Position Purpose:
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims..
Position Purpose:
Support the development and maintenance of quality improvement related projects and reporting. Complete Mortality Reviews and Quality of Care..
Position Purpose:
Receive and respond to member/customer inquiries via telephone and written correspondence in a timely and professional manner
Knowledge..
Position Purpose:
Review inpatient admissions to assure appropriate level of care and medical necessity
Knowledge/Experience:
At least two years clinical..
Position Purpose:
Analyzes and maintains a complete and accurate general ledger; assists in preparation of statutory filings and other financial reports..
Position Purpose:
Manage the coordination, planning, and placement resolution for all inpatient admissions in the assigned service area. Work directly with the..
in the development of presentations, speeches, etc., for the health plans executives
Monitor news that impacts Centene, its subsidiaries and/or the industry
Schedule:
We are recruiting for a candidate that will be able to work and evening schedule which would include weekends
Position Purpose:
Perform duties to..