Jobs at Centene Corporation

Supervise utilization management nursing team handling prior authorization, concurrent and retrospective reviews. Ensure compliance with regulations and quality standards, coach and evaluate staff, lead process improvements, assist hiring and training, and collaborate with senior management on UM policies and complex member care issues.

Develop and execute executive-level integrated communications and thought leadership across earned, social, internal, and traditional channels; craft executive messaging; prepare and coach leaders for media and speaking engagements; create editorial content; translate complex healthcare and business topics into accessible narratives; collaborate with Communications, Marketing, and business teams to amplify priorities.

Lead enterprise social listening and monitoring, detect and assess reputational risk, produce intelligence reports and dashboards, manage social listening platforms and vendor relationships, establish monitoring frameworks and governance, train users, and support platform operations, access controls, and audit-ready processes.

The Senior Business Systems Analyst collaborates with stakeholders to translate business requirements into technical specifications, manages requirements throughout the project lifecycle, and ensures alignment with organizational goals while enhancing efficiency in processes.

Lead analysis of contact center workload to create optimized staffing and scheduling plans. Partner with stakeholders to balance business needs and employee preferences, monitor volumes and productivity, produce reports, recommend process and policy changes, mentor team members, and ensure accurate scheduling records to meet service level metrics.

The Clinical Review Nurse performs concurrent reviews to assess member health, care appropriateness, and evaluates medical necessity, collaborating with providers and leadership for optimal care management.

The Senior Business Systems Analyst collaborates with stakeholders to translate complex requirements into technical specifications, ensuring alignment with strategic goals. Responsibilities include gathering business requirements, creating process models, managing project lifecycles, and providing user support.

Act as a liaison to improve pharmacy quality performance, collaborating with providers and pharmacies, and ensuring timely insights while managing territory engagement plans.

Oversee the Gold Card Program, enhancing development initiatives and integrating adaptive technology to achieve optimal behavior change outcomes while ensuring financial performance and value propositions.