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.
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.
This is a remote position, and candidates may be considered from anywhere within the continental United States. Preference will be given to candidates who reside in Oklahoma, are bilingual in English and Spanish, have prior provider office experience, and demonstrate strong communication skills.
Position Purpose: Plan, organize, and coordinate all aspects of the EPSDT (Early Preventative Screening Diagnostic Testing) program. Ensure compliance of EPSDT with all state and federal requirements and NCQA standards.
- Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary
- Monitor provider compliance with EPSDT program
- Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance
- Maintains appropriate records, files, documentation, etc.
- Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers
- Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans
- Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities.
- Facilitate EPSDT related reviews and follow up that are initiated by the state
- Attend EPSDT related DOH meetings as appropriate
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
