Manager, Care Coordination

Centene
Georgia
Workplace: RemoteFull timeUSD 75,300 - 135,400 annuallyFunction: Executive & General ManagementExperience: 5+ yearsEducation: bachelorsSkills: ["People leadership","Team development","Issue escalation management","Compliance focus","Coaching and guidance"]

Manage care coordination activities for assigned members to ensure appropriate services are delivered and continuity of care across providers. Lead and develop a non-clinical care coordination team, monitoring transitions of care, assigned caseloads, and compliance with contractual, regulatory, and standards-of-practice requirements. Set team goals, oversee service level and KPI expectations, handle escalated member/provider issues, and collaborate with care coordination leadership to improve outcomes.

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FursaFursa
Centene
Centene
3 days ago

Manager, Care Coordination

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Last checked: 4 hours agoStatus: Live

Job Summary

Manage care coordination activities for assigned members to ensure appropriate services are delivered and continuity of care across providers. Lead and develop a non-clinical care coordination team, monitoring transitions of care, assigned caseloads, and compliance with contractual, regulatory, and standards-of-practice requirements. Set team goals, oversee service level and KPI expectations, handle escalated member/provider issues, and collaborate with care coordination leadership to improve outcomes.
Location: Georgia
Workplace: Remote
Employment Type: Full time
Job Function: Executive & General Management
Seniority: Manager level

Key Responsibilities

  • •Manage care coordination activities to assigned members to ensure appropriate services and continuity of care across providers.
  • •Lead and develop care coordination team members and manage escalated member and/or provider issues.
  • •Monitor and review member support care coordination activities, including transition of care, to ensure continuity of care.
  • •Oversee and approve assigned caseloads based on state and contractual requirements and member needs.
  • •Ensure adherence to service level, quality, and KPI expectations; set goals and objectives for the team and provide updates and feedback to improve services.

Pay and Benefits

Salary: USD 75,300 - 135,400 annually
Equity and Bonus:Equity
Perks:Health Insurance401kPaid Leave

Key Requirements

  • •Bachelor’s degree
  • •5+ years of related experience
  • •Strong call center experience
  • •Demonstrated people leadership and team-development skills
  • •Ability to manage care coordination activities and ensure continuity of care in line with contractual and regulatory requirements
Experience:5+ yearsHealthcareCare coordinationCall center
Education:Bachelor's
Skills:People leadershipTeam developmentIssue escalation managementCompliance focusCoaching and guidance

Company Brief

Centene
Centene Corporation is a diversified, multinational healthcare enterprise that provides government-sponsored and commercial healthcare programs and services, specializing in Medicaid, Medicare, and specialty benefits management across the United States.
Industry: Health Insurance (Payers)
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Public Company
Valuation: Public Company (Market Cap in USD)
Funding: IPO / Publicly Listed
Headquarters: St. Louis, United States
Founded: 1984
WebsiteLinkedIn