcare providers

People enjoy working here

Good employer

Recommended by students

Learn more about Centeneexternal

$75K - $135K/yr

Full-time

Medical, Retirement, PTO

Re-posted 7 days ago

Job description

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.

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.
  • Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
  • Collaborates with utilization management team to resolve complex care member issues
  • Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management
  • Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management
  • Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
  • Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures
  • Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
  • Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones
  • Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
  • Assists with onboarding, hiring, and training utilization management team members
  • Leads and champions change within scope of responsibility
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience.
Knowledge of utilization management principles preferred.
License/Certification:

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • CA RN LICENSE REQUIRED
Pay Range: $75,300.00 - $135,400.00 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

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