As a Customer Care professional, the role involves documenting and resolving customer complaints in compliance with regulatory standards, collaborating with stakeholders, and analyzing data for improvements.

The Community Resource Coordinator III connects members with community resources, supports care management, and conducts health assessments while promoting care services awareness.

The Community Resource Coordinator II connects members with community resources, providing ongoing support and promoting awareness of care services. They conduct health assessments, handle member inquiries, document resources, and assist clinical teams while working collaboratively within the care management framework. This role involves significant travel within the community to reach members effectively.

Leads strategic business transformation programs, advising Centene leadership, managing a team, and improving operations for optimal efficiency and effectiveness.

Conduct compliance reviews for quality, service performance, and utilization, resolve quality issues, audit medical records, and coordinate community health initiatives.

The Assistive Technology Analyst translates business requirements into technical specifications, validates requirements, coordinates user acceptance testing, and provides support for assistive technologies to enhance usability.

Manage analysis and configuration of claims information systems, oversee design changes, develop tools, and lead project implementations.

The Authorization Specialist I supports prior authorization requests, ensures proper documentation, and aids in utilization management processes for healthcare services.

This role manages a team focused on business optimization and strategic initiatives in healthcare, providing leadership and guidance to enhance operational efficiency and customer experience.

The Senior Business Process Consultant leads business case development, supports strategic planning, and manages cross-functional initiatives to drive performance improvement and compliance in healthcare.

The role involves overseeing quality improvement programs, analyzing performance trends, and providing strategic recommendations to improve healthcare quality metrics for members.

Review and assist with the preparation of state income and franchise tax returns, analyze tax laws, and support tax audits.

The Process Owner for Appeals leads and facilitates complex initiatives, analyzes business processes, collaborates with stakeholders, and drives process improvements within the healthcare sector.

The Program Manager III will oversee concurrent projects for the Ambetter product, improve operational efficiency, and ensure compliance across Delaware First Health's initiatives.

The Vice President of Content and Communications oversees corporate communications, manages public relations, content strategy, crisis communications, and collaborates with marketing teams to enhance brand reputation.

Perform analysis to support business initiatives, identify user requirements, enhance processes, and assist with implementation of solutions.

As a Software Application Engineer Intern, you will analyze performance data, identify trends, conduct predictive analyses, and create dashboards to optimize software processes.

The Community Impact Specialist leads marketing initiatives to boost membership enrollment, organizes community events, and collaborates with the sales team to enhance membership targets.

Lead process improvement initiatives to optimize business performance and enhance employee and customer experience while managing project portfolios and collaborating with stakeholders.

Lead quality improvement programs and strategies, oversee accreditation processes, analyze performance metrics, and drive operational improvements in healthcare.