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Centene Corporation Supervisor, Referral Services in Austin, Texas

You could be the one who changes everything for our 25 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, multi-national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:

Supervise the day to day operations of the utilization and case management areas

  • Supervise day to day activities of the Referral Services department including work flow, training, hiring, etc.

  • Assist providers, members and/or internal customers with cases pertaining to referral questions, issues and authorizations

  • Reconcile pended claim issues in a timely manner per health plan/department procedure

  • Review and process denial letters, maintain logs, and coordinate decisions to external or internal personnel per plan procedures

  • Receive and review incoming phone and case management log reports and determine course of action

  • Work with analysts and programmers in adapting and testing programs and procedures to adhere to our standard operating procedures

Our Comprehensive Benefits Package:

  • Flexible work solutions including remote options, hybrid work schedules and dress flexibility

  • Competitive pay

  • Paid Time Off including paid holidays

  • Health insurance coverage for you and dependents

  • 401(k) and stock purchase plans

  • Tuition reimbursement and best-in-class training and development

Education/Experience:

High school diploma or equivalent. 3+ years of prior authorization, physician’s office, customer service, claims processing or provider relations experience preferably in a managed care setting. Previous experience as a lead in a functional area or managing cross functional teams on large scale projects.

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.

TITLE: Supervisor, Referral Services

LOCATION: Austin, Texas

REQNUMBER: 1284635

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