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. Position Purpose: Works with members and providers to close care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through outreach and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic outreach, while embedded in the providers' offices, to members who are identified as needing preventive services in support of quality initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information. - Acts as a liaison and member advocate between the member/family, physician and facilities/agencies. - Acts as the face of WellCare in the provider community with the provider and office staff where their services are embedded. - Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. - Assesses provider performance data to identify and strategizes opportunities for provider improvement. - Collaborates with Provider Relations to improve provider performance in areas of Quality, Risk Adjustment, Operations (claims and encounters). - Schedules doctor appointments for members with care gaps to access needed preventive care services and close gaps in care in the provider’s office. - Conducts face-to-face education with the member and their family, in the provider’s office, about care gaps identified, and barriers to care. - Conducts telephonic outreach and health coaching to members to support quality improvement, regulatory and contractual requirements. - Arranges transportation and follow-up appointments for member as needed. - Documents all actions taken regarding contact related to member. - Interacts with other departments including customer service to resolve member issues. - Refers to case or disease management as appropriate. - Completes special assignments and projects instrumental to the function of the department. - Performs other duties as assigned - Complies with all policies and standards This position is fully remote open to candidates currently residing in Michigan. Education/Experience: Required: a Bachelor's Degree in Healthcare, Public Health, Nursing, Psychology, Social Work, Health Administration, or related health field or equivalent work experience required (a total of 4 years of experience required for the position); work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in direct patient care, social work, quality improvement or health coaching preferably in a managed care environment. Pay Range: $27.02 - $48.55 per hour 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, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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

Role Description If you're living in Portugal we are offering a fantastic remote work opportunity for the role of Customer Advisor. Why this Customer Advisor role is a great opportunity for your professional and personal development: - Work from anywhere while embracing diverse experiences. - Represent a global brand. - Fast-track career development opportunities. Your day-to-day responsibilities would include: - Listen to customers’ questions and concerns, and provide answers and solutions. - Troubleshooting regarding orders, deliveries, payments and returns. - Point of contact for external sellers. - Provide information about digital products. - Escalation and rerouting of issues to other departments. Qualifications - Native level of written and verbal communication skills in Dutch. - Availability to work in rotating shifts. - Good computer skills. - Excellent communication and interpersonal skills and team spirit. - High School Diploma. - EU passport/ID or a Portuguese resident card. Benefits - Private Health Insurance from day one. - Free Portuguese lessons. - Great opportunity to grow quickly within the company. - Excellent work opportunity in a dynamic leading multinational company. - Stable work and career progression. - Investment in training (ongoing training) and personal development.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Will work with patients and clinics to provide financial assistance to make medications affordable for patients. Key Performance Areas - KPA 1 – Patient Assistance: - Submit financial assistance applications for AON patients. - Follow up on submitted PAP requests for updates. - Assist patients with financial assistance through manufacturers and foundations. - Follow up with patients through the entire assistance process and submit renewals when indicated. - KPA 2 – Customer Service: - Incoming and outgoing calls/emails to patients. - Routing of calls to appropriate staff. - Answering patient/clinic questions regarding delivery status, Rx updates, etc. - SP follow-up to assure orders are being processed efficiently. - Scheduling deliveries. - KPA 3 – Backup to pharmacy staff: - Will monitor daily activities and provide backup support where needed, including PA, SP follow-ups, BV and claims adjudication as needed. - KPA 4 – Education & Training: - Responsible for keeping up on all applicable training and education for maintenance of permit. - Providing PAP training to new hires when required. - Will follow up daily to see which grants/foundations have available funds. Qualifications - High school diploma, GED or equivalent education is required. - Minimum of two years’ experience in Retail/Specialty/Hospital Pharmacy as a Pharmacy Technician preferred; medical terminology and attention to detail required. Requirements - Core Capabilities: - Analysis & Critical Thinking: Critical thinking skills including solid problem solving, analysis, decision-making, planning, time management and organizational skills. Must be detailed oriented with the ability to exercise independent judgment. - Interpersonal Effectiveness: Developed interpersonal skills, emotional intelligence, diplomacy, tact, conflict management, delegation skills, and diversity awareness. Ability to work effectively with sensitive and confidential material and sometimes emotionally charged matters. - Communication Skills: Effective communication skills (oral, written, presentation), is an active listener, and effectively provides balanced feedback. - Customer Service & Organizational Awareness: Strong customer focus. Ability to build an engaging culture of quality, performance effectiveness and operational excellence through best practices, strong business and political acumen, collaboration and partnerships, as well as a positive employee, physician and community relations. - Self-Management: Effectively manages own time, conflicting priorities, self, stress, and professional development. Self-motivated and self-starter with ability work independently with limited supervision. Ability to work remotely effectively as required. Must be able to work effectively in a fast-paced, multi-site environment with demonstrated ability to juggle competing priorities and demands from a variety of stakeholders and sites. - Computer Skills: Proficiency in MS Office Word, Excel, Power Point, and Outlook required. - Certifications/Licenses: - Pharmacy technician registration with the Florida Dept of Health in good standing preferred. - Valid state Driver’s License for travel to satellite offices and offsite meetings. Compliance with the company Driver Safety Operations and Motor Vehicle Records Check Policy is required. - Travel: <25% - Standard Work Days/Hours: Monday to Friday 8:00-5:30 will vary based off respective time zone.

About the Role Member Advocates (Intake Specialists) represent the first impression of NOCD and your role would be to provide an extraordinary customer experience while communicating the services we have to offer. As a member of the Intake team, you will be responsible for inside sales, as well as patient advocacy. The Member Advocate is responsible for selling tele-therapy services to consumers who contact us via phone, text, and email, and completing the intake process to confidently and accurately get them started on the road to treatment. Job duties include inside sales of tele-therapy services, appointment coordination, registering and scheduling of therapy appointments as well as post-sales support. No cold calling. This is a goal-oriented team environment at a fast-growing company where we are all united in providing a top-notch patient experience. Preferred Qualifications: - Empathy-driven relationship building skills - 1-3 years of inside sales or related experience - Extremely detail-focused and technologically savvy, capable of using multiple software programs at once - Ability to adapt in a fast-paced environment, common with start-ups and ever changing processes - Ability to thrive under moderate pressure in a sales environment Minimum Requirements: - Must be caring, courteous, professional, knowledgeable, and able to communicate effectively and with empathy - Enhance the reputation of NOCD by creating a positive customer experience, including understanding and articulating the value of NOCD to the OCD community - Demonstrate consistent, excellent customer service with both internal and external customers - Demonstrate effective communication and interpersonal relation skills - High School Diploma or GED required; Bachelor's degree strongly preferred What We Offer - Challenging, and engaging startup environment with an outstanding, mission-driven team atmosphere - Available Shift (Tuesdays and Wednesdays off) - - Thursday, Friday, Monday: 10:30 AM – 7:00 PM CT - Saturday & Sunday: 9:30 AM – 6:00 PM CT If you're interested, we'd love to hear from you. Tell us why you'd be a good fit. A well written cover letter helps us understand who you are and what you want to be, and a resume tells the story of where you've been.