You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
 

*Applicants for this job have the flexibility to work remote from home anywhere in the United States 

Position Purpose: Implement new client benefit setup and hierarchy based on the specific needs of the client. Modification client benefit setup based on plan design changes of existing clients. Claims coding knowledge.

Develop all hierarchy levels in PBM system for client setups and configurationReview and verify client setup is accurately reflected in PBM systemSupport quality reviews and testing of all benefit setup prior to client implementation and go-live datePartner with Compliance department to audit client setups and configuration post go-liveResolve escalated and complex processing, change requests, issues or questionsResponsible for own work flow assignments and must be able to take the initiative to resolve problems and meet deadlinesServe as a lead for team regarding any benefit and configuration issues or questions

Education/Experience: Bachelor’s degree in Business Administration, Health Administration, related field or equivalent experience. 3+ years experience with benefits administration (i.e. configuration, set up, or implementation). Healthcare or pharmacy benefit management industry preferred. Claims Billing experience preferred.

Pay Range: $54,000.00 - $97,100.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.  Total compensation may also include additional forms of incentives.

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.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act