Top 313 Centene us Jobs

Clinical Program Advisor - Express Scripts - Remote (Centene)
The Cigna Group —Remote
- $95,500 - $159,100 a year
- Online Application
- Remote
- Microsoft Excel
- Customer service
- Mentoring
- Paid holidays
- Health insurance
5d
Custodial Staff | Part-Time | Centene Community Ice Center
Oak View Group —Maryland Heights, MO
- $16 an hour
- Part-time
- Customer service
- Office
- High school diploma or GED
- 401(k)
- 401(k) matching
Customer Service Representative | Part-Time | Centene Community Ice Center
Oak View Group —Maryland Heights, MO
- $15 an hour
- Part-time
- Office
- High school diploma or GED
- Entry level
- 401(k)
- 401(k) matching
Guest Services Event Staff | Part-Time | Centene Community Ice Center
Oak View Group —Maryland Heights, MO
- $16 an hour
- Part-time
- Entry level
- 401(k)
- 401(k) matching
Associate Actuary - Medicaid
Centene —Wisconsin
- $87,700 - $157,800 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
12d
Data Analyst III
Centene —Texas
- $70,100 - $126,200 a year
- Full-time
- Remote
- Mid-level
- SQL
- Bachelor's degree
- Paid holidays
- Health insurance
Ice Operations Rink Technician | Part-Time | Centene Community Ice Center
Oak View Group —Maryland Heights, MO
- $15 - $17 an hour
- Part-time
- High school diploma or GED
- Driver's License
- Driving
- 401(k)
- 401(k) matching
Bilingual Customer Service Representative
Bobby Dodd Institute —Atlanta, GA
- Full-time
- Organizational skills
- In-person
- Communication skills
Quality Care Member Advocate
Centene —Maine
- $27.02 - $48.55 an hour
- Full-time
- Hybrid work
- Nursing
- RN License
- Licensed Clinical Social Worker
- Paid holidays
- Health insurance
Senior HEDIS Quality & Audit Analyst
Centene —Texas
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- Bachelor's degree
- US work authorization
- Paid holidays
- Health insurance
Building Supervisor | Part-Time | Centene Community Ice Center
Oak View Group —Maryland Heights, MO
- $17 - $19 an hour
- Part-time
- Research
- Mid-level
- High school diploma or GED
- 401(k)
- 401(k) matching
Learn to Skate Instructor | Part-Time | Centene Community Ice Center
Oak View Group —Maryland Heights, MO
- $20 - $25 an hour
- Part-time
- Mid-level
- Experience working with children
- 2 years
- 401(k)
- 401(k) matching
Associate Actuary
Centene —Wisconsin
- $87,700 - $157,800 a year
- Full-time
- Remote
- Research
- Mid-level
- SQL
- Paid holidays
- Health insurance
2d
Associate Actuary, Strategic Analytics
Centene —New Jersey
- $87,700 - $157,800 a year
- Full-time
- Remote
- Mid-level
- SQL
- Math
- Paid holidays
- Health insurance
IT Project Manager - Business Engagement
Amiti Consulting corp, —St. Louis, MO
- Computer science
- Computer Science
- Mid-level
Quick Apply
Internal Auditor - AI Specialist
Centene —Missouri
- $56,200 - $101,000 a year
- Full-time
- Remote
- CPA
- Mid-level
- Finance
- Paid holidays
- Health insurance
Senior Director, Clinical Data Science
Centene —Wisconsin
- $185,700 - $352,500 a year
- Full-time
- Remote
- Computer Science
- Master's degree
- SQL
- Paid holidays
- Health insurance
Senior Actuarial Analyst
Centene —Wisconsin
- $70,100 - $126,200 a year
- Full-time
- Remote
- Mid-level
- SQL
- Math
- Paid holidays
- Health insurance
2d
Lead Data Engineers
Centene Corporation —Clayton, MO
- $145,858.60 - $190,500.00 a year
- Full-time
- 6 years
- Computer Science
- Fair chance
- Paid holidays
- Health insurance
Senior Business Process Improvement Manager
Centene —Kentucky
- $87,700 - $157,800 a year
- Full-time
- Remote
- Bachelor's degree
- US work authorization
- Fair chance
- Paid holidays
- Health insurance
3d

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Clinical Program Advisor - Express Scripts - Remote (Centene)

The Cigna Group -
Remote

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Job Details

Full-time
$95,500 - $159,100 a year
5 days ago

Benefits

Paid holidays
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Smoking cessation program
Vision insurance
Life insurance

Qualifications

Customer communication
Team supervision
Leading team collaboration initiatives

Full Job Description

Provides counsel and advice to top management on significant Clinical Program Management matters, often requiring coordination between organizations. Focuses on providing thoughtful leadership and technical expertise across multiple disciplines. Recognized internally as “the go-to person” for the most complex Clinical Program Management assignments. Represents company externally and serves as conduit to educate and enable care coordination between stakeholders resulting in an optimal healthcare experience and customer satisfaction. Serves as clinical advisor to the sales organization, providing ongoing product and industry knowledge/education that positively influence cost, quality and customer satisfaction.

Essential Functions

Act as a subject matter expert (SME) in areas relevant to the team.
Leads, coaches, and develops by providing mentorship to members within the team.
Acts as a strategic business partner to various stakeholders both internal/external.
Lead and execute large strategic projects designed to enhance operating effectiveness and drive overall change.
Identify business improvement opportunities using data, feedback, and analysis.
Execute and deliver processes with a forward thinking ability to present solutions and identify efficiencies.
Participates and contributes in formal and informal training programs and professional development activities which may include taking, developing, and/or conducting sessions.
Serve as business owner to necessary client work that involve operational and implementation benefits changes.
Understand client's existing clinical benefit and business philosophy to help avoid unnecessary clarifications.
Accurately capture and document clinical benefit requirements in collaboration with business stakeholders.
Provide excellent customer service and act as a trusted client advisor.
Work with internal partners to ensure all implications of requested clinical benefit requirements are vetted, understood and communicated as necessary.
Consult with team members, SMEs and specialized teams as necessary, Client Benefit Administrators (CBA), Clinical Application Teams (DCRS, FRS, CRS, Criteria), Account Teams, Product Owners.
Manages and tracks all requests to ensure timelines are met.
Develop a deep understanding of claims adjudication system and associated clinical applications.
Leads the development, preparation, and presentation of project plan including execution and delivery for each client(s) assigned.

Skills

Ability to multitask and communicate effectively.
Microsoft office with a strong understanding of Excel and Access
Written and verbal communication (listening, feedback; translating complex ideas/processes), collaboration, analytical thinking/critical thinking, results-oriented and organizational skills
Must have the ability to work on multiple tasks, prioritize, resolve complex issues, and have strong project management skills
Ability to learn multiple internal reporting and analytic tools for client management
Provide project and administrative support to the team and escalate issues, risks, concerns as needed.
Medicare experience preferred but not required.

Education and Qualifications

Current U.S. Pharmacist License, Pharm.D.
Managed care, the Pharmacy Benefit Manger (PBM) industry, or pharmaceutical sales preferred.
Proven leadership skills, team-orientation, a proactive management style and strong commitment to client service a must.
Knowledge of PBM industry/Managed care/Value Based healthcare industry is desirable.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

For this position, we anticipate offering an annual salary of 95,500 - 159,100 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence. For more details on our employee benefits programs, click here.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you need a reasonable accommodation to complete the online application process, please email [email protected] for assistance. Please note that this email inbox is dedicated to accommodation requests only and cannot provide application updates or accept resumes.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Apply Now

Refine Your Search

centene us jobs

Clinical Program Advisor - Express Scripts - Remote (Centene)

Custodial Staff | Part-Time | Centene Community Ice Center

Customer Service Representative | Part-Time | Centene Community Ice Center

Guest Services Event Staff | Part-Time | Centene Community Ice Center

Associate Actuary - Medicaid

Data Analyst III

Ice Operations Rink Technician | Part-Time | Centene Community Ice Center

Bilingual Customer Service Representative

Quality Care Member Advocate

Senior HEDIS Quality & Audit Analyst

Building Supervisor | Part-Time | Centene Community Ice Center

Learn to Skate Instructor | Part-Time | Centene Community Ice Center

Associate Actuary

Associate Actuary, Strategic Analytics

IT Project Manager - Business Engagement

Internal Auditor - AI Specialist

Senior Director, Clinical Data Science

Senior Actuarial Analyst

Lead Data Engineers

Senior Business Process Improvement Manager

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