Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting β’ Network Development β’ Managed Care
March 15
π΅ Arizona β Remote
π Florida β Remote
+1 more states
π΅ $22 - $38 / hour
β° Full Time
π’ Junior
π‘ Mid-level
π Auditor
π«π¨βπ No degree required
Centene Corporation is a leading provider of government-sponsored healthcare services, specializing in delivering affordable and high-quality healthcare solutions. For over 40 years, Centene has focused on transforming the health of communities by expanding access to Medicaid, Medicare, and Health Insurance Marketplace services, as well as serving military communities through the TRICARE program. As the largest Medicaid managed care organization and a key participant in the Marketplace, Centene emphasizes localized healthcare delivery combined with strong partnerships with nonprofit organizations to meet the unique needs of its members. Centene is also committed to corporate sustainability and social responsibility, prioritizing environmental stewardship and ethical governance to enhance the well-being of the communities it serves.
Contracting β’ Network Development β’ Managed Care
β’ Responsible for providing auditing and tracking support to the Ambetter Sales Leadership Team β’ Oversight and responsibility of auditing all member, prospective member and agent interactions with call center staff β’ Complete weekly report cards for Inside Sales and Agent Hotline β’ Develop consistent auditing metrics for call center staff utilizing call center software and Sentinel Elite β’ Create and maintain library of calls that can be utilized for training β’ Audit all inbound and outbound communications with members, prospective members and agents β’ Complete weekly call audits of external vendors β’ Make recommendations for process improvement and training opportunities β’ Create and present reporting based on auditing trends and findings β’ Work closely with leadership team to ensure consistency across the Ambetter Sales department β’ Evaluate new hire readiness based on call audits
β’ High School or GED β’ Bachelor's Degree in a related field (preferred) β’ 2+ years of experience in a call center β’ Knowledge of customer service expectations related to quality and service β’ Knowledge of HIPAA regulations: Auditor must obtain their Medicare producers license within 90 days of employment
β’ competitive pay β’ health insurance β’ 401K and stock purchase plans β’ tuition reimbursement β’ paid time off plus holidays β’ flexible approach to work with remote, hybrid, field or office work schedules
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