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Fidelis Care Plan Only: Bachelor’s degree in healthcare administration or related field required; master’s degree preferred. Previous experience in a managed care organization strongly preferred.
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For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel. Claims processing and/or managed care experience preferred. For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Prepare quarterly and annual performance reports for the Executive Management Team and the Quality Management DepartmentDevelop presentations of provider performance for use in reportingApply statistics testing to all data sets for quantitative analysis for provider performanceFor Fidelis Care only:Supervise a team of auditors to ensure provider audits and Medical Records retrieval projects are conducted according to State contractual requirements, including inter-rater reliability.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Position Purpose: In partnership with the CMO, serve as a key stakeholder, decision maker, and catalyst, for all market level population health identification, strategy, evaluation, and monitoring to achieve the Quadruple Aim and drive Centene's Population Health mission at the market level.
$175,000 - $332,200 a yearExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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The Financial Analyst I position will support our Fidelis Care health plan. The Financial Analyst I position will support our Fidelis Care health plan. Pay Range $46,500.00 - $79,200.00 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.
$46,500 - $79,200 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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This role will manage multiple, variable tasks and data review processes under direction supervision within targeted timelines and will effectively, both verbally and visually, communicate findings and insights.
$46,500 - $79,200 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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In this Finance Analyst I role, you will. Applicants for this job have the flexibility to work remote from home anywhere in the Continental United States. This role is embedded within our G&A Revenue Reporting team and will work collaboratively with key business stakeholders to compile and analyze financial information.
$46,500 - $79,200 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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0-2 years of experience in working with large databases, data verification, and data management. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Full-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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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.
$54,000 - $97,100 a yearFull-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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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.
ExpandApply NowActive JobUpdated 8 days ago - UpvoteDownvoteShare Job
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Support business initiatives through data analysis and verification from multiple sources including healthcare provider, member/patient, and third-party data. Advanced Excel skills. Create reports and data analysis with tools such as Excel and SQL.
$46,500 - $79,200 a yearFull-timeExpandUpdated Yesterday - UpvoteDownvoteShare Job
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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.
$20.57 - $27.78 an hourRemoteExpandUpdated 3 days ago - UpvoteDownvoteShare Job
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As an Auditor II supporting our Fidelis Care health care plan, you will conduct audits to ensure compliance with Center for Medicare/Medicaid Services (CMS) regulations; and New York State rules and regulations.
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Experience with commercial insurances as well as government insurances (MCOs, MLTCs, etc think Healthfirst, metroPlus, Fidelis care,etc) How to utilize insurance portals Availity, United Healthcare, Connex, etc.
$20 - $23 an hourFull-timeExpandUpdated 9 days ago
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