Supervisor, Appeals

Centene Corporation•Remote-MO, MO

4d•$63,600 - $114,600•Remote

About The Position

Our Shared Services team is hiring a Remote Supervisor, Appeals to lead a team focused on delivering accurate, timely, and compliant outcomes. We are seeking an experienced people leader with a strong background in managed care, appeals, and claims who can develop talent, navigate complex challenges, and drive continuous improvement. This remote position requires availability to work Central Time Zone hours. 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.

Requirements

Bachelor's degree and 4+ years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Strong background in managed care, appeals, and claims.
Experience as a people leader.

Responsibilities

Supervises the processing and review of appeals, disputes, and reconsiderations including escalation for the most complex issues in accordance with state and National Committee for Quality Assurance (NCQA) requirements.
Supervises day-to-day activities and provides guidance to the team to ensure appeals are reviewed and processed timely.
Monitors and tracks appeals, disputes, and reconsiderations issues to ensure documentation, processing, and resolution is in accordance with established policies and procedures.
Provides expert knowledge and guidance based on experience to the appeals, disputes, and reconsiderations team for issue resolution and processing to ensure compliance with state and National Committee for Quality Assurance (NCQA) requirements.
Maintains knowledge of contract requirements, policies, procedures, and performance standards.
Ensures appeals, disputes, and reconsiderations team’s compliance with contract requirements, policies, procedures, and performance standards.
Works with team to identify opportunities for process and quality improvements.
Evaluates team performance and provides feedback regarding performance, goals, and career milestones.
Provides coaching and guidance to team to ensure timely resolution of appeals, disputes and reconsiderations.
Assists with onboarding, hiring, and training team members.
Leads and champions change within scope of responsibility.
Performs other duties as assigned.
Complies with all policies and standards.