Care Management Support Coordinator III

Centene Corporation; Ohio; In loco; USD 28.000 - 48.000; Tempo pieno

Vantaggi offerti da questo lavoro

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off and holidays

Flexible work arrangements

Descrizione del lavoro

Centene Corporation is seeking a detail-oriented care management support professional in Ohio. You will interact with members, providers, and staff to resolve issues and document records, while assisting with care plan steps and community resources.

The role requires excellent communication, problem-solving, and organizational skills, with strong Excel capabilities and comfort using Gen AI tools to enhance reporting and processes.

Competenze

• High School diploma or GED (minimum) with 2–4 years of related experience.
• Experience processing healthcare or insurance authorizations and coordinating services for Medicaid LTSS.
• Strong problem-solving and communication skills, plus organizational and time management skills.
• Ability to adapt to changing business needs with openness and professionalism.
• Comfort presenting findings to stakeholders.

Mansioni

• Provide outreach to members via phone to support care plan steps and scheduling.
• Connect members to health plan and community resources for high-quality care.
• Assist onboarding and distribute welcome letters and program materials.
• Document and maintain non-clinical member records per state/regulatory requirements.
• Serve as front-line support for member/provider inquiries and escalate as needed.
• Support training of new hires.
• Comply with all policies and standards.

Conoscenze

Communication skills

Problem-solving

Organizational skills

Time management

Presentation skills

Adaptability

Flexibility

Verbal and written communication

Formazione

High School diploma or GED

Strumenti

Excel

Gen AI tools

Descrizione del lavoro

Position Purpose:

Works with care management team on administrative care management activities including performing outreach, answering inbound calls, and scheduling services. Serves as a point of contact to members, providers, and staff to resolve issues and documents member records in accordance with current state and regulatory guidelines.

Key Details:

Successful candidates in this role: are critical thinkers, organized, action-oriented, have strong communication skills (verbal and written), flexible with business needs, quick learners, comfortable presenting findings and data to People Leaders and peers, and works well under pressure to handle escalations and tight deadlines.

NOTE: This role assists People Leaders with data reporting on a weekly basis (up to 50%) and will need to have moderately strong Excel skills (i.e. data extraction, creating pivot tables, conditional formatting, etc) and/or curious to learn more with Gen AI tools.

Work Schedule:

Work Schedule: Monday–Friday, 8:00 AM–5:00 PM (EST). Must be able to work the Eastern Time Zone

• Provides outreach to members via phone to support with care plan next steps, community or health plan resources, questions or concerns related to scheduling, and ongoing education for both the member and provider throughout care/service
• Provides experienced support to members to connect them to other health plan and community resources to ensure they are receiving high-quality customer care/service
• May apply in-depth knowledge of assigned health plan(s) activities and resources
• Serves as the front-line support on various member and/or provider inquiries, requests, or concerns which may include explaining care plan procedures and protocols
• Applies in-depth knowledge of care management support activities including care plans and community resources
• Supports member onboarding and day-to-day administrative duties including sending out welcome letters, related correspondence, and program educational materials to assist in the facilitation of a successful member/provider relationship
• Works with care management team on escalating requests and inquiries to management
• Documents and maintains non-clinical member records to ensure standards of practice and policies are in accordance with state and regulatory requirements and provide to providers as needed
• May support training of new hires
• Performs other duties as assigned
• Comply with all policies and standards

Education/Experience:

Requires a High School diploma or GED (minimum) and 2 - 4 years of related experience

Transferrable Skills:

• 4+ years of experience processing healthcare or insurance authorizations and coordinating services for members with access to Medicaid Long-Term Services and Supports (LTSS)
• Strong problem-solving skills, communication skills (i.e. be professional, customer-centric, inclusive, and tactful), and strong organizational and time management skills are required
• Ability to adapt to changing business needs with openness, flexibility, and professionalism
• Must be comfortable presenting findings clearly and concisely to various stakeholders

Pay Range:

$20.39 - $34.71 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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