Jobs at Centene Corporation

Leads national, multichannel marketing strategy and execution to drive acquisition and retention for ICHRA insurance plans. Oversees annual plans, media investment, creative and content, agency partnerships, SEO, analytics, ROI optimization, and consumer insights. Builds a digital-first, high-performance marketing culture; develops talent; influences product strategy; and collaborates with Sales, Product, Operations, Finance, HR, and Compliance to achieve growth and financial commitments.

Direct LTSS business development, market expansion, proposal strategy, deal closing, licensing, implementation, risk mitigation, and regional business planning. Build relationships with providers, advocates, community leaders, regulators, and elected officials while overseeing staff and measuring project performance. Requires extensive healthcare market knowledge, leadership experience, and 75% travel.

Manages a care management team and member care programs to achieve compliant, high-quality, cost-effective healthcare outcomes. Oversees documentation, escalations, complex cases, audits, policies, reporting metrics, staff caseloads, and regulatory compliance. Supports hiring, onboarding, training, and team development while coordinating with members, providers, and senior leadership. The role is remote and requires California RN licensure while working Pacific Time hours.

Lead pharmacy operations across multiple markets and products, develop and implement pharmacy benefit management programs, manage vendor contracts and accreditation participation, analyze utilization and financial data, oversee pharmacy staff, and support provider education and budget planning to achieve organizational pharmacy and medical goals.

Remote psychologist reviewer specializing in ABA for youth with Autism. Authorize, direct, and monitor behavioral health services; conduct peer reviews; educate network providers; consult with Medical Director; respond to complaints; provide clinical oversight of outpatient services.

Lead and oversee the Gold Card Program, driving long-term program development, integration across business units, and ensuring consumer experience, clinical, and engineering expertise inform product design. Manage adaptive technology integration, team-based services for behavior change outcomes, and evaluate financial performance and value propositions for program enhancements and new development.

Remote psychologist reviewer authorizes and monitors behavioral health/ABA care, conducts peer reviews, provides clinician education on best practices and utilization management, responds to complaints, collaborates with Medical Director, and offers clinical oversight for outpatient services.

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.