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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.

Position Purpose:

Assist the plan in credentialing and re credentialing providers.

+ Credential and re-credential various providers, including physicians, healthcare delivery organizations, or pharmacies, according to applicable specifications

+ Input and maintain databases for timely access to accurate and current network status and to allow for meaningful analysis of network size, scope, etc.

+ May perform audits, including preparation and audit of credentialing documents

+ Act as a “go to” person for other Credentialing Specialists and provide feedback to reduce errors and improve processes

+ Assist with development of department policies, procedures, workflow and tools

+ May assist with coordinating credentialing committee

+ May require the ability to travel, a valid driver’s license, and car insurance (depending on business unit)

+ Performs other duties as assigned

+ Complies with all policies and standards

Education/Experience:

High school diploma or equivalent. 4+ years of credentialing and/or provider data experience. Knowledge of NCQA or URAC and state credentialing requirements preferred.

This position is remote within the state of California or Texas. In person meetings up to 10% required.

Pay Range: $22.79 - $38.84 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