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. Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT Candidate must reside in one of the following counties within the state of California: Fresno, Kings, Madera, Kern, Los Angeles, Orange, Riverside, San Bernardino, Sacramento, San Bernardino, San Diego, Imperial, Tulare or surrounding areas. Bilingual in English and Spanish highly preferred. Position Purpose: Serves as a vital link between members and the healthcare system, focusing on improving health outcomes by identifying and closing care gaps. This role emphasizes community engagement, member education, and collaboration with providers and internal teams to ensure members receive timely, appropriate care and support. - Conduct outreach to members in the community to identify care gaps and connect them with appropriate healthcare services and resources. - Perform home visits or community-based assessments to evaluate member needs and identify social determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination. - Serve as a member advocate by helping individuals navigate complex healthcare and social service systems. Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements, ensuring members receive the support needed to close care gaps and maintain continuity of care - Collaborate with providers to share quality performance data (e.g., HEDIS, CAHPS) and support improvement initiatives. - Educate members on preventive care, chronic condition management, and available community resources. - Document member interactions, care gap closures, and referrals in the appropriate systems. - Partner with internal departments (e.g., Quality, Care Management, Provider Relations) to align efforts and improve member outcomes. - Monitor and report on outreach effectiveness and care gap closure metrics. - Maintain compliance with state and federal regulations and organizational policies. - Participate in seasonal campaigns and quality initiatives to improve member engagement and health outcomes. - Serve as a community ambassador, building relationships with local organizations and stakeholders. - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Bachelor's Degree Social Work, Public Health, Nursing, or related field; or equivalent experience required 2+ years In community health or healthcare quality required Experience working with health plan members and navigating community resources required Familiarity with Medicaid / Medicare programs and quality measures (e.g., HEDIS) required Strong communication and interpersonal skills Licenses/Certifications: LCSW- License Clinical Social Worker preferred RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred 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

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 IS REMOTE BUT CANDIDATE MUST RESIDE IN STATE OF MISSOURI*** ***THIS ROLE IS SUPPORTING FOSTER CARE POPULATION*** Position Purpose: Develops, assesses, and coordinates care management activities based on member needs to provide quality, cost-effective healthcare outcomes. Develops or contributes to the development of a personalized care plan/service plan for members and educates members and their families/caregivers on services and benefit options available to improve health care access and receive appropriate high-quality care through advocacy and care coordination. - Evaluates the needs of the member, barriers to care, the resources available, and recommends and facilitates the plan for the best outcome - Develops or contributes to the development of a personalized care plan/service ongoing care plans/service plans and works to identify providers, specialists, and/or community resources needed for care - Provides psychosocial and resource support to members/caregivers, and care managers to access local resources or services such as: employment, education, housing, food, participant direction, independent living, justice, foster care) based on service assessment and plans - Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner - May monitor progress towards care plans/service plans goals and/or member status or change in condition, and collaborates with healthcare providers for care plan/service plan revision or address identified member needs, refer to care management for further evaluation as appropriate - Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators - May perform on-site visits to assess member’s needs and collaborate with providers or resources, as appropriate - May provide education to care manager and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits - Other duties or responsibilities as assigned by people leader to meet the member and/or business needs - Performs other duties as assigned. - Complies with all policies and standards. Education/Experience: Requires a Bachelor’s degree and 2 – 4 years of related experience. Requirement is Graduate from an Accredited School of Nursing if holding clinical licensure. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. License/Certification: - Current state’s clinical license preferred Pay Range: $22.94 - $38.79 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

It's fun to work in a company where people truly BELIEVE in what they are doing! We're committed to bringing passion and customer focus to the business. Job Title: Patient Care Advocate Job Location: Remote Eligible Locations: Candidates must reside in one of the listed counties to be considered for this role. - Florida: Brevard County, Broward County, Palm Beach - Georgia: Sumter County, Jefferson County, Rockdale County, Fulton County, Douglas County, Decalb Count, Bulloch County, Newton Countu and Cherokee County - Ohio: Miami County, Mahoning County, Trumbull County - Texas: Tarrant County, Dallas County, Harris County, Travis County and Williamson County - Mississip: Forrect County, Hinds County and Lee County - Alabama: Autauga County, Montgomery County - Arkansas: Desha County - Pennsylvania: Elk County - South Carolina: Dorchester County and York County About Us: We are a dedicated team focused on improving access to affordable prescription medications for patients. By partnering with insurance companies, healthcare providers, and pharmacies, we work to reduce the financial burden of medications, ensuring that patients can access the treatments they need without excessive costs. Role Overview: As a key member of our team, you will help patients navigate our Prescription Payment Plan. This involves working closely with patients, insurance providers, healthcare professionals, and pharmacies to ensure seamless enrollment, eligibility verification, cost-sharing, and prescription fulfillment. What You’ll Do: - Patient Enrollment & Eligibility: Assist patients with enrolling in the program, ensuring all necessary personal and insurance information is provided and verifying eligibility. - Prescription Coverage: Help patients confirm that their prescribed medications are covered under the program, and manage the approval process for eligible medications. - Cost-Sharing & Payment: Reduce patients' out-of-pocket costs by applying the program benefits. Manage copayments, coinsurance, and assist with additional copay assistance when applicable. - Prescription Fulfillment: Coordinate with participating pharmacies to ensure the correct application of benefits during prescription filling, ensuring patients pay the reduced amount. - Refills & Continued Use: Support patients by ensuring they continue receiving medications at reduced costs, monitoring adherence to medication regimens, and ensuring continued eligibility. - Program Renewal & Updates: Guide patients through annual renewals and inform them about any updates to the program or medication formulary. What We’re Looking For: - Experience in healthcare, insurance, or customer service (experience with prescription assistance programs is a plus) - Strong attention to detail and ability to navigate complex processes - Excellent communication skills for working with patients, healthcare providers, and pharmacies - A genuine passion for helping others and making a positive impact on their healthcare access - The ability to work efficiently and collaboratively within a team environment Success Factors for Working from Home - Private Workspace: A dedicated, quiet workspace with a door that closes, free from ambient noise. - Ergonomics: A comfortable desk and chair setup that allows for the proper installation of necessary equipment. - Reliable Internet Connection: Stable, high-speed internet with a minimum bandwidth of 10 Mbps downstream and 5 Mbps upstream. - Quiet, Distraction-Free Workspace: A dedicated, quiet area where you can focus on delivering excellent customer service without interruptions. - Tech-Savvy: Comfort with technology and ability to learn new systems quickly. - Self-motivation & Independence: Ability to stay productive and manage your time effectively in a remote environment. - Communication Skills: Strong verbal and written communication skills, especially in a virtual setting. - Adaptability: Ability to adapt to changing technologies and procedures while working remotely. Compensation & Perks - Hourly Pay: $15 per hour - Company-Provided Equipment: All necessary equipment will be provided. - Comprehensive Benefits: Full health insurance package including medical, dental, and vision coverage. - Cell Phone Benefits: $25/month per line for unlimited phone, text, and data (restrictions may apply). - Generous Referral Program: Earn $20 per paycheck for every person you refer—and your referral earns it too! No limits on payouts. - Comprehensive Training: Paid training to ensure you are fully prepared for success. - Career Growth: Opportunities for career advancement and professional development within a leading healthcare provider. - Work-from-Home Convenience: Save time, and money, and reduce your environmental footprint. - Inclusive Culture: We are an Equal Opportunity Employer, including individuals with disabilities and veterans. What Success Looks Like: - Reduced out-of-pocket costs for patients through effective cost-sharing and copay assistance - Timely and accurate processing of prescription claims and approvals - High patient satisfaction with the program’s support and streamlined experience - Compliance with program requirements and monitoring of patient eligibility for ongoing assistance Why Join Us? - Be part of a team that makes a real difference in patients' lives by reducing the cost of necessary medications - Opportunity for professional growth in the healthcare and insurance sectors - Competitive compensation and benefits package - A collaborative, supportive, and innovative work culture Ready to Make an Impact? Join us in making prescription medications more affordable and accessible for those who need them most. If you're ready to help make a difference, we'd love to hear from you! If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Member Advocates will be responsible for handling both inbound and outbound calls to support our healthcare client. In this role, advocates are expected to deliver exceptional customer service by adhering to established protocols and guidelines. Advocates will support members through a variety of needs such as: - Billing - Quoting - Understanding medical or pharmacy benefits - Providing requested materials - Researching claims - And more! They will utilize various web-based systems to efficiently address and resolve customer inquiries, ensuring a seamless and satisfactory experience for each caller. Our focus is creating a fantastic member experience. Advocates will need to be able to make the process easy for members, demonstrate that you care, and ultimately, resolve their concerns. Employees on this program do more than simply provide services to members; they advocate for them! - 7 weeks of paid, mandatory training: 100% attendance required. - All equipment provided. Work from home! - Call center hours: Monday-Friday, 8 AM-9 PM EST; Saturday, 9 AM-7:30 PM EST - Competitive benefits, PTO, growth, and development opportunities. Additional responsibilities include: - Answering customer inquiries with professional courtesy, providing exceptional customer service based on client-specific instructions. - Documenting each customer's inquiry information into a database. - Verifying customers' information, making corrections and updates as needed. - Actively listening to recognize opportunities to offer additional information to callers, ensuring the caller and client have received the best customer service experience possible. - Following up with callers as necessary. - Using statistical contact center data to make improvements to performance. - Shift and schedule adherence. Qualifications - High School Diploma or GED - Prior call center or customer service experience highly desired - Effective verbal and written communication skills - Ability to multi-task - Knowledge on how to operate a computer, use internet search engines, and navigate multiple windows/tabs - Ability to sit for extended periods of time - Ability to successfully pass a background investigation and drug screen - Must successfully pass pre-employment criteria testing and internet speed test Requirements - Enclosed and secure work area with zero distractions - Must have the ability to provide a non-cellular high-speed internet service such as Fiber, DSL, or cable modems for a home office. - Must be able to meet the minimum internet speed requirements of 20 mbps download and 12 mbps upload. - Hotspots, satellite, and wireless internet service is NOT allowed for this role.