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Centene
Centene

60 Centene Utilization Management Specialist Jobs Hiring Near You

Centene

Manager, Utilization Management

$87K - $161K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Reviews and analyzes utilization management activities, operations, costs, and forecasted data to ...

Centene

Supervisor, Utilization Management (RN)

$75K - $135K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Collaborates with utilization management team to resolve complex care member issues * Maintains ...

Centene

Authorization Specialist I

$16.35 - $23.46/hr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Aids utilization management team to document authorization requests and obtain accurate and timely ...

Centene Corporation

Authorization Specialist I

Manhattan, NY · On-site

$16.35 - $23.46/hr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Aids utilization management team to document authorization requests and obtain accurate and timely ...

New

Centene

Remote Medical Director, Appeals

OR · On-site +1

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Clinical Review Nurse - Concurrent Review

$27.02 - $48.55/hr

Ideally we are looking for applicants with strong clinical background, managed care and utilization ... Pay Range: $27.02 - $48.55 per hour At Centene, we connect people to the care they need to live ...

Centene

Remote Medical Director, Appeals

Auburn, WA · On-site +1

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Remote Inpatient Medicare Medical Director

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Remote Medical Director, Appeals

Lincoln, WA · On-site +1

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Remote Medical Director, Appeals

White Salmon, WA · On-site +1

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Remote Medical Director, Appeals

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Remote Medical Director, Marketplace

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

Centene

Remote Medical Director, Appeals

Trout Lake, WA · On-site +1

$236K - $449K/yr

Centene is a diversified, national organization offering competitive benefits including a fresh ... Provides medical leadership of all for utilization management, cost containment, and medical ...

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Centene Jobs Information

What is it like to work at Centene?

Centene is a healthcare company that prioritizes a culture of collaboration, innovation, and community involvement, emphasizing the importance of teamwork and social responsibility.

The company's structure is organized into various business segments, including health plans, specialty pharmacies, and care management services, allowing employees to work in a dynamic and diverse environment. Centene's mission is to transform the healthcare system by improving access to affordable, high-quality care for underserved communities.

Working at Centene may appeal to candidates who are passionate about healthcare and social impact, as the company offers opportunities for professional growth, development, and contributions to improving healthcare outcomes for vulnerable populations.

What makes Centene an attractive place to work?

Centene is a leading healthcare company that plays a significant role in shaping the US healthcare landscape through its innovative and patient-centered approach. The company fosters a collaborative work environment that encourages creativity, teamwork, and professional growth, with opportunities for employees to develop their skills and expertise in a dynamic and supportive setting. By joining Centene, individuals can contribute to improving the lives of millions of people and advance their careers in a stable and growing organization with a strong commitment to excellence and community involvement.

Do workers at Centene get paid breaks?

Yes. Most people get paid breaks.
70% of people say they get paid breaks.
Based on data from 144 people who took the Breakroom Quiz between August 2025 and August 2026.

Does Centene pay people when they’re sick?

Yes. Most people get paid when they’re sick.
89% of people say they would get paid if they were sick but scheduled to work.
Based on data from 163 people who took the Breakroom Quiz between August 2025 and August 2026.

At Centene, are sick days and vacation days separate paid time off?

Sick days and vacation days are separate paid time off.
80% of people say they don’t have to use vacation days when they’re out sick.
Based on data from 161 people who took the Breakroom Quiz between August 2025 and August 2026.

Do part-time workers get paid time off at Centene?

Most people who work part-time get paid time off.
100% of people who work part-time say they get paid time off
Based on data from 5 people who took the Breakroom Quiz between June 2025 and December 2025.

Is the health insurance from Centene affordable enough for their workers?

Most people say the health insurance costs are okay.
85% of people say the health insurance costs are okay
Based on data from 139 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people get paid time off at Centene?

Most people get paid time off work.
95% of people say they get paid time off.
Based on data from 60 people who took the Breakroom Quiz between February 2026 and August 2026.

How far ahead of time do people find out their work schedule?

Most people find out their schedule less than four weeks ahead of time.
  • 48% of people with changing schedules find out their shifts one week or less ahead of time.
  • 20% of people with changing schedules find out their shifts two weeks ahead of time.
  • 5% of people with changing schedules find out their shifts three weeks ahead of time.
  • 27% of people with changing schedules find out their shifts four weeks or more ahead of time.

Based on data from 44 people who took the Breakroom Quiz between December 2024 and March 2026.

Do workers at Centene worry about hours?

Most people don’t worry about getting enough hours.
94% of people report they don’t worry about getting enough hours.
Based on data from 51 people who took the Breakroom Quiz between July 2025 and July 2026.

Do Centene workers get to choose the shifts they work?

Some people don’t get to choose which shifts they work.
49% report that they don’t have enough control over which shifts they work.
Based on data from 43 people who took the Breakroom Quiz between July 2025 and July 2026.

How easy is it for Centene workers to change shifts?

Most people find it easy to change shifts.
77% of people report that it’s easy to change shifts if they need to.
Based on data from 74 people who took the Breakroom Quiz between March 2025 and March 2026.

How easy is it to get time off at Centene?

Most people find it easy to get time off.
89% of people report it’s easy to get time off.
Based on data from 151 people who took the Breakroom Quiz between August 2025 and August 2026.

Do Centene managers change schedules at the last minute?

Most managers don’t change people’s schedules at the last minute.
98% of people say their manager doesn’t change their shift schedule at the last minute.
Based on data from 50 people who took the Breakroom Quiz between July 2025 and July 2026.

Do jobs at Centene spill into time workers aren’t paid for?

Rarely. The job doesn't usually spill into unpaid time.
10% of people report that their job takes up time that they don’t get paid for.
Based on data from 49 people who took the Breakroom Quiz between July 2025 and July 2026.

How easy is it to take sick days at Centene?

Most people find it easy to take sick days.
94% of people report that it’s easy to take time off if they are sick.
Based on data from 163 people who took the Breakroom Quiz between August 2025 and August 2026.

Is a Centene job good for students?

Most students say this is a good place to work if you’re studying.
94% of students report this is a good place to work if you’re studying.
Based on data from 18 people who took the Breakroom Quiz between January 2025 and March 2026.

Is working at Centene good if you’re a parent or caregiver?

Most parents and caregivers say this is a good place to work.
91% of people who care for a child or other relative report this is a good place to work.
Based on data from 92 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people at Centene feel treated with respect by their managers?

Most people feel treated with respect by their managers.
84% of people say they’re treated with respect by their managers.
Based on data from 159 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people at Centene get to take their breaks without interruption?

Most people get breaks without interruption.
90% of people report that they get to take their breaks without interruption.
Based on data from 165 people who took the Breakroom Quiz between August 2025 and August 2026.

Is it stressful to work at Centene?

Some people feel stressed here.
65% of people say they often feel stressed at work.
Based on data from 164 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people at Centene enjoy their jobs?

Most people enjoy their job.
75% of people report they enjoy their job.
Based on data from 130 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people at Centene recommend working with their team?

Only some people recommend working with their team.
40% of people report that they wouldn’t recommend working with their immediate team to a friend.
Based on data from 60 people who took the Breakroom Quiz between February 2026 and August 2026.

Do people get enough training when they start at Centene?

Most people got enough training when they started.
75% of people report they got enough training when they started working here.
Based on data from 163 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people get support to advance at Centene?

Only some people are given support to advance their career here.
In the last year, 50% of people report not being given support to advance their career here.
Based on data from 148 people who took the Breakroom Quiz between August 2025 and August 2026.

Do people think Centene’s headquarters understands what’s happening where they work?

Most people think headquarters doesn’t understand what’s happening where they work.
73% of people think that this employer’s headquarters or owners don’t have a good understanding of what’s really happening where they work.
Based on data from 141 people who took the Breakroom Quiz between August 2025 and August 2026.

Do workers feel well informed about how Centene is doing?

Most people feel well informed about how the company is doing.
71% of people feel that they are kept well informed about how the company is doing as a whole.
Based on data from 143 people who took the Breakroom Quiz between August 2025 and August 2026.

What other companies are hiring for Utilization Management Specialist jobs?

What are the most popular jobs at Centene?

What are the most popular categories at Centene?

Infographic showing various Utilization Management Specialist job openings at Centene in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 9% Physical, 10% Hybrid, and 81% Remote job distribution.

Manager, Utilization Management

Centene

Remote

$87K - $161K/yr

Full-time

Medical, Retirement, PTO

Posted 6 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

14th of 893 rated healthcare providers

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.

Health Plan: Buckeye Health Plan

Line of Business: Ohio Medicaid

Team: Concurrent Review

Schedule: Monday-Friday, 8:00 a.m.-5:00 p.m.

Remote in Ohio.

Candidates must reside in Ohio and hold an active RN Ohio license.

In-person attendance is required a few times per year.Visits may include leadership meetings, audits, and other business needs

Position Purpose: Manages Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Manages utilization management issues related to member care, provider interactions, and facilitates operations within utilization management.

  • Manages prior authorization, concurrent review, and retrospective clinical review team and ensures compliance with applicable guidelines, policies, and procedures
  • Reviews and analyzes utilization management activities, operations, costs, and forecasted data to identify areas for improvement within utilization management (UM) to align to goals and objectives
  • Develops, implements, and maintains compliance with utilization management policies and procedures
  • Reviews utilization management reports to identify trends and areas of improvement and provide recommendations to senior leadership
  • Maintains knowledge of processes, regulations, accreditation standards, and industry best practices related to 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
  • Works with the senior management team to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
  • Works with utilization management senior management team to provide updates and insights on team goals and objectives
  • Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
  • Assists utilization management senior leadership 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 of Nursing or Bachelor's degree and 5+ years of related experience.
2+ years supervisory experience preferred.
Knowledge of utilization management principles preferred.
License/Certification: RN - Registered Nurse - State Licensure and/or Compact State Licensure required

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

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