Teams at Centene Corporation

Lead operations and business strategy across cross-functional teams, perform data analysis to measure program effectiveness, drive process improvements using quality methodologies, support staff in achieving strategic initiatives, and oversee quality monitoring and auditing with up to 25% travel.

Lead analytics for Internal Audit Claims: extract, transform, reconcile, and validate large claims datasets; build and maintain Power BI reports/dashboards; perform QA and tie-outs; support automation, bots/AI enablement, and executive reporting; mentor other analysts and partner with audit, IT, and business stakeholders to deliver repeatable, validated analytics.

Remote psychologist reviewer authorizes and monitors behavioral health/ABA care, conducts peer reviews, provides clinician education on best practices and utilization management, responds to complaints, collaborates with Medical Director, and offers clinical oversight for outpatient services.