You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• Supervise the claims administration department including staffing issues, training and new employee orientation
• Define and execute process changes for new plan implementations
• Ensure that claim staff members adhere to corporate, claim, and medical management and various applicable policy and procedures
• Develop quality and production standards using proven quantitative and qualitative methods
• Develop appropriate management reports used to track department operations
• Develop and monitor quality checks to ensure that claims are processed accurately and in accordance with payor, State and Federal guidelines
• Maintain and update departmental policy and procedure manuals
• Participate in company committees as neede