Job Description
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.
**Position Purpose:** Assist with the contract submission process and the auditing of provider information systems (AMISYS) for consistency and best practices in Provider set up.
+ Maintain spreadsheets and collect, track, prepare, compile, and distribute statistical data for daily and monthly reports.
+ Maintain and report on the Health Plan(s) compliance with contract submission rules and exception requests and communicate to Manager on a monthly basis.
+ Support the contract submission process to ensure confirmation with Corporate standards by the Health Plan(s), provide support to the Contract Case Conferences and ensure that appropriate internal controls are established to account for and secure hardcopy or scanned images of contracts.
+ Maintain and update on a routine basis the contract organization's databases.
+ Produce reports, as requested.
+ Coordinate the Corporate-wide data verification process for contracted providers. Update contract organization's databases, as necessary.
+ Interface with the credentialing staff to ensure all Health Plan data systems are congruent.
**Education/Experience:** High school diploma or equivalent. 2+ years of experience managing large databases and provider information systems. Healthcare industry experience preferred. Auditing experience preferred.
**Las Vegas, NV is the ideal location for this position. Candidates must be in the Pacific Time Zone to be considered for this position and we are NOT considering candidates in California at this time.**
Pay Range: $22.79 - $38.84 per hour
Centene 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
Job Tags
Hourly pay, Full time, Contract work, Part time, Work at office, Remote work, Flexible hours,
Similar Jobs
TalentCORE, Inc.
...Job Summary We have an exciting opportunity for an Electrical Engineer (EE) to join our clients Electrical Technologies team located in Rancho... ...looking for someone with drive, talent, and experience in Power Electronics, Lithium-Ion Battery Systems, and Cable Harness design...
Chanel
Chanel is seeking a Fashion Advisor in Dallas to enhance client experience and drive brand loyalty. The role involves developing new customers, optimizing service, and building client relationships. Candidates should have at least 3 years of related experience, excellent...
Cuboid IT Solutions
...Role : Product Owner Onsite Location : Philadelphia, PA (100% Onsite Local Candidates Only) Duration : 12+ Months Role Overview... ...the product backlog Represent business and user needs in Scrum ceremonies Collaborate with Product Managers and other...
SEnergy
SEnergy is seeking proactive, assertive, analytical Senior Power Electrical Engineer who is a technical expert, loves building processes and passionate about developing the next generation. The successful candidate will have 5 or more years of successful experience in...
University of Illinois Hospital and Health Sciences System
...Clinical Nursing Research Specialist -Clinical Practice and Professional Development - Hiring Department : Nursing Services Location : Chicago, IL USA Requisition ID : 1029585 FTE : 1 Work Schedule : Monday - Friday Shift : Days # of Positions...