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|Job Category :||Management|
|Company Name:||Centene Corporation|
|Position Name:||Supervisor, Program Coordination-Remote Available|
|Location :||Hazard, KY 41701|
|Job Description :||You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Currently hiring 3 Remote Supervisor, Program Coordinators and must reside in one of the following areas Tampa, FL; Charlotte, NC; Hazard, KY; St. Louis, MO; Tempe, AZ.
Perform collaborative duties for the development and implementation of all Coordinated Care programs (OB/NICU, Asthma, Diabetes, ER, General/Catastrophic); Provide support and supervision to ensure quality and continuity of services delivered to Members, Providers and staff.
Develop and oversee aspects of coordinated care program activities
Develop and implement management software and reporting mechanisms for specific outcome measurement and data reporting
Identify referrals for coordinated care programs.
Develop plan specific literature and educational components for member and provider distribution.
Oversee contract negotiation and execution components for Prenatal Coordinated Care (PNCC) entities
Collaborate with various departments to extract data for identification of program members and to report program outcomes
Identify processes and work flow improvements to foster efficient and effective case management efforts
Monitor distribution of members identified for case management to ensure positive results and program success
High school diploma or equivalent. 5+ years of prior authorization, physician’s office, customer service, claims processing or provider relations experience preferably in a managed care setting. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.
Our Comprehensive Benefits Package:
Flexible work solutions including remote options, hybrid work schedules and dress flexibility
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