Jobs for Humanity is partnering with Oklahoma Complete Health 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: Oklahoma Complete Health

Are you ready to make a difference in the lives of millions of people? Centene is dedicated to improving the health of our communities, one person at a time. We are a national organization with diverse opportunities and competitive benefits, including options for workplace flexibility.

Oklahoma Complete Health, a subsidiary of Centene, is focused on providing quality healthcare solutions to improve the health of Oklahomans.

At Oklahoma Complete Health, we are advocates for our community and agents of change. We believe in an inclusive culture that values work-life balance, offers fair compensation, and supports continuous career growth. Join us and become part of a collaborative network of innovative individuals who are transforming healthcare at the local level.

***Candidates must reside in Oklahoma***

Position Purpose: In this role, you will ensure accurate setup of providers in our information system for state reporting, claims payment, and directories. You will be responsible for managing multiple state requirements, network reporting, and provider setup for claims resolution.

• Assist external provider representatives in resolving provider data issues
• Research and effectively address provider-related concerns
• Enter provider data to update demographics
• Process provider add, change, and termination forms
• Create and maintain spreadsheets for provider directories
• Track, update, and audit provider data
• Identify necessary updates to provider groups and contracts
• Investigate claim payment inaccuracies and collaborate with site operations team for adjustments
• Support providers with website registration
• Conduct provider education webinars
• Collaborate with other departments for cross-functional tasks and projects
• Lead new provider orientations and trainings
• Serve as a contact person for small PCP groups
• Coach and mentor new hires and less experienced team members
• Complete assigned special projects

Education/Experience: A degree in a relevant field is preferred, along with experience in claims processing, billing, and/or coding. You should have at least five years of experience in a managed care environment, medical provider office, or customer service in a healthcare organization. Familiarity with healthcare, managed care, Medicare, or Medicaid is important. Additionally, you should have intermediate skills in communication, organization, time management, customer service, problem-solving, and analytics. Proficiency in Microsoft Excel, Outlook, and Word is required.

Our Comprehensive Benefits Package: We offer flexible work solutions, including remote options and hybrid schedules. You'll receive competitive pay and enjoy paid time off, including holidays. Health insurance coverage is provided for you and your dependents, and we offer 401(k) and stock purchase plans. We also support your professional growth through tuition reimbursement and top-notch training and development opportunities.

Centene is an equal opportunity employer committed to embracing diversity and valuing our differences. We welcome applicants from all backgrounds and do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.