Transforming the health of the communities we serve, one person at a time.
Senior Population Health Strategy Specialist
Location
United States
Posted
37 days ago
Salary
$75.3K - $135.4K / year
Seniority
Senior
No structured requirement data.
Job Description
Senior Population Health Strategy Specialist
Centene Corporation
Role Description 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. - Plans and designs the population health strategy initiatives and programs to improve care coordination and health outcomes. - Develops efficiencies in programs (clinical and non-clinical). - Monitors the effectiveness of care and identifies areas for process improvement to manage costs and comply with federal and state regulations. - Develops and designs complex population health strategy initiatives, programs, and operational plans. - Manages, identifies, and tracks clinical, quality, documentation, and data submission projects to achieve strategic objectives. - Monitors and researches care management trends and analytics to support program initiatives and efficiencies. - Helps identify high-risk member populations. - Develops financial budgets and forecasts for strategic planning and initiatives. - Partners with senior leadership team on strategic planning initiatives in accordance with federal and state regulations and company policy. - Partners across departments to identify areas for process improvements to manage costs and support initiatives to improve health and quality outcomes. - Tracks and monitors program participation and member outcomes to assess the efficacy of programs and interventions. - Provides insights to improve coordination of care, member utilization, and overall health and quality outcomes. - Collaborates to ensure clinical initiatives and/or programs are in accordance with NCQA guidelines, state mandates, and/or government contract requirements. - May work across multiple Lines of Business and states to encompass program needs into population health strategies. - Performs other duties as assigned. - Complies with all policies and standards. Qualifications - Requires a Bachelor's degree and 4 – 6 years of related experience. - Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope, and skill reflective of the level of this position. Requirements - Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. - Candidate must reside in Georgia or South Carolina. Benefits - Competitive pay. - Health insurance. - 401K and stock purchase plans. - Tuition reimbursement. - Paid time off plus holidays. - 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. - Benefits may be subject to program eligibility.
Related Guides
Related Job Pages
More Customer Retention Specialist Jobs
Abacus!, is hiring! Abacus! is an independent, full-service accounting and advisory firm specializing in accounting and consulting services for businesses and individuals. Join a rapidly growing organization with a strategic vision and dynamic plan We are seeking a Customer Service Specialist to join our team. We are committed to fostering a supportive and inclusive workplace where every team member can thrive. Apply today to be part of a company that values its people and their contributions! Objective: The Customer Service Specialist is responsible for resolving IRS and state tax notices, supporting clients through audit processes, and ensuring full tax compliance. This role serves as a liaison between clients and tax authorities, provides strategic advice on penalty relief and compliance issues, and ensures timely, accurate resolution of all tax-related correspondence. The ideal candidate is detail-oriented, experienced in audit defense, and skilled in delivering proactive, compliant solutions to reduce clients’ tax burdens and improve their overall financial stability. Essential Functions: - Analyze IRS and state tax notices, prepare accurate responses, and determine required actions for resolution. - Represent clients in correspondence and negotiations with the IRS and state authorities to resolve penalties, notices, and audits. - Prepare audit defense files, collect documentation, and provide guidance on audit expectations and strategies. - Conduct technical research to develop compliant responses and identify resolution opportunities. - Identify and apply for penalty abatements, tax relief programs, and settlement options. - Maintain accurate records of tax notice responses, resolutions, and client communications. - Collaborate with internal departments to support integrated tax resolution strategies. - Recommend and implement process improvements for handling tax notices and audit cases. - Educate clients on notice triggers and compliance practices to prevent recurring issues. - Utilize tax software and digital tools to manage client cases efficiently and compliantly. Competencies: - Notice Review & Response: Analyze and respond to federal and state tax notices with precision and in compliance with current regulations. - Client Advocacy: Serve as the primary contact with tax authorities, representing client interests in audits, correspondence, and negotiations. - Audit Preparation: Prepare supporting documentation and coach clients through audit-related processes and expectations. - Tax Research & Strategy: Use authoritative tax research tools to develop defensible strategies and support responses. - Penalty Abatement: Identify opportunities for penalty relief and manage the preparation and filing of abatement requests. - Documentation & Compliance: Maintain detailed records of all correspondence, filings, and outcomes to meet compliance requirements. - Cross-Functional Collaboration: Partner with tax, legal, and financial departments to provide a holistic, client-focused resolution experience. Supervisory Responsibility This position has no supervision responsibilities. He or she will have the Senior Tax Resolution Specialist as a supervisor. Position Expectations & Work Environment This is a full-time hourly non-exempt position. While performing the duties of this job, the employee works normal office hours (with guilt-free flexibility). Some weeks over 40 hours will be required. Location & Travel Based in Springfield, MO, but also serve employees in all Abacus! physical locations and those working remotely. Required Education & Experience Preferred Bachelor's degree in Accounting, Finance, or a related field. Enrolled Agent preferred. Physical Demands The physical demands described are representative of those necessary for an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk or hear. Specific vision abilities required by this job include close vision and ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description does not list all the duties of the job. You may be asked to perform other assignments and duties. You will be evaluated in part based on your performance of the tasks listed in this job description. Abacus!, one of the fastest growing firms in the regional area, is wholly dedicated to helping our clients achieve their financial objectives while also allowing our employees to reach their greatest potential. Our team of Abacus Professionals provide a distinctive level of service in tax, audit, accounting, and business consulting. Our passion for our clients and employees is the driving force behind all our work and the reason we are recognized as an entrepreneurial leader. Your Abacus Experience: You’ll find that things are distinctively different here at Abacus, and we’re proud of it. We center on one key component: people. We foster an environment of growth, trust, and confidence and you’ll see it in daily interactions, hear it regular conversations, and live it as part of our Abacus Culture. Our Award-Winning Firm: We’re proud to be recognized by local, regional, and national organizations for our distinctive culture, great work environment, and our focus on ethics, quality and economic impact. Abacus’ distinctions include: - Inside Public Accounting’s Top 300 Firm in the U.S. #280 – 2024, 2025 - An Inside Public Accounting’s Fastest Growing Firm in the U.S. - 2024 - Accounting Today’s No. 16 Fastest-Growing Firm in the U.S. – 2024 - An Accounting Today’s Top Regional Leader in the Midwest – 2023, 2024 - Inside Public Accounting’s Best of the Best Firms – 2023 - A Biz 417’s Best Place to Work – 2021, 2022, 2023, 2024, 2025 - An Accounting Today’s Top 100 Best Firms to Work For – 2009, 2010, 2020 - 2021 Better Business Bureau Torch Award Recipient – highlighting ethics and quality - Finalist for Springfield Business Journal’s Economic Impact Awards – 2021, 2023 Website: AbacusPro.com “Abacus!”, an independent member of the Crete Professionals Alliance, is the brand name under which Abacus CPAs, LLC and Abacus Business Consulting, LLC provide professional services. Abacus CPAs, LLC and Abacus Business Consulting, LLC practice as an alternative practice structure in accordance with the AICPA Code of Professional Conduct and applicable laws, regulations, and professional standards. Abacus CPAs, LLC is a licensed independent CPA firm that provides attest services to its clients, and Abacus Business Consulting, LLC provide tax and business consulting services to their clients. Abacus Business Consulting, LLC is not licensed as a CPA firm. The entities falling under the Abacus! brand are independently owned and are not liable for the services provided by any other entity providing the services under the Abacus! brand. Our use of the terms "our firm" and "we" and "us" and terms of similar import, denote the alternative practice structure conducted by Abacus CPAs, LLC and Abacus Business Consulting, LLC. Crete Professionals Alliance is an equal opportunity employer, considering all applicants for employment regardless of race, color, religion, sex, gender identity, pregnancy, national origin, ancestry, citizenship, age, marital status, physical disability, sexual orientation, genetic information, or any other characteristic protected by state of federal law. #LI-JL1
Rate Verification Specialist (Remote)
MorleyMorley is a privately held company specializing in business process outsourcing, exhibits and displays, and meeting and incentives. This company serves Fortune 500 corporations fro
About the Role Location: Remote – Michigan residents As a remote Rate Verification Specialist at Morley, you’ll be at the heart of ensuring our automotive warranty reimbursements are fair and accurate. Your expertise will be vital in reviewing past retail-parts markups and labor-rate changes to maintain precision in our work. This role is perfect for leveraging your background in automotive, business or accounting, especially if you're looking to work from home. What You'll Do - Examine and interpret invoices and numerical data submitted by dealers to confirm accurate reimbursement rates - Ensure all applications meet the required standards and verify job cards according to the type of service repair - Identify qualifying repairs and compute the average markup percentages for parts and effective labor rates - Check that labor rates remain consistent with established benchmarks - Advise clients on recommended adjustments to markups or labor rates - Organize and coordinate work assignments while maintaining an efficient file system - Follow a dependable and regular work schedule - Offer timely and accurate solutions through inbound and outbound conversations (including use of the client's application, emails and other communications as needed) while keeping a positive and upbeat attitude Questions Before You Apply? Live chat with a Morley Talent Acquisition (TA) Specialist: careers.morleycompanies.com - Chat hours: M-F 8 a.m. - 5 p.m. Eastern / 7 a.m. - 4 p.m. Central / 6 a.m. - 3 p.m. Mountain / 5 a.m. - 2 p.m. Pacific time | Closed on some holidays - TA will respond to after-hours questions the next business day Skills for Success Required Skills - Keen attention to detail, especially with numerical and financial calculations - Computer proficiency (navigating online resources, using Microsoft Office) - Excellent interpersonal skills; capable of working well both within a team and independently - Professional demeanor and spoken / written communication skills - Acute listening skills with attention to detail - Strong organizational and time management skills; able to meet deadlines - Positive self-starter with a solid work ethic Eligibility Requirements - High school diploma or equivalent - Two or more years of professional work history in automotive, business or accounting - Demonstrated analytical, data entry and process-oriented skills - Demonstrated ability to successfully perform in a fast-paced work environment - Able to work the following hours of operation: - Monday - Friday - 8 a.m. - 5 p.m. Eastern time / 7 a.m. - 4 p.m. Central time / 6 a.m. - 3 p.m. Mountain time / 5 a.m. - 2 p.m. Pacific time - Must be able to stick to the schedule reliably Nice to Have - Associate degree - Background in dealership service administration, service management, warranty administration or parts management Remote Work Requirements - Michigan resident - Secluded and distraction-free work environment - Required internet setup: - High-speed internet delivered through a wired provider (cable or fiber) - Computer must be physically connected to your modem / router using an Ethernet cable - Wireless, 5G and satellite connections are not supported The Remote Experience Wondering what it's like to work for Morley from home? Check out this video to get a glimpse of a remote associate's typical day and how their home office setup helps them stay focused. (direct link to video: https://mrly.info/h4b) Why Join Our Morley Family At Morley, your paycheck is just the start – add in health coverage, wellness resources and financial benefits, and you get a total compensation package designed to support you in work and in life. Health & Wellness Benefits - Medical and prescription coverage - Dental and vision insurance - Paid time off - Associate wellness program with rewards for annual checkups - Programs to quit tobacco use and manage chronic conditions (e.g., diabetes, asthma) Financial Benefits - 401(k) with match - Flexible spending account (FSA) - Life insurance - Company-paid short- and long-term disability insurance Benefits to Make Your Life Easier - 24/7 online access to doctors through Teladoc - 24/7 nurse help desk - Patient advocacy with free 24/7 support for benefit questions and claims - Guidance for family, financial and estate planning (including wills) About Morley Our mission is to deliver extraordinary experiences. We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible possible) – for our associates and for the world-leading companies that partner with us. We are an Equal Opportunity Employer and promote a caring and respectful work environment. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status. As part of this commitment, we provide reasonable accommodations for those with disabilities. If you need reasonable accommodation to participate in the application or interview process, please contact talentacquisition@morleynet.com. Thank you for your interest in Morley. Notices - Morley utilizes E-Verify during onboarding for all hires. Click here to learn more about E-Verify: https://mrly.info/bau and your right to work: https://mrly.info/7wo - Click here to view Morley’s CCPA Notice for applicants in California: https://info.morleynet.com/ccpa - Click here to view Morley's privacy policy: https://info.morleynet.com/morley-privacy-policy
Email/CRM (Klaviyo) – Retention‑Focused Title: Email & CRM Specialist (Klaviyo – Retention Focus) Location: Remote (overseas, US hours) We are a consumer tech e-commerce brand selling products in the US market. We are looking to hire a skilled creative strategist to join our team. OUR RECRUITING PROCESS: Please read this full post and carefully answer all the questions below for us to best get to know you and your capabilities! We review applications within 48 hours on weekdays and will reach out to your email if you are selected for an interview. If selected, please respond to the email and schedule an interview within 24 hours for optimal consideration as our hiring process moves very quickly! Overview Own retention marketing across email (and potentially SMS) with a focus on design, execution, and performance. This role is responsible for creating high‑quality, on‑brand campaigns and flows that drive repeat purchase, LTV, and engagement. Key Responsibilities - Campaigns & Flows - Build and deploy email campaigns and automated flows in Klaviyo (welcome, post‑purchase, winback, browse/cart abandonment, product launches, promos, etc.) - Manage basic SMS/postscript campaigns if applicable - Design & Content - Design on‑brand, high‑converting email templates (mobile‑first) incorporating product imagery, UGC, and brand guidelines - Collaborate with internal stakeholders for copy direction; ensure clear, conversion‑focused structure and CTAs - Test creative variants (subject lines, layouts, offers, content blocks) - Segmentation & Targeting - Create and optimize Klaviyo segments and lists for targeted messaging (high‑value customers, lapsing, new customers, etc.) - Ensure good list hygiene and deliverability best practices - Analytics & Optimization - Track and report on core CRM KPIs (open rate, CTR, revenue per send, unsubscribe, spam rate, LTV impact) - Propose and run A/B tests and iterate based on performance - Surface learnings and recommendations to the broader marketing team Requirements - 2–4+ years hands‑on in email/CRM for DTC/e‑commerce brands - Strong Klaviyo experience (flows, campaigns, segments, reporting) - Solid email design skills (Figma/Photoshop or similar; comfort working within templates) - Understanding of retention and lifecycle strategy (from first purchase to reactivation) - Understanding of and proficiency with AI tools like Claude Cowork - Attention to detail; comfortable owning end‑to‑end QA before sends Nice to Have - Experience with PostScript or other SMS platforms - Experience working with video/UGC assets in email - Familiarity with Amazon customer data handoffs into CRM (if applicable) LOGISTICS This is a full-time remote position (40 hours per week) with a 30-day probation period to ensure smooth onboarding and performance alignment. There are opportunities for pay increases as you take on greater responsibility and perform well. Tech stack: Klaviyo • Postscript • Shopify Plus • Attentive • Figma • ChatGPT / Claude • Slack • Notion The application process: Initial application with resume submission Case study 30 minute round 1 interview with case review 30 minute final round executive interview Offer
Financial Admission and Enrollment Specialist
University of Utah HealthUniversity of Utah Health is an integrated academic healthcare system with five hospitals including a level 1 trauma center, eleven community health centers, over 1,600 providers, and a health plan serving over 200,000 members. University of Utah Health is nationally ranked and recognized for our academic research, quality standards and overall patient experience. In addition to our clinical delivery system, we have a School of Medicine, School of Dentistry, College of Nursing, College of Pharmacy, and College of Health providing education and training for over 1,250 providers annually. We have over 2 million patient visits annually and research grants exceeding $350 million. University of Utah Hospitals and Clinics represents our clinical operations for the larger health system. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA
Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for informing and assisting patients with their financial obligations for health care services through education, coverage enrollment assistance, financial hardship applications, or other programs. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. Responsibilities Essential Functions - Conducts interviews and screenings for unfunded patients to determine all available funding sources (s) including commercial insurance, government programs (Medicare, Medicaid), Crime Victims, Affordable Care Act plans, Third Party Liability, or other programs/sources. - Works with government agencies, third party payers, and other key parties to process applications, paperwork or other requirements until completion and/or resolution. - Assists uninsured patients with financial hardship applications. May grant full or partial charity, prompt pay discounts, or payment arrangements, as necessary. - Creates service price estimates based on insurance benefits and/or self-pay status for upcoming services on prospective patients. - Collects estimated patient responsibility throughout the revenue cycle both in person and over the phone. - May coordinate and obtain "Certificate of Medical Necessity" or other approval for scheduled services when patient is unable to make a substantial or minimum payment towards services. - Coordinates communication with patients, families, providers, or other key parties when authorization or benefits are not secured. - May obtain prior authorizations from insurance carrier, including CPT code determination and submission of required documentation. - Displays and understands the difference between individual and collective accountability; promotes cooperation and commitment to team goals. - May perform other duties as assigned. Knowledge / Skills / Abilities - The ability to express information in a clear and understandable manner. - Demonstrated exceptional time management skills. - The ability to service and resolve customer requests with the customer in mind, first and foremost. - Ability to take ownership for the quality and timeliness of work and can achieve results with little oversight. - Ability to solicit and act on constructive feedback, challenge oneself with tough assignments, and demonstrate resilience and courage in the face of setbacks and oppositions. Qualifications Required - Three years of experience with medical accounts receivable, insurance claims, or equivalency. - High School Diploma, or equivalency. Qualifications (Preferred) Preferred - Bilingual language skills may be preferred. - Experience with the Medicaid enrollment process. - Coding certifications such as CCS, CPC-H, or CPC-P. - Knowledge of CPT , ICD9/10 and DRG codes. Working Conditions and Physical Demands Employee must be able to meet the following requirements with or without an accommodation. - This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull, or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions. Physical Requirements Listening, Sitting, Speaking



