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Senior Clinical Systems Specialist

Company: Centene Corporation
Location: Jefferson City
Posted on: November 21, 2022

Job Description:

You could be the one who changes everything for our 26 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.Position Purpose: Develop, maintain and manage the relationship with Specialty Companies, Health Plans and other Corporate operational departments (customers) related to new and existing business to promote Medical Management (MM) processes and application integration.Position is REMOTE Integrate nursing knowledge to enhance business optimization and application development. Identify adjustments to the applications to meet business needs and perform revisions. Collaborate with other departments to identify opportunities for process redesign and improvement related to new business, new programs and modifications to existing business and programs. Formulate and manage work plans related system or process initiatives. Direct and/or perform testing related to application upgrades and/or modifications. Maintain all aspects of the application described as clinical content. Monitor, analyze and coordinate resolution of large scale application issues related to the transfer of member and provider, and/or authorization data. Collaborate with other departments related to new or revised application specifications or enhancements. Maintain MM web page for the Clinical System Management Unit. Ability to travel.Education/Experience: Bachelors degree in Nursing or equivalent medical-related experience. 5+ years of clinical experience. Project management experience in a clinical environment preferred.License/Certification: RN license preferred. Valid driver's license and automobile insurance.Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.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.TITLE: Senior Clinical Systems SpecialistLOCATION: Various, MissouriREQNUMBER: 1373588

Keywords: Centene Corporation, Jefferson City , Senior Clinical Systems Specialist, Healthcare , Jefferson City, Missouri

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