Qureos Mentor

Centene

<div>You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. 
Pharmacy Technician II - Onsite Specialty Fulfillment - Houston, TX
Work location: 1311 W. Sam Houston Pkwy N. Houston, TX 77043
Working Shift: 9:30am - 6pm Monday - Friday (No weekends or major holidays but some holidays are required.)
Job Specific Details:<ul><li>
Filling prescriptions</li><li>
Pulling the drugs, counting, putting in the orders.
</li><li>Shipping &amp; packing</li><li>
Maintaining Inventory, cycle counts.
</li><li>Requires physical strength. Lift up to 15 pounds &ndash; Cooler boxes and ice packs.
</li><li>Pure filling &ndash; On your feet, standing all shift.</li><li>
Answering phone calls</li><li>
Special handling required based on the medication.</li><li>
100% accuracy required.
</li></ul>Highly desired skills / traits:<ul><li>
Previous pharmacy mail-order fulfillment</li><li>
Specialty pharmacy and/or retail pharmacy experience</li><li>
Attention to detail</li><li>
Adaptability to change</li><li>
Able to work in a fast-paced environment</li><li>
Punctual &amp; dependable</li></ul>
Position Purpose: 
Work with the Pharmacists to accurately prepare prescription orders in a timely manner<ul><li>
Interact with various departments to provide accurately dispensed prescriptions on a timely basis</li><li>
Work under direct supervision of a pharmacist</li><li>
Locate correct medication and strength to complete picking of order.</li><li>
Prepare, count, label, and package pharmaceuticals for Pharmacist approval</li><li>
Purchase, receive and coordinate inventory</li><li>
Maintain and update inventory recap report</li><li>
Retrieve discontinued or expired medications from stock; discard or return to stock as appropriate; complete corresponding documentation</li><li>
Maintain prescription logs</li><li>
Accurately calibrate equipment and document calibration according to policy</li><li>
Assist with the maintenance of pharmacy temperature and cleaning logs and documents maintenance</li><li>
Comply with safety, quality assurance, accreditation, legal, state, and federal regulatory requirements</li><li>
Performs other duties as assigned</li><li>
Comply with all policies and standards</li></ul>
Education/Experience: 
High school diploma or equivalent. 2+ years of pharmacy technician or medical office (i.e. biller, coder, office assistance, or prior authorization/certification) experience. Familiarity with drugs commonly used to treat chronic/debilitating illnesses. 
License/Certification: Texas State pharmacy technician license (TSBP) required
Pay Range: $19.43 - $32.98 per hour
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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Pharmacy Technician - Onsite Specialty Fulfillment

<div>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&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes.<ul><li>
Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data</li><li>
Lead the planning and execution of large-scale projects and new reporting tools, translating business goals into actionable solutions</li><li>
Identify and resolve data, process, and technical issues and communicate root-cause with stakeholders as appropriate</li><li>
Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners</li><li>
Independently engage with business leaders to understand market-specific levers and constraints</li><li>
Leverage enterprise reporting tools to rapidly deliver data-driven insights and recommendations</li><li>
Research key business problems and proactively identify opportunities for cost and utilization improvements through quantitative analysis</li><li>
Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</li><li>
Mentor junior analysts on analytic best practices and business need fulfilment</li><li>
Delegate tasks to junior analysts, providing guidance and validation where required</li><li>
Performs other duties as assigned</li><li>
Complies with all policies and standards</li></ul>
Education/Experience: Bachelor&rsquo;s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. Master's degree preferred. 5+ years of experience working with large databases, data verification, and data management or 3+ years IT experience. Healthcare analytics experience preferred. Experience with table creation and indexing, query optimization, and utilization of stored procedures. Working knowledge of SQL/querying languages. Experience with table creation and indexing, query optimization, and utilization of stored procedures. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired. 
By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.
Pay Range: $87,700.00 - $157,800.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Data Analyst IV Healthcare Analytics

<div>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&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Position Purpose: Manage and direct various Member Engagement &amp; Communications strategies to help improve member engagement and retention. Oversee Engagement &amp; Communications strategies related to regulations, operations, and/or health education, and including execution, measurement, and reporting. Provide strategic solutions to various member initiatives while meeting compliance regulations and timelines. 
<ul><li>
Manage the engagement and communication plan development and execution ensuring key milestones and deliverables are achieved</li><li>
Identify &amp; Collaborate key business partners, health plans and vendors on various communication initiatives providing strategic direction and gaining full alignment</li><li>
Utilize a multi-channel communication approach including web, direct mail, email, text, etc., continuously identifying communication innovations</li><li>
Manage and direct vendors and external partners on scope of work and key deliverables</li><li>
Identify &amp; leverage internal and external market data and research insights to help identify opportunities and inform key decisions and planning</li><li>
Identify department and project needs, maintaining continuous evaluation and development of process and procedures to drive effectiveness</li><li>
Build and maintain internal and external business relationships.</li></ul>
Education/Experience: Bachelor&rsquo;s degree in Communications, Marketing, Consumer Experience, or Business Administration. 6+ years of relevant communications or marketing experience. 
 
Candidates must reside in the state of Nevada to be considered. Up to 50% in state travel required.
Pay Range: $87,700.00 - $157,800.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Senior Manager, Member Engagement & Communications

<div>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&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Applicants for this role have the flexibility to work remotely anywhere in the Continental United States.
Position Purpose: Assist in maintaining Centene Corporation&rsquo;s Compliance Program in regard to Mental Health Parity Examinations. Provide regulatory interpretation, perform compliance reporting, lead special projects, and develop and implement compliance auditing and monitoring strategies.<ul><li>
Respond to external requests for information required by the organization for its regulatory filings</li><li>
Manage compliance reporting responsibilities and respond to inquiries from state and federal regulatory agencies</li><li>
Manage ethics and compliance projects or implementations</li><li>
Review and synthesize regulatory requirements and create policy and/or position statements</li><li>
Assist in managing annual code of conduct attestation and remediation</li><li>
Communicate state and federal requirements to internal and external clients</li><li>
Provide development guidance and assist in the identification, implementation, and maintenance of compliance policies, procedures and work instructions</li><li>
Assist in the identification, analysis, and resolution of compliance issues.</li><li>
Maintain and review regulatory documentation necessary to maintain corporate standards</li><li>
Assist in developing, producing and conducting compliance training programs</li><li>
Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities</li><li>
Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members</li><li>
Assist management with interim health plan compliance officer responsibilities</li><li>
Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed</li><li>
Serve as a company-wide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives</li></ul>
Education/Experience:<ul><li>
Bachelor&rsquo;s degree in related legal field or equivalent experience. Master&rsquo;s or Juris Doctorate degree preferred and may be considered in lieu of experience.</li><li>
3+ years of related experience in compliance privacy and/or regulatory affairs.</li><li>
Experience in project management with working knowledge of laws and/or regulations in area of compliance, in particular Mental Health Parity and state regulations.</li><li>
Mental Health Parity examination experience strongly preferred.</li></ul> 
Pay Range: $70,100.00 - $126,200.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Senior Compliance Analyst - Mental Health Parity

<div>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&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Candidates must reside in Illinois.
This role will support Region 2 &amp; Region 3.
Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities<ul><li>
Manage the staff in Provider Relations area including work flow, training and communication standards</li><li>
Manage day-to-day provider relations activities and provider relations department</li><li>
Develop, implement and maintain production and quality standards for the provider facing staff</li><li>
Monitor and analyze costs and prepare departmental budget</li><li>
Coordinate all pre-contract activities with providers such as, site visits, credentialing, orientation to contractual requirements, etc.</li><li>
Maintain contracts and correspondence files in organized and accessible manner for all providers</li><li>
Prepare and analyze information to evaluate the need for additional health plan providers</li><li>
Manage and coordinate customized provider and hospital relationships</li><li>
Participate in physician and ancillary provider contracting and provider relations</li><li>
Ability to travel up to 50%</li></ul>
Education/Experience: Bachelor&rsquo;s degree in related field or equivalent experience. 4+ years of managed care, health delivery system and/or project and staff management experience. Experience with state and federal health programs such as Medicaid and Medicare. Provider relations/contracting experience including solid communication and negotiation skills. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.Pay Range: $87,700.00 - $157,800.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Manager, Provider Relations

<div>You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. 
Position Purpose:
Responsible for leading the product management team and driving the development, execution, and strategic alignment of multiple products and stakeholders. Serve as the primary &quot;voice of the customer&quot; and collaborate cross-functionally to ensure that customer needs are met and that products support organizational objectives and key results (OKRs). This role will lead a team of product management professionals who focus on our secure member digital experiences, specifically supporting member experiences centered on getting help and managing their account.
<ul><li>Customer Advocacy: Act as the primary &quot;&quot;voice of the customer&quot;&quot; for multiple products, ensuring customer needs are prioritized and communicated effectively to delivery teams and external stakeholders.</li><li>
Product OKRs: Develop and maintain Objectives &amp; Key Results (OKRs) in collaboration with cross-functional teams. Establish KPIs based on these OKRs, enabling actionable insights to optimize product performance.</li><li>
Roadmap and Prioritization: Collaborate with the Product Lead to adjust product scope and roadmap as needed, and make prioritization decisions that align with both business goals and customer needs across multiple products.</li><li>
Product Definition: Define Epics, User Stories, and acceptance criteria for products, ensuring that delivery teams have a clear understanding of requirements.</li><li>
Backlog Management: Oversee grooming and prioritization of product backlogs to ensure alignment with strategy and OKRs, balancing new development, non-functional requirements, and other technical work informed by data, research, and industry trends.</li><li>
Dependency Coordination: Facilitate identification and coordination of dependencies across delivery teams and external stakeholders, ensuring seamless execution and timely delivery.</li><li>
Quality Assurance: Ensure that work completed by product development squads meets quality standards and business requirements through structured review processes.</li><li>
Team Leadership: Recruit, develop, and manage a team of Product Managers and Product Analysts, fostering a high-performance, collaborative environment.</li><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards.</li></ul>
Education/Experience: Requires a Bachelor's degree and 7+ years of related experience, including prior management experience. 
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.<ul><li>
7+ years as a Product Manager, utilizing Agile, Scrum, or Kanban methodologies.</li><li>
Technical and Cross-Functional Expertise: Demonstrated ability to lead cross-functional teams in a product environment, including experience in defining and tracking KPIs, developing Service Blueprints, and working closely with design and engineering teams.</li><li>
Leadership Skills: Proven experience in recruiting, managing, and developing teams of Product Managers and Product Analysts.</li><li>
Strong strategic planning and analytical skills, with a proven ability to prioritize product roadmaps based on OKR and KPI data, industry trends, and customer research.</li><li>
Excellent communication and collaboration skills, with experience in coordinating inter-team dependencies and delivering high-quality, customer-focused products.</li><li>
Hands-on experience in Service Design strategy, including co-creation workshops and prototyping. required.</li></ul> 
Soft Skills:<ul><li>
Ability to lead/manage others</li><li>
Collaboration and team building skills</li><li>
Effectively coaches and delivers constructive feedback</li><li>
Instills commitment to organizational goals</li><li>
Ability to communicate and make recommendations to upper management</li><li>
Effective conflict management skills</li><li>
Develops and delivers effective presentations</li><li>
Demonstrated negotiation skills</li><li>
Ability to analyze and interpret financial data in order to facilitate on projects initiatives and goals</li></ul> 
License/Certification:<ul><li>
Agile Methodologies preferred</li></ul>
Pay Range: $160,800.00 - $296,600.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Director Product Management

<div>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&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility. 
Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.
Position Purpose: Analyze integrated and extensive datasets to extract value, which directly impacts and influences business decisions. Work collaboratively with key business stakeholders to identify areas of value, develop solutions, and deliver insights to reduce overall cost of care for members and improve their clinical outcomes.<ul><li>
Interpret and analyze data from multiple sources including healthcare provider, member/patient, and third-party data</li><li>
Support execution of large-scale projects with limited direction from leadership</li><li>
Identify and perform root-cause analysis of data irregularities and present findings and proposed solutions to leadership and/or customers</li><li>
Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines</li><li>
Support the design, testing, and implementation of process enhancements and identify opportunities for automation</li><li>
Apply expertise in quantitative analysis, data mining, and the presentation of data to see beyond the numbers and understand how customers interact with analytic products</li><li>
Support multiple functions and levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners</li><li>
Independently engage with customers and business partners to gather requirements and validate results</li><li>
Communicate and present data-driven insights and recommendations to both internal and external stakeholders, soliciting and incorporating feedback when required</li><li>
Performs other duties as assigned</li><li>
Complies with all policies and standards</li></ul>
Education/Experience: Bachelor&rsquo;s degree in business, economics, statistics, mathematics, actuarial science, public health, health informatics, healthcare administration, finance or related field or equivalent experience. 2+ years of experience working with large databases, data verification, and data management, or 1+ years IT experience. Healthcare analytics experience preferred. Working knowledge of SQL/query languages. Preferred knowledge of programmatic coding languages such as Python and R. Knowledge of statistical, analytical, or data mining techniques including basic data modeling, trend analysis, and root-cause analysis preferred. Preferred knowledge of modern business intelligence and visualization tools. Experience in emerging trend analysis, financial modeling, claims pricing, contract/network analysis, and/or ROI evaluation preferred. Familiarity with claims payment, utilization management, provider/vendor contracts, risk adjustment for government sponsored healthcare desired.
By applying to this requisition, you acknowledge and understand that you may be considered for other job opportunities for which Centene believes you may be qualified.
Pay Range: $56,200.00 - $101,000.00 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. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
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. 
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</div>

Data Analyst II Healthcare Analytics, Medical Economics

Join Centene and explore 7   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.