$107K - $199K/yr
Centene is a diversified, national organization offering competitive benefits including a fresh ... Identify areas of opportunity for internal teams' and external provider partners' operations to ...

$107K - $199K/yr
Centene is a diversified, national organization offering competitive benefits including a fresh ... Identify areas of opportunity for internal teams' and external provider partners' operations to ...
$107K - $199K/yr
Centene is a diversified, national organization offering competitive benefits including a fresh ... Identify areas of opportunity for internal teams' and external provider partners' operations to ...
$27.02 - $48.55/hr
... Operations (claims and encounters). * Identifies specific practice needs where Centene can provide support. * Develops, enhances and maintains provider clinical relationship across product lines.
$27.02 - $48.55/hr
... Operations (claims and encounters). * Identifies specific practice needs where Centene can provide support. * Develops, enhances and maintains provider clinical relationship across product lines.
Corpus Christi, TX · On-site +1
$27.02 - $48.55/hr
... Operations (claims and encounters). * Identifies specific practice needs where Centene can provide support. * Develops, enhances and maintains provider clinical relationship across product lines.
Corpus Christi, TX · On-site +1
$27.02 - $48.55/hr
... Operations (claims and encounters). * Identifies specific practice needs where Centene can provide support. * Develops, enhances and maintains provider clinical relationship across product lines.
$171K - $326K/yr
Partners across product, technology, operations, and external stakeholders to deliver ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...
$171K - $326K/yr
Partners across product, technology, operations, and external stakeholders to deliver ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...
$19.43 - $32.98/hr
Associate's degree preferred. 0-1+ years of experience in event operation, client relations, vendor relations, or customer service. Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive ...
$19.43 - $32.98/hr
Associate's degree preferred. 0-1+ years of experience in event operation, client relations, vendor relations, or customer service. Pay Range: $19.43 - $32.98 per hour Centene offers a comprehensive ...
$27.02 - $48.55/hr
... Operations (claims and encounters). * Identifies specific practice needs where Centene can provide support. * Develops, enhances and maintains provider clinical relationship across product lines.
$27.02 - $48.55/hr
... Operations (claims and encounters). * Identifies specific practice needs where Centene can provide support. * Develops, enhances and maintains provider clinical relationship across product lines.
$134K - $249K/yr
... operations in the Healthcare industry preferred. Experience in training/education and use of statistical analysis preferred. Pay Range: $134,600.00 - $249,000.00 per year At Centene, we connect ...
$134K - $249K/yr
... operations in the Healthcare industry preferred. Experience in training/education and use of statistical analysis preferred. Pay Range: $134,600.00 - $249,000.00 per year At Centene, we connect ...
OR · On-site +1
$70K - $126K/yr
This role is part of Centene's Actuarial Development Program, offering exam support and ... internal operational efficiencies. * Communicate findings and recommendations clearly and ...
OR · On-site +1
$70K - $126K/yr
This role is part of Centene's Actuarial Development Program, offering exam support and ... internal operational efficiencies. * Communicate findings and recommendations clearly and ...
$70K - $126K/yr
This role is part of Centene's Actuarial Development Program, offering exam support and ... internal operational efficiencies. * Communicate findings and recommendations clearly and ...
$70K - $126K/yr
This role is part of Centene's Actuarial Development Program, offering exam support and ... internal operational efficiencies. * Communicate findings and recommendations clearly and ...
$107K - $199K/yr
Experience in claims operations preferred. Compliance/ERM: 7+ years experience preferred Pay Range: $107,700.00 - $199,300.00 per year Centene offers a comprehensive benefits package including ...
$107K - $199K/yr
Experience in claims operations preferred. Compliance/ERM: 7+ years experience preferred Pay Range: $107,700.00 - $199,300.00 per year Centene offers a comprehensive benefits package including ...
$171K - $326K/yr
... strategy, operations management, or consulting experience in the Healthcare, Insurance, or ... Pay Range: $171,900.00 - $326,900.00 per year At Centene, we connect people to the care they need ...
$171K - $326K/yr
... strategy, operations management, or consulting experience in the Healthcare, Insurance, or ... Pay Range: $171,900.00 - $326,900.00 per year At Centene, we connect people to the care they need ...
$56K - $101K/yr
Collaborates with provider staff to develop and implement operational and clinical process ... Pay Range: $56,200.00 - $101,000.00 per year At Centene, we connect people to the care they need to ...
$56K - $101K/yr
Collaborates with provider staff to develop and implement operational and clinical process ... Pay Range: $56,200.00 - $101,000.00 per year At Centene, we connect people to the care they need to ...
$180K - $343K/yr
Centene is transforming the health of our communities one person at a time. As an Executive on our ... Lead all aspects of provider network strategy including, access analysis, network operations and ...
$180K - $343K/yr
Centene is transforming the health of our communities one person at a time. As an Executive on our ... Lead all aspects of provider network strategy including, access analysis, network operations and ...
$19.43 - $32.98/hr
... D Operations and State Health Programs Pharmacy Operations or Prior Authorization. Using ... Pay Range: $19.43 - $32.98 per hour At Centene, we connect people to the care they need to live ...
$19.43 - $32.98/hr
... D Operations and State Health Programs Pharmacy Operations or Prior Authorization. Using ... Pay Range: $19.43 - $32.98 per hour At Centene, we connect people to the care they need to live ...
$134K - $249K/yr
Centene is transforming the health of our communities, one person at a time. As a diversified ... The role partners across Clinical Operations, Medical Affairs, Compliance, Technology, Analytics ...
$134K - $249K/yr
Centene is transforming the health of our communities, one person at a time. As a diversified ... The role partners across Clinical Operations, Medical Affairs, Compliance, Technology, Analytics ...
$148K - $274K/yr
Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a ... Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain ...
$148K - $274K/yr
Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a ... Partner with Marketing Operations & Analytics to advance critical capabilities in DRTV for certain ...
$56K - $101K/yr
... Centene Pharmacy Services' employees. Key Details: The Trainer I position is primarily remote ... Pharmacy or managed care operations experience * Basic curriculum development skills including ...
$148K - $274K/yr
Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a ... Identify and mitigate business, operational, and regulatory risks through collaboration with ...
$148K - $274K/yr
Centene is advancing Individual Coverage Health Reimbursement Arrangement (ICHRA) adoption as a ... Identify and mitigate business, operational, and regulatory risks through collaboration with ...
$87K - $157K/yr
Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational ...
$87K - $157K/yr
Reviews and interprets contracts, laws, regulations, and industry frameworks to determine Centene's obligations related to privacy, security, artificial intelligence (AI) governance, and operational ...
$250/hr
Partners across product, technology, operations, and external stakeholders to deliver ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...
$250/hr
Partners across product, technology, operations, and external stakeholders to deliver ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...
What is it like to work at Centene?
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On-site, Remote
$107K - $199K/yr
Full-time
Medical, Retirement, PTO
Re-posted 23 days ago
Partner with health plans to drive pharmacy performance with an emphasis on pharmacy quality measures.
Develop and present performance reviews to address pharmacy quality performance across members, providers, provider groups, H-Contract, and States.
Identify opportunities for internal teams and external provider partners to improve pharmacy measure performance and facilitate communication and training around enterprise pharmacy quality initiatives.
8.4
Based on 406 frontline employees who took The Breakroom Quiz
12th of 898 rated healthcare providers
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: The Pharmacy Quality Performance Manager will partner with health plans to drive pharmacy performance with an emphasis on pharmacy quality measures. Cross discipline interfacing across internal teams and external provider group partners to accelerate pharmacy quality.
Education/Experience: Bachelor's degree or advanced degree (PharmD., M.S) in pharmacy required
3+ years of retail or hospital pharmacy experience or 1+ years of managed care pharmacy experience required
Clinical pharmacy experience in a managed healthcare environment preferred
Centene Pharmacy Services: 3+ years managed care pharmacy or pharmacy benefit management experience preferred
PHARM-R - Registered Pharmacist Current state with no restrictions Upon Hire required:
Location Requirement:
Candidates must reside in the Brooklyn, Jamaica, or Queens areas.
Travel Requirements:
This is a remote role with travel of 50% or more to provider offices and community pharmacies. Candidates must be able to maintain a regular travel schedule within the assigned region.
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
Sourced by ZipRecruiter
Health care and social assistance
10,000+ Employees
Saint Louis, MO, US
1984