Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send claims to the claims department for corrections Identify any system changes and work notify the Plan CIA Manager to ensure its implementation Collaborate with the claims department to price pended claims correctly Document, track and resolve all plan providers' claims projects Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication Identify authorization issues and trends and research for potential configuration related work process changes Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes Identify potential and documented eligibility issues and notify applicable departments to resolve Research the claims on various reports to determine if appropriate to move forward with...
Jan 26, 2021
Position Purpose: Serve as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues Audit check run and send claims to the claims department for corrections Identify any system changes and work notify the Plan CIA Manager to ensure its implementation Collaborate with the claims department to price pended claims correctly Document, track and resolve all plan providers' claims projects Collaborate with various business units to resolve claims issues to ensure prompt and accurate claims adjudication Identify authorization issues and trends and research for potential configuration related work process changes Analyze trends in claims processing issues and assist in identifying and quantifying issues and reviewing work processes Identify potential and documented eligibility issues and notify applicable departments to resolve Research the claims on various reports to determine if appropriate to move forward with...
Position Purpose: Develop, analyze, and execute accounting and finance functions. Prepare managerial reports, financial reports, and general ledger. Prepare and analyze journal entries, income statement, balance sheet, profit and loss statement, and other financial reports on a regular basis Report and advise on organization's financial status Develop analytical financial tools for critical at risk balance sheet accounts Develop, implement, modify, and document accounting systems Adapt accounting and recordkeeping functions to current computerized accounting systems technology Assist with the treasury functions by overseeing weekly activity and reporting this activity to management. Prepare and maintain claims liability lag reports Reconcile and review claims system reports and claims liability reports to checks paid and other empirical data. May be involved with due diligence, integration activities with acquired companies, technical accounting research, and other...
Jan 26, 2021
Position Purpose: Develop, analyze, and execute accounting and finance functions. Prepare managerial reports, financial reports, and general ledger. Prepare and analyze journal entries, income statement, balance sheet, profit and loss statement, and other financial reports on a regular basis Report and advise on organization's financial status Develop analytical financial tools for critical at risk balance sheet accounts Develop, implement, modify, and document accounting systems Adapt accounting and recordkeeping functions to current computerized accounting systems technology Assist with the treasury functions by overseeing weekly activity and reporting this activity to management. Prepare and maintain claims liability lag reports Reconcile and review claims system reports and claims liability reports to checks paid and other empirical data. May be involved with due diligence, integration activities with acquired companies, technical accounting research, and other...
Position Purpose: Provide operational and technical support to ensure the ongoing stability to the server environments. Contribute to the IT infrastructure design and leading in server implementations. Contribute in the technical support of the Centene server environment and the applications residing on these servers Audit system resources and take action as deemed necessary by the Senior/Lead Systems Engineer's Prepare and document standard operating procedures and protocols Responsible for schedule, test, and implement enhancements or new releases of the server Operating Systems Work with senior/lead system engineers to solve complex issues Work with senior/lead system engineers to understand and implement IT infrastructure designs and rollouts Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Healthcare experience a plus. Fundamental understanding of application...
Jan 26, 2021
Position Purpose: Provide operational and technical support to ensure the ongoing stability to the server environments. Contribute to the IT infrastructure design and leading in server implementations. Contribute in the technical support of the Centene server environment and the applications residing on these servers Audit system resources and take action as deemed necessary by the Senior/Lead Systems Engineer's Prepare and document standard operating procedures and protocols Responsible for schedule, test, and implement enhancements or new releases of the server Operating Systems Work with senior/lead system engineers to solve complex issues Work with senior/lead system engineers to understand and implement IT infrastructure designs and rollouts Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Healthcare experience a plus. Fundamental understanding of application...
Position Purpose: Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions Lead development efforts as a liaison with business and technical partners, including managing stakeholder expectations, requirements gathering, testing, deployment and user adoption Prioritize team work, manage customer expectations and relationships, and maintain alignment of deliverables with business needs and strategic objectives. Serve as a strategic domain contact as well as point of escalation and accountability to ensure customer partnership and satisfaction. Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with business leaders to understand market-specific levers and constraints Leverage enterprise reporting tools to rapidly deliver data-driven...
Jan 26, 2021
Position Purpose: Lead the planning and execution of enterprise-wide analytics projects and strategic initiatives, translating business goals into actionable solutions Lead development efforts as a liaison with business and technical partners, including managing stakeholder expectations, requirements gathering, testing, deployment and user adoption Prioritize team work, manage customer expectations and relationships, and maintain alignment of deliverables with business needs and strategic objectives. Serve as a strategic domain contact as well as point of escalation and accountability to ensure customer partnership and satisfaction. Partner cross-functionally at all levels of the organization and effectively, both verbally and visually, communicate findings and insights to non-technical business partners Independently engage with business leaders to understand market-specific levers and constraints Leverage enterprise reporting tools to rapidly deliver data-driven...
Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Contribute to the entire implementation process including driving the definition of improvements based on business need and architectural improvements. Meet with business partners to understand business needs. Responsible for overall design of the solution. Design, build and test applications. Conduct root cause analysis and advanced performance tuning for complex business processes and functionality. Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Healthcare experience a plus. Experience working with Eclipse, JAVA, VoiceXML, Avaya Orchestration/Dialog Designer or other IVR development tools, and Voice Portal. Preferred: VUI Design, grammar development (including Spanish). Centene is an equal opportunity employer that...
Jan 26, 2021
Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs. Contribute to the entire implementation process including driving the definition of improvements based on business need and architectural improvements. Meet with business partners to understand business needs. Responsible for overall design of the solution. Design, build and test applications. Conduct root cause analysis and advanced performance tuning for complex business processes and functionality. Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Healthcare experience a plus. Experience working with Eclipse, JAVA, VoiceXML, Avaya Orchestration/Dialog Designer or other IVR development tools, and Voice Portal. Preferred: VUI Design, grammar development (including Spanish). Centene is an equal opportunity employer that...
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the...
Jan 26, 2021
Position Purpose: Perform various analysis and interpretation to link business needs and objectives for assigned function. Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems Identify and analyze user requirements, procedures, and problems to improve existing processes Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations Identify ways to enhance performance management and operational reports related to new business implementation processes Coordinate with various business units and departments in the development and delivery of training programs Develop, share, and incorporate organizational best practices into business applications Diagnose problems and identify opportunities for process redesign and improvement Formulate and update departmental policies and procedures Serve as the subject matter expert on the...
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our Information Technology Project Management team collaborates with PwC practice leaders to develop and deliver technology solutions. We provide project management oversight and...
Jan 26, 2021
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our Information Technology Project Management team collaborates with PwC practice leaders to develop and deliver technology solutions. We provide project management oversight and...
Line of Service: AssuranceSpecialty/Competency: AssuranceIndustry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: YesTravel Requirements: Up to 20%PwC Labs is focused on standardizing, automating, delivering tools and processes and exploring emerging technologies that drive efficiency and enable our people to reimagine the possible. Process improvement, transformation, effective use of innovative technology and data & analytics, and leveraging alternative delivery solutions are key areas of focus to drive additional value for our firm. The Data Lab will provide you with the opportunity to redesign, redefine, and redeploy how PwC uses data and analytics to be a strategic asset across the enterprise. The focus is on assisting teams as they incorporate increased automation, machine learning, analytics, open source technologies into their processes to deliver better quality output and contribute more strategically to...
Jan 26, 2021
Line of Service: AssuranceSpecialty/Competency: AssuranceIndustry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: YesTravel Requirements: Up to 20%PwC Labs is focused on standardizing, automating, delivering tools and processes and exploring emerging technologies that drive efficiency and enable our people to reimagine the possible. Process improvement, transformation, effective use of innovative technology and data & analytics, and leveraging alternative delivery solutions are key areas of focus to drive additional value for our firm. The Data Lab will provide you with the opportunity to redesign, redefine, and redeploy how PwC uses data and analytics to be a strategic asset across the enterprise. The focus is on assisting teams as they incorporate increased automation, machine learning, analytics, open source technologies into their processes to deliver better quality output and contribute more strategically to...
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Internal Firm Services - OtherIndustry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 40%PwC Labs is focused on standardizing, automating, delivering tools and processes and exploring emerging technologies that drive efficiency and enable our people to reimagine the possible. Process improvement, transformation, effective use of innovative technology and data & analytics, and leveraging alternative delivery solutions are key areas of focus to drive additional value for our firm. The PwC Labs MegaBets team plays an important role in designing and delivering the next generation of transformative tech solutions that will supercharge the way our people work and drive tremendous value for PwC and our clients. Technology, innovation and data science professionals apply cutting-edge analytics and artificial intelligence technologies...
Jan 26, 2021
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Internal Firm Services - OtherIndustry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 40%PwC Labs is focused on standardizing, automating, delivering tools and processes and exploring emerging technologies that drive efficiency and enable our people to reimagine the possible. Process improvement, transformation, effective use of innovative technology and data & analytics, and leveraging alternative delivery solutions are key areas of focus to drive additional value for our firm. The PwC Labs MegaBets team plays an important role in designing and delivering the next generation of transformative tech solutions that will supercharge the way our people work and drive tremendous value for PwC and our clients. Technology, innovation and data science professionals apply cutting-edge analytics and artificial intelligence technologies...
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our Applications Programming - Practice Support team helps translate PwC's business requirements through efficient and effective Information Technology software applications. We...
Jan 26, 2021
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our Applications Programming - Practice Support team helps translate PwC's business requirements through efficient and effective Information Technology software applications. We...
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our System Architecture team helps build customisable specific system solutions that enhance PwC's system capabilities to appropriately serve all client needs. As part of the team,...
Jan 26, 2021
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our System Architecture team helps build customisable specific system solutions that enhance PwC's system capabilities to appropriately serve all client needs. As part of the team,...
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our Information Technology Project Management team collaborates with PwC practice leaders to develop and deliver technology solutions. We provide project management oversight and...
Jan 26, 2021
Line of Service: Internal Firm ServicesSpecialty/Competency: IFS - Information Technology (IT)Industry/Sector: Not ApplicableTime Type: Full timeGovernment Clearance Required: NoAvailable for Work Sponsorship: NoTravel Requirements: Up to 20%A career in Information Technology, within Internal Firm Services, will provide you with the opportunity to support our core business functions by deploying applications that enable our people to work more efficiently and deliver the highest levels of service to our clients. You'll focus on managing the design and implementation of technology infrastructure within PwC, developing and enhancing both client and internal facing applications within PwC, and providing technology tools that help create a competitive advantage for the Firm to drive strategic business growth. Our Information Technology Project Management team collaborates with PwC practice leaders to develop and deliver technology solutions. We provide project management oversight and...
Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks Coordinate...
Jan 24, 2021
Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks Coordinate...
Position Purpose: Develop, analyze, and execute accounting and finance functions. Prepare managerial reports, financial reports, and general ledger. Prepare and analyze journal entries, income statement, balance sheet, profit and loss statement, and other financial reports on a regular basis Report and advise on organization's financial status Develop analytical financial tools for critical at risk balance sheet accounts Develop, implement, modify, and document accounting systems Adapt accounting and recordkeeping functions to current computerized accounting systems technology Assist with the treasury functions by overseeing weekly activity and reporting this activity to management. Prepare and maintain claims liability lag reports Reconcile and review claims system reports and claims liability reports to checks paid and other empirical data. May be involved with due diligence, integration activities with acquired companies, technical accounting research, and other...
Jan 24, 2021
Position Purpose: Develop, analyze, and execute accounting and finance functions. Prepare managerial reports, financial reports, and general ledger. Prepare and analyze journal entries, income statement, balance sheet, profit and loss statement, and other financial reports on a regular basis Report and advise on organization's financial status Develop analytical financial tools for critical at risk balance sheet accounts Develop, implement, modify, and document accounting systems Adapt accounting and recordkeeping functions to current computerized accounting systems technology Assist with the treasury functions by overseeing weekly activity and reporting this activity to management. Prepare and maintain claims liability lag reports Reconcile and review claims system reports and claims liability reports to checks paid and other empirical data. May be involved with due diligence, integration activities with acquired companies, technical accounting research, and other...
Position Purpose: Provides in-depth business knowledge and advanced technical support to one or more business areas through developed and ad hoc analysis/reporting , as well as designing and programming complex, new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve computer-based business applications for the most effective use of money, materials, equipment, and people. Performs application/system design and implementation. Documents development requirements. Consults with end users to test and debug applications to meet client needs. Candidate Education: Required A Bachelor's Degree in a related field Develops ad-hoc reports to conduct data analysis and validation. Confers with area/department to analyze current operational procedures and trends and identify problems. Conducts business analysis and recommends technical alternative solutions to...
Jan 23, 2021
Position Purpose: Provides in-depth business knowledge and advanced technical support to one or more business areas through developed and ad hoc analysis/reporting , as well as designing and programming complex, new processes/reports. Acts as subject matter expert for department or business unit on business systems/applications. Analyzes company functions, processes, and activities to improve computer-based business applications for the most effective use of money, materials, equipment, and people. Performs application/system design and implementation. Documents development requirements. Consults with end users to test and debug applications to meet client needs. Candidate Education: Required A Bachelor's Degree in a related field Develops ad-hoc reports to conduct data analysis and validation. Confers with area/department to analyze current operational procedures and trends and identify problems. Conducts business analysis and recommends technical alternative solutions to...
Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks Coordinate...
Jan 23, 2021
Position Purpose: Plan, organize, monitor, and oversee complex projects utilizing cross functional teams to deliver defined requirements and meet company strategic objectives. Manage the full project life cycle including requirements gathering, creation of project plans and schedules, obtaining and managing resources, managing budget, and facilitating project execution, deployment and closure Utilize corporate and industry standard project management tools and techniques to effectively manage projects. Assist with establishment and maintenance of corporate project management methodology and other department procedures Maintain detailed project documentation including meeting minutes, action items, issues lists and risk management plans Provide leadership and effectively communicate project status to all stakeholders, may include written executive summaries Negotiate with project stakeholders to identify resources, resolve issues, and mitigate risks Coordinate...
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members' inquiries related to the formulary process...
Jan 23, 2021
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members' inquiries related to the formulary process...
Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs Contribute to the entire implementation process for new applications and enhancements to existing applications Meet with business partners to understand business needs Contribute to overall solution design Responsible for build and test of applications Conduct root cause analysis and complex performance tuning Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Healthcare experience a plus. Experience working with C#, ASP.Net, Java Script, OOP/OOAD, XML, HTML. Experience with Oracle or SQL Server. Experience with web services, messaging, and stored procedures preferred. Preferred skills - Experience with Sitecore Experience with MySQL database Prior experience with fullstack development Centene is an equal opportunity...
Jan 23, 2021
Position Purpose: Design, build, test and maintain scalable and stable off the shelf application or custom built technology solutions to meet business needs Contribute to the entire implementation process for new applications and enhancements to existing applications Meet with business partners to understand business needs Contribute to overall solution design Responsible for build and test of applications Conduct root cause analysis and complex performance tuning Education/Experience: Bachelor's degree in Computer Science, MIS, related field or equivalent experience. 2+ years of related experience. Healthcare experience a plus. Experience working with C#, ASP.Net, Java Script, OOP/OOAD, XML, HTML. Experience with Oracle or SQL Server. Experience with web services, messaging, and stored procedures preferred. Preferred skills - Experience with Sitecore Experience with MySQL database Prior experience with fullstack development Centene is an equal opportunity...
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members' inquiries related to the formulary process...
Jan 23, 2021
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program. Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team Assist Provider Relations and various departments with educating providers on the health plan's pharmacy process Assist with the pharmacy utilization review and reporting process Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes Assist with members' inquiries related to the formulary process...
Job Description: In the Home Loans Fulfillment organization, coordinates preparation of loan closing packages, including issuance of funds, closing instructions, etc., necessary to ensure the marketability of loans. May also be responsible for handling complex mortgage loan transactions as well as assist with training and coaching of associates and/or distribution of work to associates. Required Skills: •2 years title company closing experience or 2 years closing experience in an origination/ production environment. •Strong written and verbal communication skills. •Strong Mathematic skills •Teamwork and customer service skills are a MUST. •Self-motivated and highly organized. •Ability to prioritize multiple competing tasks. •Flexibility to work extended hours during heavy workload periods Desired Skills : •iFulfill experience desired Shift: 1st shift (United States of America) Hours Per Week: 40 Learn more about this role
Jan 23, 2021
Job Description: In the Home Loans Fulfillment organization, coordinates preparation of loan closing packages, including issuance of funds, closing instructions, etc., necessary to ensure the marketability of loans. May also be responsible for handling complex mortgage loan transactions as well as assist with training and coaching of associates and/or distribution of work to associates. Required Skills: •2 years title company closing experience or 2 years closing experience in an origination/ production environment. •Strong written and verbal communication skills. •Strong Mathematic skills •Teamwork and customer service skills are a MUST. •Self-motivated and highly organized. •Ability to prioritize multiple competing tasks. •Flexibility to work extended hours during heavy workload periods Desired Skills : •iFulfill experience desired Shift: 1st shift (United States of America) Hours Per Week: 40 Learn more about this role
