Centene Corporation

Centene Corporation Orlando, FL, USA
Nov 14, 2019
Full time
Develop, prioritize and execute business process excellence initiatives to identify and address process and operational inefficiencies across the segment. Identify top areas for SG&A and Cost of Service improvements across the segment and implement plans to achieve desired savings. Translate strategic objectives from business transformation initiatives into actionable plans and ensure flawless execution of those plans. Oversee business intelligence across the business segment to include data, analytics and reporting requirements for various functions for new and existing operations. Lead efforts to identify barriers to operational success of the segment and drive solutions to address business needs and ensure customer satisfaction. Lead efforts to partner with leadership team and stakeholders to define and deploy key performance indicators (KPI) to monitor past, current and future performance of business processes. Develop and oversee data analysis efforts to produce accurate, efficient, and timely data reporting models, including federal and state deliverables, contract deliverables, ad hoc reports, and internal reports for all functional areas within the segment. Lead teams to resolve complex technology, data, and process based issues, gaps, and risks. Oversee the development, implementation, and end user adaption of systems and tools to adhere to standard operating protocols and outcomes Partner with operational leadership teams to design and implement work flow optimization and automation processes. Bachelor's degree in business, healthcare administration, related field, or equivalent experience. 12+ years of relevant experience, including project management, implementations, systems, reporting and/or process improvement in healthcare
Centene Corporation Smyrna, GA, USA
Nov 09, 2019
Full time
ProfessionalPosition Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems For LTSS - 30% travel to perform home visits to members For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred. Licenses/Certifications: Current state's RN license. _Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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._ **TITLE:** Care Manager I (RN) **LOCATION:** Smyrna, Georgia **REQNUMBER:** **COMPANY:** Clinical & Nursing **POSITION TYPE:** Professional
Centene Corporation Missouri City, TX, USA
Nov 01, 2019
Full time
The company is a labor. Manage union organizing campaigns Provide grievance management and conflict resolution​ Negotiate collective bargaining agreements​ Manage arbitration matters and direct outside legal counsel as appropriate​ Interact with the National Labor Relations Board (NLRB) in representation matters and labor practice charge proceedings​ Provide advice to internal clients, including HR and operations leaders, and other corporate departments (e.g., Acquisitions and Development, Employee Relations, related to Reductions in Force, Restructuring, Staffing Challenges, Compensation, Benefits, etc.)​ Assist with the formulation of strategies and tactics, including union avoidance, contract negotiation strategies, strike preparedness, and union organizing campaign strategy and management​ Develop and execute positive employee relations programs that inspire and motivate employees​Conduct employee assessments and develop action plans to address employee issues​ Provide input into the employee survey and action planning processes Develop and deliver labor/employee relations learning programs to leaders Ability to travel 25-50% of the time * Bachelor's degree in related field. * 7+ years of labor relations experience. * Highly preferred to have led Union Negotiations, Organization Campaigns, and Training Programs * Law degree or Master's degree in Human Resources, Labor Relations, Organizational Development, Business Administration, Employment/Labor, or related field preferred. License/Certification: SPHR, SHRM SCP, PHR, or SHRM CP preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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.
Centene Corporation Carbondale, IL, USA
Oct 31, 2019
Full time
Professional Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care Develop, assess and adjust, as necessary, the care plan and promote desired outcome Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs Provide patient and provider education Facilitate member access to community based services Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan Actively participate in integrated team care management rounds Identify related risk management quality concerns and report these scenarios to the appropriate resources Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems For LTSS - 30% travel to perform home visits to members For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required Education/Experience: Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred. 2+ years of clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred. Licenses/Certifications: Current state's RN license. Valid driver's license. _Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. 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._ **TITLE:** Care Manager I (RN) - Southern -Foster Care **LOCATION:** Carbondale, Illinois **REQNUMBER:** **COMPANY:** Clinical & Nursing **POSITION TYPE:** Professional