Jobs for Humanity is partnering with Centene to build an inclusive and just employment ecosystem. Therefore, we prioritize individuals coming from the following communities: Refugee, Neurodivergent, Single Parent, Blind or Low Vision, Deaf or Hard of Hearing, Black, Hispanic, Asian, Military Veterans, the Elderly, the LGBTQ, and Justice Impacted individuals. This position is open to candidates who reside in and have the legal right to work in the country where the job is located.

Company Name: Centene

Do you want to make a difference in the lives of our 28 million members? Join our Medical Management/Health Services team at Centene, a national organization that values workplace flexibility and offers competitive benefits. We are dedicated to providing quality healthcare solutions to transform the health of Oklahomans through our company, Oklahoma Complete Health.

At Oklahoma Complete Health, we believe in inclusivity and work-life balance. We offer competitive compensation and continuous career development opportunities. Join our collaborative and innovative network of thinkers who are making a positive impact at the local level.

Position Purpose: Support the medical and psychosocial aspects of utilization and coordinated care.

• Request authorization for necessary medical services. Help with customer service tasks and research claims inquiries.
• Assist members in complying with medical guidelines by verifying appointments and obtaining lab results. Keep track of inpatient numbers.
• Determine eligibility and benefits for members. Refer members without a primary care physician to Member Services. Prioritize and assess members for case management.
• Collaborate with community organizations to coordinate services. Attend outreach meetings to represent the plan. Provide routine letters and educational materials to members.
• Enter assessments and authorizations into our system.

Education/Experience: High school diploma or equivalent. 2-3 years of experience in a managed care setting, medical office, or facility with demonstrated experience in medical administration duties. Knowledge of customer service, utilization review, or claims processing in a managed care environment, as well as basic computer skills and medical terminology knowledge.

For Oklahoma Medicaid and Children's Specialty contract: Bachelor's Degree in nursing, psychology, social work, or a related field and at least one (1) year of professional experience in the human services field serving individuals in Medicaid and/or Foster Care.

Our Comprehensive Benefits Package includes flexible work options, competitive pay, paid time off including holidays, health insurance coverage for you and your dependents, retirement plans, tuition reimbursement, and top-notch training and development opportunities.

Centene is an equal opportunity employer committed to diversity and values the unique qualities that each individual brings. We welcome applicants from all backgrounds and do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.

If you're interested in this opportunity, please fill out the form below, and a member of our team will contact you shortly. We look forward to hearing from you!

Form: - Full Name: - Contact Information: - Educational Background: - Professional Experience: - Why are you interested in this position? - What diversity and inclusion initiatives have you been a part of? - Do you require any accommodations for the application process or for work?