You could be the one who changes everything for our 26 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.

This position is for North Central Arkansas Territory (Harrison, Mtn Home, Conway, Heber Springs
Position Purpose: Serve as a liaison between providers, the health plan and Corporate to investigate and resolve provider claims

• Review inbound requests for accuracy and route to provider changes or other cross functional teams
• Audit completed requests for accuracy and compliance with standards
• Maintain database for provider changes and validate new database entries
• Resolve complex provider data issues
• Analyze and advise management of personnel and workflow issues and resolutions
• Review, investigate, and generate reports for internal and external customers
• Submit daily and weekly internal and external status reports
• Complete audit analysis reports, inventory reports and submitter’s status reports
• Maintain standard operating procedures and assist management with departmental policies and procedures
• Work with provider data and credentialing team to audit data exchanges
• Assist Provider Data Coordinators with questions and training needs

Education/Experience: High school diploma or equivalent. Bachelor’s degree in healthcare related field preferred. 5+ years of sales, provider relations, or contracting experience. Claims processing and/or managed care experience preferred. Driver’s License may be required by some plans. Specific language skills may be required by some plans. License/Certification: Valid driver's license. For Fidelis Care only: Must have valid driver license, personal vehicle and ability to travel.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

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.