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: Manage all activities related to the intake, referral management and insurance verification functions, including implementation of initiatives.

• Develop indicators for monitoring and evaluating quality of work and meeting turnaround time standards
• Establish work directions, resolve problems, and set performance expectations and deadlines to ensure timely completion of all department deliverables
• Evaluate current procedures and practices and implement changes ensuring compliance with all related laws, regulations and contractual requirements
• Ensure all deadlines related to referral processing and turnaround times for the assigned programs are met
• Ensure up to date quality control processes to ensure integrity of enrollment and insurance verification data
• Develop and ensure a consistent work process is followed around new patient admission tracking in conjunction with sales team
• Evaluate the effectiveness of the intake and related program activities ensuring consistency of work processes and recommend changes
• Identify utilization trends of incomplete or inaccurate verification processes and develop appropriate work processes to respond to exceptions and minimize financial risk
• Ensure accurate, timely, and efficient reporting for intake core processes
• Develop indicators for monitoring and evaluating quality of work and meeting turnaround time standards
• Establish work directions, resolve problems, and set performance expectations and deadlines to ensure timely completion of all department deliverables
• Evaluate current procedures and practices and implement changes ensuring compliance with all related laws, regulations and contractual requirements
• Ensure all deadlines related to referral processing and turnaround times for the assigned programs are met
• Ensure up to date quality control processes to ensure integrity of enrollment and insurance verification data
• Develop and ensure a consistent work process is followed around new patient admission tracking in conjunction with sales team
• Evaluate the effectiveness of the intake and related program activities ensuring consistency of work processes and recommend changes
• Identify utilization trends of incomplete or inaccurate verification processes and develop appropriate work processes to respond to exceptions and minimize financial risk
• Ensure accurate, timely, and efficient reporting for intake core processes

Education/Experience: Bachelor's degree in related field or equivalent experience. 4+ years of intake or insurance verification experience.

Pay Range: $68,700.00 - $123,700.00 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. Total compensation may also include additional forms of incentives.

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