Waiver Provider Specialist-2

Centene Corporation

3d • $23 - $40

About The Position

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. Position Purpose: Waiver Provider Specialists handle prior authorization reviews for non-clinical Community and Employment Support-waiver (CES-waiver) services and act as a support for internal and external stakeholders. - Reviews non-clinical CES-waiver prior authorization requests - Tracks dates and coordinates internally and externally on them - Conducts provider outreach and support - Provides Training and Care Coordination team support

Requirements

• High school diploma or equivalent.
• 5+ years of experience with the Community and Employment Support Waiver program and/or managed care experience.

Responsibilities

• Reviews non-clinical CES-waiver prior authorization requests
• Tracks dates and coordinates internally and externally on them
• Conducts provider outreach and support
• Provides Training and Care Coordination team support

Benefits

• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• a flexible approach to work with remote, hybrid, field or office work schedules

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED