Remote Care Access Programs Specialist

Centene Corporation; California (MO); On-site; USD 32,000 - 55,000; Full time

Benefits offered by this job

Health insurance

401K and stock purchase plans

Tuition reimbursement

Paid time off

Job summary

Centene Corporation is hiring for a Public Programs Coordinator to triage and resolve member access to care issues and coordinate with programs carved out of the health plan contract in California. The role emphasizes collaboration with internal teams to ensure access to care, and promotes the HE LP program across affected departments.

Remote work is available within California with standard business hours.

Qualifications

• Associate’s degree or nursing/medical programs required
• California MA certification or LVN license or Pharmacy Tech certification preferred
• 3+ years combined clinical/healthcare experience

Responsibilities

• Researches, resolves and follows up on access to care issues with clients and agencies.
• Collaborates with multiple Health Net departments to resolve member issues.
• Liaises with public agency programs and assists referrals to HELP and related services.
• Manages coordination of care referrals and escalated service coordination.
• Supports Regional Centers and California Children’s Services to promote services.
• Prepares conflict resolution documentation for Appeals and Grievances.
• Submits monthly/quarterly compliance reports.

Skills

Care access coordination

Communication

Relationship building

Problem solving

Education

Associate’s degree

Job description

Centene Corporation is hiring for a Public Programs Coordinator to triage and resolve member access to care issues and coordinate with programs carved out of the health plan contract in California. The role emphasizes collaboration with internal teams to ensure access to care, and promotes the HE LP program across affected departments.

Remote work is available within California with standard business hours.