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Fidelis Care Plan Only: Bachelor’s degree in healthcare administration or related field required; 00 per year 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.
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For Fidelis Care: NYS Licensed Master Social Work (LMSW) or NYS Licensed Clinical Social Worker (LCSW). For Federal Services: Licensed Bachelor’s or Masters Prepared Social Worker; LSW, LCSW, LICSW or LMSWFor Sunshine Health (FL): Employees supporting Florida's Children’s Medical Services (CMS) must be a Florida licensed registered nurse with a minimum of two years of pediatric experience, Florida licensed practical nurse with a minimum of four years of pediatric experience, or a Master’s degree in social work with a minimum of one year of related professional pediatric care experience.
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For Fidelis Care plan only: The Account Executive II supports membership growth and retention in assigned territories by working with appointed brokers. For Fidelis Care plan only: The Account Executive II supports membership growth and retention in assigned territories by working with appointed brokers.
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Standard office equipment, including but not limited to: telephone, photocopy machine, adding machine, personal computer (for claims inquiry and entry software) fax/scanner, Flowcast billing application, Microsoft Word, Excel, Access, Email, Emdeon (Fidelis Medicaid Managed Care and Medicare Part B) clearinghouse software, third party claims systems (ePaces, Omnipro) and various payer web sites.
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Provides safe operation, regular upkeep, and maintenance of Community Outreach Vehicles (COV) and other company vehicles to support organizational marketing efforts; represents Fidelis Care New York at various community events and marketing sites.
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In-depth knowledge of all Fidelis Care products, including “metal” products offered through the New York State of Health (NYSOH), Medicaid Managed Care, Child Health Plus, Medicare, MLTC, FIDA and HARP. Ability to answer product feature and benefit questions; compare and contrast Fidelis Care products and provider network of competing plans in assigned territory.
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Fidelis Care Plan Only: Bachelors degree in healthcare administration or related field required; masters degree preferred. Previous experience in a managed care organization strongly preferred.
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Position Purpose: In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all marketlevel population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centenes Population Health mission at the market level.
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For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel. For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel.
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Pay Range: $175,000.00 - $332,200.00 per year 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.
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Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. Centene is transforming the health of our communities one person at a time. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
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As an Executive on our team, you could be the one who changes everything for our 28 million members. Total compensation may also include additional forms of incentives. 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.
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License/Certification: Current state RN license preferred. 3 of leadership experience. Master's Degree preferred.
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License/Certification: Current state RN license preferred. 3 of leadership experience. Master's Degree preferred.
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License/Certification: Current state RN license preferred. 3 of leadership experience. Master's Degree preferred.
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