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.
Remote Role: Minimum of 2+ years experience directly supporting clinical NICU teams.
Position Purpose: Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.
Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling, and ongoing education for both the member and provider throughout care/service
Provides experienced support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
May apply in-depth knowledge of assigned health plan(s) activities and resources
Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols
Applies in-depth knowledge of care management support activities including care plans and community resources
Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
Works with care management team on escalating requests and inquiries to management
Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
May support training of new hires
Performs other duties as assigned
Complies with all policies and standards Education/Experience: Requires a High School diploma or GED Requires 2 - 4 years of related experiencePay Range: $20.39 - $34.71 per hourCentene 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
Centene Corporation is a diversified, national healthcare organization serving 28 million members across the United States. The company operates multiple state health plans, including Fidelis, and focuses on transforming community health through managed care services. Centene provides comprehensive healthcare management services including medical necessity reviews, prior authorization processes, cost containment initiatives, and fraud, waste, and abuse prevention programs. The organization emphasizes quality care delivery and cost-effectiveness while maintaining regulatory compliance with Medicare, Medicaid, and state-specific healthcare requirements.
