Position Purpose : Analyze and resolve verbal and written claims and authorization grievance / appeals from providers and members.
Resolve all State inquires related to complaints, grievances and appeals.
Prepare cases for medical review as necessary
Education / Experience : Bachelor’s degree in related field or equivalent experience. 2+ years of claims, contracting, or related experience in a managed care environment.
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.